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Claims investigator Jobs in Durham, NC

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Claims investigator • durham nc

Last updated: 2 days ago

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorDurham, North Carolina, US
Remote
Full-time

Role Overview** - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts.The workflows are calibra... Show more

Auto & Heavy Equipment Appraiser - 1099 - Durham, NC

CCMS & AssociatesDurham, NC, US
Full-time
Quick Apply

CCMS & Associates is seeking experienced Auto and Heavy Equipment Appraisers to join our independent adjuster and appraiser roster.As a 1099 independent contractor, you will play a critical rol... Show more

GMP Compliance Investigator - Equipment and Facilities - Marcus Center for Cellular Cures

Duke UniversityDurham, NC, United States
$67,919.00 yearly
Full-time

GMP Compliance Investigator - Equipment and Facilities - Marcus Center for Cellular Cures.School of Medicine Established in 1930, Duke University School of Medicine is the youngest of the nation's ... Show more

Site Management Associate II.

PSIDurham, NC, US
Full-time

Start your career in clinical research, streamlining communication, maintaining systems and managing documents.The scope of responsibilities will include:.Main site contact for all non-trial-partic... Show more

Site Management Associate II

PSI CRODurham, North Carolina, United States
Full-time

Start your career in clinical research, streamlining communication, maintaining systems and managing documents.The scope of responsibilities will include:.Main site contact for all non-trial-partic... Show more

Senior Site Contracts Associate

ExperisDurham, NC, United States
Full-time

Senior Site Contracts Associate.Our Fortune 500 client (One of the world's IT Healthcare Consulting companies) in Durham NC is looking for hardworking, motivated talent to join their innovative tea... Show more

VP, Payment Integrity

Blue Cross NCDurham, NC, United States
Full-time

Vice President, Payment Integrity.To provide strategic direction and centralized leadership to the provider payment integrity and reimbursement policy functions inclusive of prepayment clinical and... Show more

Operations Associate

Piper CompaniesDurham, North Carolina
$20.00 hourly
Full-time

The ideal Operations Associate will be.Responsibilities for the Operations Associate include: .Provide exceptional customer service to clients and stakeholders.Process and manage insurance policies... Show more

Senior SCA/ Investigator Svcs Analyst II

Cynet SystemsDurham, NC, United States
Full-time

Equivalent combination of education, training and experience.Develop the global contracting strategy and support the delivery of all required start-up contracting activities for selected sponsors, ... Show more

Site Contracts Associate, IQVIA Biotech

IQVIA HoldingsDurham, NC, United States
$49,200.00 yearly
Part-time

IQVIA Biotech is hiring for Site Contracts Associate with 1-3 years' experience negotiating clinical site contracts and budget templates.IQVIA Biotech is a full-service CRO purpose-built to serve b... Show more

Site Director, Clinical Risk Management

Duke HealthDurham, NC, United States
Full-time

Site Director Of Clinical Risk Management.At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community.No matte... Show more

Field RV/Specialty Adjuster

AllstateDurham, NC, United States
$35.82 hourly
Full-time

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.We offer home, auto and accident an... Show more

VETERANS SERVICE OFFICER- 40009017

Durham County GovernmentDurham, NC, United States
Full-time

Veterans Service Officer - 40009017.The purpose of this position is to improve the quality of life of the veterans of Durham County, their dependents, and their survivors by facilitating access to ... Show more

Oncologist, Medical Director, Clinical Development - MRD

Personal Genome Diagnostics (pgdx)Durham, NC, United States
Full-time

Medical Director, Clinical Development MRD Portfolio (Solid Tumors).Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, ... Show more

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorDurham, North Carolina, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

Claims Director

DANDurham, NC, United States
Full-time

Responsible for the strategic leadership, operational management, and oversight of the organization's claims department.This role ensures timely, accurate, and compliant claims handling while promo... Show more

Commercial Auto Claims Adjuster - REMOTE

Work At Home Vintage ExpertsDurham, NC, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Oncologist, Medical Director, Clinical Development - MRD

LabcorpResearch Triangle Park, NC, United States
Full-time

Medical Director, Clinical Development Mrd Portfolio (Solid Tumors).Labcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, ... Show more

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Remote Insurance Experts - AI Trainer ($50-$60 per hour)

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorDurham, North Carolina, US
8 days ago
Job type
  • Full-time
  • Remote
Job description
  • Role Overview - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts. - The workflows are calibrated to the underwriting complexity, regulatory stakes, and claims scale of Fortune 500 and large public insurance carriers. - Contributors design enterprise insurance scenarios, draft reference outputs, and write rubrics that capture how senior F500 insurance operators think. Key Responsibilities - Construct enterprise insurance scenarios spanning complex commercial underwriting, multi-stakeholder claims adjudication, and regulatory filing or compliance review cycles at F500 carriers. - Build insurance tasks across F500 underwriting and risk assessment, claims management, actuarial pricing and reserving, reinsurance strategy, and regulatory / compliance affairs. - Develop insurance operations scenarios involving tools such as Guidewire, Duck Creek, actuarial modeling platforms (SAS, R), and enterprise claims / policy administration systems in F500 stacks. - Apply enterprise insurance methodologies (actuarial risk modeling, loss reserving, ERM frameworks, NAIC compliance standards) and produce reference underwriting guidelines, claims strategies, and executive-level risk narratives. - Author rubrics that distinguish authentic enterprise insurance judgment from generic textbook or licensing-exam recall. Ideal Qualifications - 5+ years working in underwriting, claims, actuarial, or risk management at a Fortune 500 insurance carrier or reinsurer (State Farm, Allstate, Chubb, AIG, Berkshire Hathaway) or inside an F500 enterprise risk / insurance organization. - Direct ownership of F500-scale underwriting portfolios, claims operations, or actuarial pricing models. - Fluency in enterprise insurance tooling and methodologies, plus understanding of how F500 regulatory compliance, reinsurance treaties, and reserving practices actually work. - Prior rubric, actuarial / underwriting training curriculum, or claims documentation authorship is a plus.