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Claims • seattle wa

[last_updated.last_updated_variable_days]
  • [promoted]
Claims Specialist

Claims Specialist

CorVelSeattle, WA, US
[job_card.full_time]
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...[show_more][last_updated.last_updated_30]
  • [promoted]
Claims Processor

Claims Processor

Northwest AdministratorsSeattle, Oregon, USA
[job_card.full_time]
Are you looking for a new career in a challenging industry Does paid training for a job that provides a sense of accomplishment as you help others sounds like your perfect fit If so check out our r...[show_more][last_updated.last_updated_30]
  • [promoted]
Adjudicator, Provider Claims

Adjudicator, Provider Claims

Washington StaffingBellevue, WA, US
[job_card.full_time]
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims....[show_more][last_updated.last_updated_30]
Specialist, Claims Recovery (Remote)

Specialist, Claims Recovery (Remote)

Molina HealthcareBellevue, WA, United States
[filters.remote]
[job_card.full_time]
JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpaym...[show_more][last_updated.last_updated_30]
Claims Quality Specialist Lead

Claims Quality Specialist Lead

GallagherSeattle, WA, United States
[job_card.full_time]
Join our growing team of dedicated professionals at Gallagher Bassett, who guide those in need to the best possible outcomes for their health and wellbeing. You'll be part of a resilient team that w...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Senior Analyst, Claims Research

Senior Analyst, Claims Research

Veterans StaffingBellevue, WA, US
[job_card.full_time]
Senior Claims Research Analyst.The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. Analyst, Claims Research serves as a senior-level subject m...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Quality Specialist Lead

Claims Quality Specialist Lead

Arthur J Gallagher & CoSeattle, WA, US
[job_card.full_time]
Join Our Team At Gallagher Bassett.Be part of a resilient team that redefines excellence.At our organization, we value collaboration and making a positive impact in the lives of our clients and cla...[show_more][last_updated.last_updated_30]
Field Claims Adjuster

Field Claims Adjuster

EAC Claims Solutions LLCSeattle, Washington, United States
[job_card.full_time]
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency.Join us in delivering exceptional service while upholding the highest standards of professionalism and co...[show_more][last_updated.last_updated_30]
  • [promoted]
Claims Adjuster

Claims Adjuster

VirtualVocationsRenton, Washington, United States
[job_card.full_time]
A company is looking for a Claims Specialist.Key Responsibilities Process claims accurately and in a timely manner while adhering to established guidelines Handle inquiries from customers and re...[show_more][last_updated.last_updated_30]
  • [promoted]
Claims Quality Specialist Lead

Claims Quality Specialist Lead

Canon Recruiting GroupSeattle, Oregon, USA
[job_card.full_time]
Manages compliance and quality functions whose mission is to provide assistance to Field Operations and Account Management in order to exceed our clients claim handling expectations.Collaborates in...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Representative

Claims Representative

LHHBellevue, WA, US
[job_card.full_time]
Our client is a leading asset manager dedicated to helping individuals, financial professionals and institutions design better portfolios. Hybrid : In-office Tuesday, Wednesday, Thursday.The Claims R...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Manager, Claims Operations

Manager, Claims Operations

Healthcare Management AdministratorsBellevue, WA, US
[job_card.full_time]
HMA is the premier third-party health plan administrator across the PNW and beyond.We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans.We o...[show_more][last_updated.last_updated_30]
  • [promoted]
Specialist, Claims Recovery (Remote)

Specialist, Claims Recovery (Remote)

Remote StaffingBellevue, WA, US
[filters.remote]
[job_card.full_time]
Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy and provider com...[show_more][last_updated.last_updated_30]
  • [promoted]
Contracts and Claims Manager

Contracts and Claims Manager

Luster NationalSeattle, Oregon, USA
[job_card.full_time]
Youll safeguard the owners commercial interests steer change order negotiations and resolve claims in ways that keep budgets protected and project momentum intact. This posting is for future roles a...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Field Property Claims Adjuster

Field Property Claims Adjuster

Liberty Mutual Insurance GroupRenton, WA, US
[job_card.full_time]
Field Property Claims Adjuster.Join us as a Field Property Claims Adjuster where you'll be responsible for helping our customers navigate the claims process and get back on their feet following dam...[show_more][last_updated.last_updated_30]
Paralegal, Corporate Auto Claims

Paralegal, Corporate Auto Claims

AmazonSeattle, WA, United States
[job_card.full_time]
Play a leading role in operational risk improvements at Amazon.Amazon is seeking an experienced Paralegal who will work with the Corp Auto Team and Amazon Defense Counsel on litigated complex bodil...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Medical Claims Specialist

Medical Claims Specialist

LHH USSeattle, WA, US
[job_card.full_time]
LHH Recruitment Solutions is hiring a Medical Claims Specialist for our healthcare client located in Seattle.This position will be a contract role and 100% onsite in Downtown.This position will be ...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Claims Specialist

Claims Specialist

Government JobsSeattle, WA, US
[job_card.full_time]
Business And Finance Officer I Claim Specialist.The Department of Community and Human Services (DCHS) is hiring a Business and Finance Officer I (BFO I) Claim Specialist to join the Finance and C...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Senior Environmental Claims Adjuster (CONTRACT)

Senior Environmental Claims Adjuster (CONTRACT)

Argonaut Management Services, IncSeattle, WA, United States
[job_card.full_time]
Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...[show_more][last_updated.last_updated_30]
Claims Specialist

Claims Specialist

CorVelSeattle, WA, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Claims Specialist

The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote role.

Essential Functions & Responsibilities :

  • Receives claims, confirms policy coverage and acknowledgment of the claim
  • Determines validity and compensability of the claim
  • Establishes reserves and authorizes payments within reserving authority limits
  • Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision
  • Communicates claim status with the customer, claimant and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Requires regular and consistent attendance
  • Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program ("IIPP")
  • Additional projects and duties as assigned

Knowledge & Skills :

  • Excellent written and verbal communication skills
  • Ability to learn rapidly to develop knowledge and understanding of claims practice
  • Ability to identify, analyze and solve problems
  • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
  • Strong interpersonal, time management and organizational skills
  • Ability to meet or exceed performance competencies
  • Ability to work both independently and within a team environment
  • Education & Experience :

  • Bachelor's degree or a combination of education and related experience
  • Minimum of 1 year of industry experience and claims management preferred
  • State Certification as an Experienced Examiner
  • Pay Range : $51,807 $83,551

    CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors : federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

    For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

    A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w / Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

    CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.