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Claims Jobs in Seattle, WA

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Claims • seattle wa

Last updated: 7 hours ago

Claims Examiner

v tech solutionSeattle, WA, United States
Full-time
Quick Apply

Job Summary: <p>The Claims Specialist is responsible for ensuring accuracy and completeness of patient account and claim information to facilitate timely billing and optimal reimbursement.Thi... Show more

 • New!

Claims Counsel (Hybrid in WA)

first americanUSA, Washington, Seattle
$106,600.00–$142,200.00 yearly
Full-time

Join a team that puts its People First! Since 1889, First American (NYSE: FAF) has held an unwavering belief in its people.They are passionate about what they do, and we are equally passionate abou... Show more

Field Auto Adjuster - Seattle, WA

allstateSeattle, WA, United States
$26.49 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

SIU Claims Investigator

lemieux associatesSeattle, WA, USA
$25.00–$32.00 hourly
Part-time
Quick Apply

Ready to put your surveillance skills to work for a national leader?Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your SIU expertise.Our leadership ... Show more

Commercial Claims Adjuster - Carrier or TPA - REMOTE

work at home vintage expertsSeattle, WA, US
$35.00–$65.00 hourly
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

Product Manager, Claims Automation & Integrations, On-Road Incident Management (ORIM)

amazon com servicesBellevue, Washington, USA
Full-time

We are seeking a Product Manager to own the strategy, roadmap, and execution of claims-related integrations and automation capabilities across our incident and claims ecosystem.This role will focus... Show more

Property Claims Adjuster Specialist - Field

usaaSeattle, WA, United States
$69,920.00–$133,620.00 yearly
Full-time

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice.We seek to be the #1 choice for the military... Show more

Sr. Adjuster-Workers Comp Claims

copper point insurance companiesSeattle, WA, United States
$68,000.00–$98,500.00 yearly
Full-time

Workers' Compensation Claims Adjuster Senior, Indemnity.CopperPoint has an exciting opportunity for a fully remote Workers' Compensation Claims Adjuster Senior, Indemnity.The ideal candidate must p... Show more

Principal Claims Adjuster, Property

pemcoSeattle, WA, United States
$105,762.00–$129,264.00 yearly
Full-time +1

Principal Claims Adjuster, Property.Applicants must be a resident and work from one of the following states: WA, with occasional travel to our headquarters, located in Seattle, WA.At PEMCO, we're a... Show more

Senior Casualty Claims Representative

western national insuranceSeattle, WA, United States
$82,000.00–$100,000.00 yearly
Full-time

Senior Casualty Claims Representative.Western National Insurance Group is a private mutual insurance company with over 120 years of experience serving customers' property-and-casualty insurance nee... Show more

 • New!

Assistant Vice President, National Accounts Casualty

arch capital groupSeattle, WA, United States
$95,800.00–$148,700.00 yearly
Full-time

AVP Claims Account Manager (CAM).With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities t... Show more

Claims Representative

puget sound energyBellevue, WA, US
Full-time

Puget Sound Energy is looking to grow our community with top talented individuals like you!  With our rapidly growing, award winning energy efficiency programs, our pathway to an exciting and innov... Show more

Insurance Claims Specialist

columbia bankSeattle, WA, United States
Full-time

Established in 1975, Financial Pacific Leasing, Inc.Columbia Bank), is a direct provider of small-ticket commercial equipment leases.For over 50 years, these partners have relied on Financial Pacif... Show more

Senior Property Claims Adjuster

mda edgeSeattle, WA, United States
Full-time

Senior Property Field Claims Adjuster.Property adjusters are essential to helping our clients when they have a claim.Our client is looking for a Senior Property Field Claims Adjuster to join their ... Show more

Property Field Claims Adjuster Sr

veracity solutionsSeattle, WA, United States
Full-time

Senior Property Claims Representative.We're seeking a Senior Property Claims Representative to join our field claims team.You'll be providing a consistent, positive, and satisfying claims experienc... Show more

Sr. Claims Specialist - Commercial Auto BI

philadelphia insurance companiesSeattle, WA, United States
$102,150.00–$120,177.00 yearly
Full-time

Senior Claims Specialist Commercial Auto BI.Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liab... Show more

Experienced Associate, Healthcare Forensics Coder

bdoSeattle, WA, United States
Full-time

Experienced Associate, Healthcare Forensics.The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and re... Show more

Product Manager: Auto Litigation Support, On-Road Incident Management (ORIM)

amazonBellevue, WA, United States
Full-time

Worldwide Logistics Insurance & Claims is seeking a Product Manager to own the strategy, roadmap, and execution of products supporting excess auto claims handling and auto litigation support across... Show more

Seattle, WA - Field Roof Inspector

hancock claims consultants techniciansBellevue, WA, US
Permanent
Quick Apply

Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.At Hancock, we are a... Show more

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Claims Examiner

Claims Examiner

v tech solutionSeattle, WA, United States
18 hours ago
Job type
  • Full-time
  • Quick Apply
Job description

Job Summary:

The Claims Specialist is responsible for ensuring accuracy and completeness of patient account and claim information to facilitate timely billing and optimal reimbursement. This role involves monitoring electronic claims transmissions, resolving claim rejections, and coordinating billing processes while maintaining compliance with government regulations. The position requires effective communication and collaboration with insurance companies, healthcare providers, patients, and internal teams to resolve billing and coding issues.

Responsibilities:

  • Ensure all billing documentation, including CPT-4, HCPCS, and ICD-10 coding, prior authorizations, and patient demographics, are complete and accurate.
  • Monitor daily electronic claims transmission and research system and clearinghouse claim rejections to maximize successful claim processing.
  • Perform follow-up with patients and insurance payers to ensure timely and accurate resolution of accounts.
  • Research and resolve insurance denials and coding inconsistencies per departmental guidelines.
  • Maintain working knowledge of registration, billing, electronic data interchange, and payer-specific policies.
  • Collaborate with team members and communicate professionally with patients, providers, and insurance representatives.
  • Operate billing and registration equipment safely and report malfunctions.
  • Analyze and resolve errors or problems using available resources and department guidelines.
  • Maintain compliance with federal, state, and organizational laws, regulations, and guidelines.
  • Participate in educational programs and in-services to stay current with industry changes.

Required Skills & Certifications:

  • Minimum 2 years of experience in a healthcare business setting or related education.
  • At least 1 year of experience using the EPIC platform.
  • Minimum 1 year of successful customer service experience with patients and insurers.
  • Strong knowledge of managed care principles, insurance industry practices, and medical terminology.
  • Working knowledge of CPT, ICD-10 coding, and Correct Coding Initiatives.
  • Excellent analytical, organizational, verbal, written, and interpersonal communication skills.
  • Ability to operate data entry equipment and related computer systems with typing skills of 40 wpm.

Preferred Skills & Certifications:

  • Experience with Tri-Care/Champus, Medicaid, Medicare, Veterans Administration, and Imaging Systems.
  • Familiarity with basic accounting principles.

Special Considerations:

  • Candidate must reside in Washington state.
  • Orientation requires on-site attendance at the Seattle clinic on the first day.
  • Ability to maintain confidentiality of all patient information is essential.
  • Must demonstrate professional telephone and interpersonal skills.

Scheduling:

  • Monday through Friday, five 8-hour shifts per week.
  • Shift times may vary between 7:00 AM and 5:00 PM but will be set for each candidate.
  • Remote work with initial orientation on-site.