Symetra has an exciting opportunity to join our team as a Director Claims ! About the role In this role, you will have responsibility for Supplemental Health (Voluntary, Limited Benefit Med/ MEC) Claims Operations, Clinical and Vocational support, and ADA Stay at Work and Return to Work Operations. What you will do Provide guidance and oversight to the Supplemental Health

also include active file management, ensuring proper reserving and participation in training activities. Consistently exhibit a high level of customer service and adherence to department best practices. Participate in projects and initiatives as needed. Preferred Experience and Skills Proficiency with computers and current technology Interpersonal skills Oral and written c

Senior Claims Examiner Liability Requisition ID 2024 25262 Job Locations US LA New Orleans Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate to

SR Subrogation Recovery Adjuster Requisition ID 2024 25555 Job Locations US NY Hauppauge Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Subrogation Adjusters are responsible for the negotiation and recovery efforts of third party property casualty claims. The adjuster will enter direct negotiatio

Claims Specialist Workers Compensation Requisition ID 2024 25579 Job Locations US WA Seattle Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Administers and resolves non complex short term claims of low monetary amounts, including medical only claims. Documents and monitors open case inventory and

CLAIMS SPECIALIST 3RD PARTY Job Locations US MA TAUNTON ID 2024 142158 Line of Business PharMerica Position Type Full Time Pay Min USD $19.00/Hr. Pay Max USD $21.00/Hr. Our Company PharMerica Overview Join our PharMerica team! PharMerica is a closed door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long term care and senior living clients. We

Review, process and identify medical claims based on standard operating procedures on CPS. Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS / Medicare guidelines, benefit plan documents / certificates). Review and apply member benefit plans and provider contracts, Prici

of Position We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations. They will process appeals and grievances to facilitate the accurate administration of benefits and clinical

This is where you save and sustain lives At Baxter, we are deeply connected by our mission. No matter your role at Baxter, your work makes a positive impact on people around the world. You'll feel a sense of purpose throughout the organization, as we know our work improves outcomes for millions of patients. Baxter's products and therapies are found in almost every hospita

Inspiring healthier lives through Water Your Way. At Primo Water, we are committed to empowering associates to live our shared values and provide opportunities for our associates to grow and celebrate being part of a winning team. Our comprehensive benefits package empowers you to maximize your money, live a healthy life, and grow personally and professionally. We call it

Claims Adjuster II Job Locations US FL Maitland Requisition ID 2024 16356 Category Claims Workers Compensation Position Type Regular Full Time Overview The Workers' Compensation Adjuster I is responsible for prompt and efficient investigation, evaluation and settlement or declination of insurance claims through effective research, negotiation and interaction with insureds

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions

Conduct on site inspections and assessments of property damages for both residential and commercial claims Collaborate with policyholders, insurance agents and other involved parties to gather information and resolve claims efficiently May occasionally require interacting with parties who express strong emotions or concerns about ongoing inspections or claim resolutions P

This position is for an Auto Estimator, handling claims resulting in property damage to vehicles. You may be the first point of contact to meet with our insureds, explain coverage, estimate vehicle damage, and help them through the claims process while providing Remarkable service. This includes Utilizing automated estimating systems to prepare repair estimates Providing