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Claim processor jobs in Alabama - 33 jobs
Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Stout
Claim processor job in Huntsville, AL
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.$31k-38k yearly est. 1d agoClaims Examiner
Harriscomputer
Claim processor job in Alabama
Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.$32k-50k yearly est. Auto-Apply 33d agoClaims Examiner
Harris Computer Systems
Claim processor job in Georgiana, AL
Responsibilities & Duties:Claims Processing and Assessment: * Evaluate incoming claims to determine eligibility, coverage, and validity. * Conduct thorough investigations, including reviewing medical records and other relevant documentation. * Analyze policy provisions and contractual agreements to assess claim validity. * Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: * Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. * Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. * Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: * Ensure compliance with company policies, procedures, and regulatory requirements. * Maintain accurate records and documentation related to claims activities. * Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: * Identify opportunities for process improvement and efficiency within the claims department. * Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. * Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: * Generate reports and provide data analysis on claims trends, processing times, and outcomes. * Contribute to the development of management reports and presentations regarding claims operations.$45k-60k yearly est. Auto-Apply 30d agoClaims Examiner - Workers Comp (REMOTE - Southeast, VA, WV Exp Needed)
Sedgwick
Claim processor job in Mobile, AL
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Comp (REMOTE - Southeast, VA, WV Exp Needed) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. + Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. + Enjoy flexibility and autonomy in your daily work, your location, and your career path. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL CANDIDATE?** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. + Negotiates settlement of claims within designated authority. + Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. + Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. + Prepares necessary state fillings within statutory limits. + Manages the litigation process; ensures timely and cost effective claims resolution. + Coordinates vendor referrals for additional investigation and/or litigation management. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. + Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. **Experience** Five (5) years of claims management experience or equivalent combination of education and experience required. **Licensing / Jurisdiction Knowledge:** Southeast and VA, WV Claims Exp Preferred **TAKING CARE OF YOU** + Flexible work schedule. + Referral incentive program. + Career development and promotional growth opportunities. + A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**$32k-46k yearly est. 60d+ agoClaims Analyst-Federal Construction
Accura Engineering & Consulting Services
Claim processor job in Alabama
Job Title: Claims Analyst-Federal Construction ***Work Location: Panama City, FL (Tyndall AFB) *** Salary: Based on experience and will be discussed with manager in interview REQUIREMENT- Must be a US Citizen and must pass a federal background review and drug screen Responsibilities/Duties: Analyze contract terms, project schedules, and scope to identify potential claims or disputes. Prepare, evaluate, and document construction claims including Requests for Equitable Adjustment (REAs), time extensions, and cost impacts. Review subcontractor claims and coordinate analysis with project and legal teams. Maintain organized documentation related to claims, including correspondence, daily reports, meeting minutes, schedules, and cost records. Work closely with project managers, estimators, and schedulers to gather and validate data. Support negotiations and settlement of claims with clients and subcontractors. Provide recommendations for claim avoidance and risk mitigation. Ensure all claims comply with applicable contract clauses and federal regulations (FAR, DFARS, etc.). Assist in drafting position papers, presentations, and reports to support claim resolution or litigation support. Education/Experience: Bachelor's degree in Construction Management, Engineering, Business, or related field. Minimum of 5 years of experience in construction claims analysis, preferably in federal or military construction projects. Experience on U.S. Army Corps of Engineers (USACE) or NAVFAC projects. Certification in construction claims or contract management (e.g., CCP, PMP, AACE certifications). Working knowledge of construction law and dispute resolution processes. Strong understanding of federal contracting regulations and procedures (FAR, DFARS). Familiarity with scheduling techniques and tools (e.g., Primavera P6, Microsoft Project). Experience analyzing cost impacts and time delays using industry-standard methodologies. Excellent written and verbal communication skills. Highly organized with strong attention to detail. Ability to work independently and collaboratively with project teams. Proficient in Microsoft Office Suite (Excel, Word, Outlook). Benefits: Competitive salary based on experience. Comprehensive health, dental, and vision insurance. Retirement savings plan with company match. Paid time off and holidays. Professional development and career advancement opportunities. A supportive and collaborative work environment. Equal Opportunity Employer (U.S.) all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law. Accura uses E-Verify in its hiring practices to achieve a lawful workplace. *******************$58k-83k yearly est. 46d agoNDT Examiner II
FLIR Systems
Claim processor job in Huntsville, AL
Be visionary Teledyne Technologies Incorporated provides enabling technologies for industrial growth markets that require advanced technology and high reliability. These markets include aerospace and defense, factory automation, air and water quality environmental monitoring, electronics design and development, oceanographic research, deepwater oil and gas exploration and production, medical imaging and pharmaceutical research. We are looking for individuals who thrive on making an impact and want the excitement of being on a team that wins. Job Description Job Summary: Under limited supervision, performs product inspection and/or audits of quality control programs. Performs sampling and testing of incoming components and raw materials and packaging line and manufacturing inspections. Inspects and tests product manufactured or processed by suppliers to ensure conformance to requirements and specifications. Identifies material and processes as Conforming or Nonconforming. Writes reports of findings for review. Enters required data into system. Tasks may include complex and/or non-routine assignments. Essential Duties and Responsibilities include the following. Other duties may be assigned. Analyze and interpret drawings, data, manuals, and other materials to determine specifications, inspection and testing procedures, adjustment and certification methods, formulas, and measuring instruments required. Inspect, test, or measure materials, products, installations, or work for conformance to specifications which may include mechanical, electrical and/or chemical inspections. Notify supervisors and other personnel of production problems, and assist in identifying and correcting these problems. Discuss inspection results with those responsible for products, and recommend necessary corrective actions. Record inspection or test data, such as weights, temperatures, grades, or moisture content, and quantities inspected or graded. Mark items with details such as grade or acceptance-rejection status. Measure dimensions of products to verify conformance to specifications, using measuring instruments such as rulers, calipers, gauges, or micrometers. Compare colors, shapes, textures, or grades of products or materials with color charts, templates, or samples to verify conformance to standards. Write test or inspection reports describing results, recommendations, or needed repairs. Prepare first article reports and enter required data into computer Document inspection findings and complete rejection reports. Ensure raw materials, in-process and finished products meet company standards. May apply approval or rejection labels to bulk raw materials once analytical data is evaluated. May assess draft and final label copy, utilizing knowledge of labeling regulations Minimize down time by reducing production rework and recalls. Follow established process/procedures for discarding or rejecting products, materials, or equipment not meeting specifications. Other duties as assigned. Supervisory Responsibilities This job has no supervisory responsibilities but may lead, guide and assign basic tasks to entry and intermediate level employees within the department. May participate in inter-departmental projects and process improvement committees. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: Requires a high school diploma. a BS degree in a recognized field of engineering or a closely related field of science is preferred. Normally requires approximately fourteen (14) years of applicable professional experience or a combination of graduate study and experience. However, assignments are primarily made on the basis of demonstrated capabilities and reputation in the area of specialization. Position may require one or more of the following (Site/CBU Specific): Other Essential Duties Follows all import/export requirements, consulting with facility import/export personnel as required. Required Skills/Abilities: Minimum of 10 years of experience in AS9100, NADCAP, ASME or NQA-1 Quality Systems Working knowledge of Lean Manufacturing/6 Sigma/Kaizen Knowledge of specific QA Programs: ASME Section III (Nuclear) and Section VIII, NQA-1 and B31.3 fabrication, various AWS Code structures, NAVSEA structures and components, NADCAP, and Fracture Critical NASA Flight Hardware. Understanding and experience in producing detailed NDT reports Ability to read manufacturing drawings and basic understanding of weld symbols. Other Qualifications US Citizenship with ability to attain/maintain government security clearance. Ability to travel (domestically/internationally) approximately _+/-10__% Certifications: At a minimum, candidate must have documented hours as a Level II technician in PT, VT, and RT or UT NDT Level II certified in all of the following: Liquid Penetrant (PT), Radiographic (RT), Ultrasonic (UT), Visual (VT), Eddy current (ET), and Leak Testing (MSLT) to perform NDT in support of manufacturing processes (welding, machining, etc.) is preferred. #TBE Teledyne and all of our employees are committed to conducting business with the highest ethical standards. We require all employees to comply with all applicable laws, regulations, rules and regulatory orders. Our reputation for honesty, integrity and high ethics is as important to us as our reputation for making innovative sensing solutions. Teledyne is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status, age, or any other characteristic or non-merit based factor made unlawful by federal, state, or local laws.$45k-70k yearly est. Auto-Apply 60d+ agoField Claims Specialist - TX Workers' Compensation
Great American Insurance Group (DBA
Claim processor job in Alabama
Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. * ----------------------------------------------- When is the last time you felt like you made a difference to your employer and in the job you do? Been awhile? Never? Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey. This clearly indicates the passion and energy our staff has for our company and for the job they do! A big reason for these successes is due to our careful matching of the right job with the right person. Currently we have an opening for a Field Claims Specialist in your region. Are you innovative, high energy, resilient, determined, assertive, clever, and competitive? Do you see each new claim as a puzzle to work and a challenge to be won? Does this sound like you? If so, this might be the right job for you. Here's who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG's common stock is listed and traded on the New York Stock Exchange ("NYSE") and NASDAQ under the symbol "AFG". Here's what we do. We insure workers' compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning our customers enjoy working with us too! Here's what you would be doing if hired for the Field Claims Specialist position. Your role would be to investigate and adjust workers' compensation claims with the highest potential exposure. We take an extremely aggressive and proactive approach to claims adjusting and are looking for the person who not only knows their territory's comp laws but also enjoys the role of putting that experience to good use. Because we focus on outcomes and not just processes, we look for the adjuster who is very skilled at developing strategies to bring claims to resolution. The person hired for this position will work from an office in their home approximately 40% of the time and work in the field approximately 60% of the time. Overnight travel is required as needed and where caseload dictates. Candidates must reside in the Houston area. Responsibilities * Investigating losses * Analyzing coverage, determining compensability and benefits * Establishing reserves and negotiating settlements * Conducting face-to-face meetings with claimants and insureds * Preparing large loss reports to both internal and external audiences * Attending settlement conferences, pre-trials and trials as assigned * Working closely with defense attorneys and other vendors including medical case management, surveillance, etc. Physical Requirements * Requires prolonged sitting and/or standing. * Requires frequent travel, including some overnight travel. * Requires ability to operate and/or travel in a motor vehicle for long periods of time. * May require occasional travel by airplane. * Requires frequent use of computer. Qualifications * A minimum of 10 years of Texas workers' compensation claims adjusting experience with higher exposure claims is required * Active Texas workers compensation adjusters license is required * Location in/near the Houston, TX metro area is required * Strong consideration will be given to candidates with industry designations including Associate in Claims * You must be a great communicator, in both written and verbal form, and be able to work with a variety of internal and external contacts #LI-StrategicComp Business Unit: Strategic Comp Salary Range: $100,000.00 -$110,000.00 Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.$100k-110k yearly Auto-Apply 60d+ agoClaims Analyst Biller - Eamc Business Office
East Alabama Hospital
Claim processor job in Opelika, AL
EAMC MISSION At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control. POSITION SUMMARY The Claims Analyst is responsible for accurately and compliantly filing claims, working denials and following up on outstanding accounts. This includes working various reports and queues, printing medical records, working insurance balances and credit balances, working correspondence from insurance carriers, staff members and other departments. POSITION QUALIFICATIONS Minimum Education High School Diploma or equivalent required Minimum Experience 1 year of experience Required Registration/License/Certification N/A Preferred Education Associates Degree or Higher Preferred Experience 2 or more years of Healthcare Related Experience Preferred Registration/License/Certification N/A Other Requirements N/A$24k-51k yearly est. 43d agoAuto Claims Representative
Auto-Owners Insurance
Claim processor job in Birmingham, AL
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products Learn and comply with Company claim handling procedures Develop entry-level claim negotiation and settlement skills Build skills to effectively serve the needs of agents, insureds, and others Meet and communicate with claimants, legal counsel, and third-parties Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience Bachelor's degree or direct equivalent experience with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Ability to maintain confidentially and data security Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Continually develop product knowledge through participation in approved educational programs Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. *Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI$32k-40k yearly est. Auto-Apply 44d agoCLAIMS REPRESENTATIVE
State of Alabama
Claim processor job in Montgomery, AL
The Claims Representative is a permanent, full-time position with the Department of Finance. Positions are located in Montgomery. This is technical work in the adjustment of claims in the Risk Management Division of the Department of Finance.$27k-33k yearly est. 60d+ agoWorkers Comp Claims Coordinator
Savard Group
Claim processor job in Mobile, AL
Join SAVARD Personnel Group - where your skills are valued! Key Requirements: We are hiring anexperienced workers' comp claims adjustor. Strong problem-solving and analytical skills. Excellent communication and interpersonal skills. Ability to work independently and as part of a team. Familiarity with safety protocols and claims management software. Valid driver's license and willingness to travel to job sites as needed. Investigate and document claims, including gathering evidence, interviewing claimants, and assessing damages. Conduct on-site inspections and assessments to evaluate the extent of damage and determine athe ppropriate course of action. Coordinate with safety teams and clients to ensure compliance with relevant regulations and protocols. Shifts: Monday to Friday - 8:00 AM to 5:00 PM Occasional over time and weekends as needed Duration: Temporary to Permanent How to Apply: Apply & Receive offers NOW! Download Savard 24/7 App! Call us at ************ Job ID# 54024559$33k-41k yearly est. 7d agoNDT Examiner II
Teledyne
Claim processor job in Huntsville, AL
**Be visionary** Teledyne Technologies Incorporated provides enabling technologies for industrial growth markets that require advanced technology and high reliability. These markets include aerospace and defense, factory automation, air and water quality environmental monitoring, electronics design and development, oceanographic research, deepwater oil and gas exploration and production, medical imaging and pharmaceutical research. We are looking for individuals who thrive on making an impact and want the excitement of being on a team that wins. **Job Description** **Job Summary:** Under limited supervision, performs product inspection and/or audits of quality control programs. Performs sampling and testing of incoming components and raw materials and packaging line and manufacturing inspections. Inspects and tests product manufactured or processed by suppliers to ensure conformance to requirements and specifications. Identifies material and processes as Conforming or Nonconforming. Writes reports of findings for review. Enters required data into system. Tasks may include complex and/or non-routine assignments. **Essential Duties and Responsibilities** include the following. Other duties may be assigned. + Analyze and interpret drawings, data, manuals, and other materials to determine specifications, inspection and testing procedures, adjustment and certification methods, formulas, and measuring instruments required. + Inspect, test, or measure materials, products, installations, or work for conformance to specifications which may include mechanical, electrical and/or chemical inspections. + Notify supervisors and other personnel of production problems, and assist in identifying and correcting these problems. + Discuss inspection results with those responsible for products, and recommend necessary corrective actions. + Record inspection or test data, such as weights, temperatures, grades, or moisture content, and quantities inspected or graded. + Mark items with details such as grade or acceptance-rejection status. + Measure dimensions of products to verify conformance to specifications, using measuring instruments such as rulers, calipers, gauges, or micrometers. + Compare colors, shapes, textures, or grades of products or materials with color charts, templates, or samples to verify conformance to standards. + Write test or inspection reports describing results, recommendations, or needed repairs. + Prepare first article reports and enter required data into computer + Document inspection findings and complete rejection reports. + Ensure raw materials, in-process and finished products meet company standards. + May apply approval or rejection labels to bulk raw materials once analytical data is evaluated. + May assess draft and final label copy, utilizing knowledge of labeling regulations + Minimize down time by reducing production rework and recalls. + Follow established process/procedures for discarding or rejecting products, materials, or equipment not meeting specifications. + Other duties as assigned. **Supervisory Responsibilities** This job has no supervisory responsibilities but may lead, guide and assign basic tasks to entry and intermediate level employees within the department. May participate in inter-departmental projects and process improvement committees. **Qualifications** To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. **Education and/or Experience:** Requires a high school diploma. a BS degree in a recognized field of engineering or a closely related field of science is preferred. Normally requires approximately fourteen (14) years of applicable professional experience or a combination of graduate study and experience. However, assignments are primarily made on the basis of demonstrated capabilities and reputation in the area of specialization. **Position may require one or more of the following (Site/CBU Specific):** **Other Essential Duties** + Follows all import/export requirements, consulting with facility import/export personnel as required. **Required Skills/Abilities:** + Minimum of 10 years of experience in AS9100, NADCAP, ASME or NQA-1 Quality Systems + Working knowledge of Lean Manufacturing/6 Sigma/Kaizen + Knowledge of specific QA Programs: ASME Section III (Nuclear) and Section VIII, NQA-1 and B31.3 fabrication, various AWS Code structures, NAVSEA structures and components, NADCAP, and Fracture Critical NASA Flight Hardware. + Understanding and experience in producing detailed NDT reports + Ability to read manufacturing drawings and basic understanding of weld symbols. **Other Qualifications** + US Citizenship with ability to attain/maintain government security clearance. + Ability to travel (domestically/internationally) approximately _+/-10__% **Certifications:** + **At a minimum, candidate must have documented hours as a Level II technician in PT, VT, and RT or UT** + NDT Level II certified in all of the following:Liquid Penetrant (PT), Radiographic (RT), Ultrasonic (UT), Visual (VT), Eddy current (ET), and Leak Testing (MSLT) to perform NDT in support of manufacturing processes (welding, machining, etc.) is preferred. \#TBE Teledyne and all of our employees are committed to conducting business with the highest ethical standards. We require all employees to comply with all applicable laws, regulations, rules and regulatory orders. Our reputation for honesty, integrity and high ethics is as important to us as our reputation for making innovative sensing solutions. Teledyne is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status, age, or any other characteristic or non-merit based factor made unlawful by federal, state, or local laws. You may not realize it, but Teledyne enables many of the products and services you use every day **.** Teledyne provides enabling technologies to sense, transmit and analyze information for industrial growth markets, including aerospace and defense, factory automation, air and water quality environmental monitoring, electronics design and development, oceanographic research, energy, medical imaging and pharmaceutical research.$35k-49k yearly est. 60d+ agoPre-Certification Specialist
Rehabilitation and Neurological Service, LLC
Claim processor job in Huntsville, AL
Job DescriptionBenefits: 401(k) matching Dental insurance Health insurance Vision insurance The Pre-Certification Specialist will be responsible for obtaining necessary pre-certification approvals from insurance providers to ensure that patients receive the required services and procedures. This role requires strong communication skills, attention to detail, and the ability to work efficiently in a fast-paced environment. Key Responsibilities: Pre-Certification Management: Obtain pre-certification approvals from insurance companies for medical procedures, services, and medications. Documentation: Collect and review all required documentation to ensure compliance with insurance and regulatory requirements. Communication: Serve as a liaison between healthcare providers, insurance companies, and patients to facilitate smooth pre-certification processes. Follow-Up: Track and follow up on pending pre-certification requests to ensure timely approvals. Data Entry: Accurately enter and maintain pre-certification data in the electronic health record (EHR) or other relevant systems. Problem Resolution: Address and resolve any issues or denials related to pre-certification requests. Compliance: Stay informed about changes in insurance policies, procedures, and regulatory requirements to ensure compliance. Qualifications: Education: High School Diploma or equivalent required; Associates or Bachelors degree in healthcare administration, business, or a related field preferred. Experience: Minimum of [2-3] years of experience in a healthcare or insurance setting, with a focus on pre-certification or authorization processes. Skills: Strong knowledge of insurance pre-certification and authorization procedures. Excellent communication and interpersonal skills. Proficiency in using electronic health records (EHR) systems and other relevant software. Detail-oriented with strong organizational skills. Ability to work independently and handle multiple tasks simultaneously. Certifications: [Any specific certifications required or preferred, e.g., Certified Professional Coder (CPC)] What We Offer: Competitive salary and benefits package Comprehensive health, dental, and vision insurance Retirement savings plan with company match Opportunities for professional development and career growth Supportive and collaborative work environment Don't share sensitive info.$27k-53k yearly est. 16d agoClaims Examiner - Workers Comp (REMOTE - Southeast, VA, WV Exp Needed)
Sedgwick
Claim processor job in Memphis, AL
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Comp (REMOTE - Southeast, VA, WV Exp Needed) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim. Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. Prepares necessary state fillings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Licensing / Jurisdiction Knowledge: Southeast and VA, WV Claims Exp Preferred TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.$31k-42k yearly est. Auto-Apply 60d+ agoClaims Analyst-Federal Construction
Accura Engineering & Consulting Services
Claim processor job in Birmingham, AL
Job Title: Claims Analyst-Federal Construction ***Work Location: Panama City, FL (Tyndall AFB) *** Salary: Based on experience and will be discussed with manager in interview REQUIREMENT- Must be a US Citizen and must pass a federal background review and drug screen Responsibilities/Duties: Analyze contract terms, project schedules, and scope to identify potential claims or disputes. Prepare, evaluate, and document construction claims including Requests for Equitable Adjustment (REAs), time extensions, and cost impacts. Review subcontractor claims and coordinate analysis with project and legal teams. Maintain organized documentation related to claims, including correspondence, daily reports, meeting minutes, schedules, and cost records. Work closely with project managers, estimators, and schedulers to gather and validate data. Support negotiations and settlement of claims with clients and subcontractors. Provide recommendations for claim avoidance and risk mitigation. Ensure all claims comply with applicable contract clauses and federal regulations (FAR, DFARS, etc.). Assist in drafting position papers, presentations, and reports to support claim resolution or litigation support. Education/Experience: Bachelor's degree in Construction Management, Engineering, Business, or related field. Minimum of 5 years of experience in construction claims analysis, preferably in federal or military construction projects. Experience on U.S. Army Corps of Engineers (USACE) or NAVFAC projects. Certification in construction claims or contract management (e.g., CCP, PMP, AACE certifications). Working knowledge of construction law and dispute resolution processes. Strong understanding of federal contracting regulations and procedures (FAR, DFARS). Familiarity with scheduling techniques and tools (e.g., Primavera P6, Microsoft Project). Experience analyzing cost impacts and time delays using industry-standard methodologies. Excellent written and verbal communication skills. Highly organized with strong attention to detail. Ability to work independently and collaboratively with project teams. Proficient in Microsoft Office Suite (Excel, Word, Outlook). Benefits: Competitive salary based on experience. Comprehensive health, dental, and vision insurance. Retirement savings plan with company match. Paid time off and holidays. Professional development and career advancement opportunities. A supportive and collaborative work environment. Equal Opportunity Employer (U.S.) all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law. Accura uses E-Verify in its hiring practices to achieve a lawful workplace. *******************$56k-80k yearly est. 45d agoClaims Analyst Credits Corrections - Eamc Business Office
East Alabama Hospital
Claim processor job in Opelika, AL
EAMC MISSION At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control. POSITION SUMMARY The Claims Analyst for Credits is responsible for accurately and compliantly filing credit balance reports. This includes working various reports and queues, working insurance credit balances and self-pay credit balances, working correspondence from insurance carriers, staff members and other departments. POSITION QUALIFICATIONS Minimum Education High School Diploma or equivalent required Minimum Experience 1 year of experience Required Registration/License/Certification N/A Preferred Education Associates Degree or Higher Preferred Experience 2 or more years of Healthcare Related Experience Preferred Registration/License/Certification N/A Other Requirements N/A$24k-51k yearly est. 60d+ agoACCOUNTS EXAMINER I
State of Alabama
Claim processor job in Montgomery, AL
The Accounts Examiner I is a permanent, full-time position with the Department of Examiners of Public Accounts. Positions are located throughout the state. This is entry-level professional auditing work involving the examination of the records and accounts of state and local government agencies, offices, and entities.$36k-45k yearly est. 60d+ agoClaims Examainer - Workers Comp (Southeast State exp needed)
Sedgwick
Claim processor job in Alabama
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examainer - Workers Comp (Southeast State exp needed) Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Apply your workers compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? To analyze workers compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. ESSENTIAL RESPONSIBLITIES MAY INCLUDE: Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner. QUALIFICATIONS Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge: Southeast State Experience TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. Work environment requirements for entry-level opportunities include - Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Sedgwick retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.$31k-43k yearly est. Auto-Apply 15d agoClaims Analyst Credits Corrections - Eamg PT Financial Serv
East Alabama Hospital
Claim processor job in Opelika, AL
EAMC MISSION At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control. POSITION SUMMARY The Claims Analyst for Credits is responsible for accurately and compliantly filing credit balance reports. This includes working various reports and queues, working insurance credit balances and self-pay credit balances, working correspondence from insurance carriers, staff members and other departments. POSITION QUALIFICATIONS Minimum Education High School Diploma or equivalent required Minimum Experience 1 year of experience Required Registration/License/Certification N/A Preferred Education Associates Degree or Higher Preferred Experience 2 or more years of Healthcare Related Experience Preferred Registration/License/Certification N/A Other Requirements N/A$24k-51k yearly est. 49d agoACCOUNTS EXAMINER III
State of Alabama
Claim processor job in Montgomery, AL
The Accounts Examiner III is a permanent, full-time position with the Department of Examiners of Public Accounts. Positions are statewide, in various locations throughout Alabama. This is advanced professional auditing work involving the functional supervision of a team of examiners in auditing state or local governmental entities or colleges and universities of medium to large size and of the highest complexity.$36k-45k yearly est. 60d+ ago
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