Post job

Claim processor jobs in Birmingham, AL - 45 jobs

All
Claim Processor
Processor
Claims Representative
Claim Specialist
Examiner
Claims Analyst
Claims Adjudicator
Claims Benefit Specialist
Certification Specialist
  • NDT Examiner II

    Teledyne 4.0company rating

    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.
    $35k-49k yearly est. 7d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Claims Examiner

    Harris Computer Systems 4.4company rating

    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 23d ago
  • Claims Examiner - Workers Comp (REMOTE - Southeast, VA, WV Exp Needed)

    Sedgwick 4.4company rating

    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+ ago
  • Claims 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 26d ago
  • Property Claims Specialist III - Large Loss (Dallas Fort Worth, TX)

    Nationwide 4.5company rating

    Claim processor job in Alabama

    If you're passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you! At Nationwide, "on your side" goes beyond just words. Our customers and partners are at the center of everything we do and we're looking for associates who are passionate about delivering extraordinary care. The selected individual must reside in Dallas Fort Worth, Texas area. Territory: This role will cover the state of Texas (Up to 50% travel). Ideal Candidate Locations: The ideal candidate will live in the Dallas Fort Worth, TX area. Occasional travel outside of the territory may be required. Relocation assistance may be available for qualified candidates who reside more than 50 miles outside of the ideal candidate locations listed. Qualifications: * 5 years of insurance field/property claims handling or adjusting experience (large loss - preferred) * Solid experience/proficiency with Xactimate * Solid experience writing own estimates and handling claims start to finish * Construction background/experience- Residential, Roofing, Remodeling, water mitigation, etc. * Strong customer service competency * Strong written & verbal communication skills PLEASE NOTE that CAT duty is required for this position. Benefits Include: Medical, Dental, Vision, 401k with company match, Company-paid Pension plan, Paid time off and more. #LI-JJ1 #LI-Remote Summary No two property claims are ever the same and each customer has unique needs. Our team thrives on providing the very best service and building lasting, successful relationships with our customers. If you are confident, curious, driven to learn and grow, and have a desire to help people when they most need it, we want to know more about you! As a Claims Specialist, you'll work to evaluate and resolve serious exposure, large loss claims requiring investigation, liability evaluation and negotiation. We'll count on you to expedite settlements and control average loss cost and litigation expense according to the best claims practices. Job Description Key Responsibilities: * Handles all assigned claims promptly and effectively, with little direction and oversight, which may include complicated and catastrophic losses. Makes decisions within delegated authority, recommends settlement values in the disposition of claims as outlined in company policies and procedures. * Accurately pays claims based on policy provisions, state mandates and/or fee schedules. * Determines proper policy coverages and applies standard methodologies to conclude assigned cases according to company guidelines. Adheres to high standards of professional conduct while delivering outstanding service. * Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. * Maintains knowledge of court decisions that may affect the claim's function; current principles and practices; innovations; and policy changes and modifications. May be required to maintain knowledge of other functions within assigned subject area. This may require attending various seminars or training sessions. * Maintains current knowledge of local industry repair procedures and local market pricing. * Able to act for Claims Manager. Mentors and provides leadership to less experienced claims associates. Provides one-on-one training and assists with training/presentations as assigned by claims management. * Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, claims management and underwriting. * Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assist general counsel to prepares files for suit, trial or subrogation. * Consults claims staff and defense counsel for discovery processes and lawsuit file/trial strategy on case-specific issues. * Initiates and conducts follow-ups through proficient use of the claims and other related business systems. * Delivers an outstanding customer service experience to all internal, external, current and prospective Nationwide customers. May perform other responsibilities as assigned . Reporting Relationships: Reports to Claims Manager. Individual contributor role. Typical Skills and Experiences: Education: Undergraduate degree or equivalent experience preferred. Advanced degrees in law or related field desirable. License/Certification/Designation: Successful completion of required claims certification schools or courses. Professional development such as IIA or CPCU preferred. State licensing where required. Obtain Xactimate Level 1 certification within a year of start date. Obtain Xactimate Level 2 certification within two years of employment. Experience: Five years of experience handling property claims, insurance processing or field claims adjusting. Knowledge, Abilities and Skills: General knowledge of insurance theory and practices, and contracts and their application. Property estimating and automated claims systems. Demonstrated knowledge of the investigation, consultation and settlement activities used to resolve extensive property damage claims. Proven ability to meet customer needs and provide exemplary meaningful service by guiding customers through the claims process and ensuring a positive customer experience. Analytical and problem-solving skills necessary to make decisions and resolve issues related to application of coverages to submitted claims, application of laws of jurisdiction to investigation facts, and application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for property losses. Ability to evaluate and successfully advise on property claims. Organizational skills to prioritize work. Command of written and verbal communication skills to effectively communicate with policyholders, claimants, repairpersons, attorneys, agents and the general public. Ability to efficiently operate a personal computer and related claims and business software. Able to provide leadership to less experienced claims associates. Must be able to safely access and inspect rooftops using a ladder. Must be prepared and capable of conducting physical inspections on rooftops, including first and second story roofs with pitches up to 8/12. Other criteria, including leadership skills, competencies and experiences may take precedence. Staffing exceptions to the above must be approved by the hiring manager's leader and HR Business Partner. Values: Regularly and consistently demonstrates the Nationwide Values. Job Conditions: Overtime Eligibility: Not Eligible (Exempt) Working Conditions: Normal office or field claims environment. May require ability to sit and operate phone and personal computer for extended periods of time. Able to make physical inspections of property loss sites; including climb ladders, balance at various heights and rooftops up to 8/12 pitch stoop, bend and/or crawl to inspect vehicles and structures; work outside in all types of weather. Must be willing to work irregular hours and to travel with possible overnight requirements. May be on-call. Must be available to work catastrophes (CAT). Extended and/or non-standard hours as required. Must have a valid driver's license with satisfactory driving record in accordance with Nationwide standards. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Credit/Background Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process. Benefits We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here. Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law. #claims NOTE TO EMPLOYMENT AGENCIES: We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means. Nationwide pays on a geographic-specific salary structure and placement within the actual starting salary range for this position will be determined by a number of factors including the skills, education, training, credentials and experience of the candidate; the scope, complexity and location of the role as well as the cost of labor in the market; and other conditions of employment. If a Sales job, Sales Incentives, based on performance goals are possible in addition to this range. Note on Compensation for Part-Time Roles: Please be aware that the salary ranges listed below reflect full-time compensation. Actual compensation may be prorated based on the number of hours worked relative to a full-time schedule. The national salary range for Claims Specialist III, Property Large Loss : $88,000.00-$164,000.00 The expected starting salary range for Claims Specialist III, Property Large Loss : $88,000.00 - $132,000.00
    $88k-164k yearly Auto-Apply 23d ago
  • Claims Analyst-Federal Construction

    Accura Engineering & Consulting Services 3.7company rating

    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. 38d ago
  • Bodily Injury Claims Specialist

    Auto-Owners Insurance Co 4.3company rating

    Claim processor job in Montgomery, AL

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: * Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. * Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. * Follow claims handling procedures and participate in claim negotiations and settlements. * Deliver a high level of customer service to our agents, insureds, and others. * Devise alternative approaches to provide appropriate service, dependent upon the circumstances. * Meet with people involved with claims, sometimes outside of our office environment. * Handle investigations by telephone, email, mail, and on-site investigations. * Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. * Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. * Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. * Assist in the evaluation and selection of outside counsel. * Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience * A minimum of three years of insurance claims related experience. * The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. * The ability to effectively understand, interpret and communicate policy language. * The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. 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-DNP #LI-Hybrid #IN-DNI
    $41k-57k yearly est. Auto-Apply 60d+ ago
  • Senior Claims Adjudicator

    Naphcare 4.7company rating

    Claim processor job in Birmingham, AL

    NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL. NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 30 years. Come join our team of over 6000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do. NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system. NaphCare Benefits for Full-Time Employees Include: Prescriptions free of charge through our health plan Health, dental & vision insurance that starts day one! Employment Assistance Program (EAP) services 401K and Roth with company contribution that starts day one! Tuition Assistance Referral bonuses On-site education Free Continuing Education! Term life insurance at no cost to the employee Generous paid time off & paid holidays NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up to date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing. With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different. We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership. Responsibilities Responsibilities for Senior Claim Adjudicator: Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines. Demonstrate ability to handle daily workload with speed and accuracy. Demonstrate a high comfort level in working with large volumes of data. Demonstrate the ability to act as a mentor for others within team. Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process. Additional duties and specific projects as assigned. Qualifications Qualifications for Senior Claim Adjudicator: Associate Degree or higher or equivalent work experience. Minimum five years of recent adjudication experience required. An ability to define and calculate Medicare and Medicaid is critical. Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies. Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required. CPC, COC, CIC, or Specialty Medical Coding Certification preferred. If you would like to speak with our Talent Acquisition team to learn more about this position and NaphCare, please first apply directly to this position to initiate the application process, and then please send your resume to ************************* where we will be in touch. Equal Opportunity Employer: disability/veteran
    $33k-49k yearly est. Auto-Apply 5d ago
  • Subrogation Claims Analyst - Montgomery, AL

    Gainwelltechnologies

    Claim processor job in Montgomery, AL

    Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The Subrogation Claims Analyst - Montgomery, AL supports Gainwell's mission by assessing, quantifying, and validating recoverable losses associated with insurance claims involving third-party liability. This role plays a key part in the subrogation process by delivering accurate claim valuations, thorough documentation, and analytical support to maximize recovery outcomes while ensuring compliance with policy provisions, legal standards, and internal guidelines. Your role in our mission * Review claim files to identify subrogation opportunities and confirm third-party liability * Assess and value medical claims in accordance with applicable policy coverage and program requirements * Analyze claim reports, medical records, and loss documentation to support valuation decisions * Prepare detailed and well-supported valuation reports for subrogation demands and recovery efforts * Validate claim quantum for negotiation, mediation, arbitration, or litigation support * Ensure all valuations are complete, accurate, and supported by appropriate documentation * Collaborate closely with recovery managers, call center teams, intake personnel, and internal stakeholders * Support timely, compliant claim processing aligned with Gainwell standards and client expectations What we're looking for * 2-5 years of experience in claims handling, loss adjusting, valuation, or subrogation * Strong understanding of insurance policies, recoveries, and subrogation principles * Experience valuing medical or medical-related claims * Strong analytical skills with high attention to detail and accuracy * Proficiency in Microsoft Word and Excel, with the ability to document and analyze claim information What you should expect in this role * Onsite position based in Montgomery, Alabama * Monday through Friday, standard business hours 8:00 AM - 5:00 PM * Video cameras must be used during all interviews, as well as during the initial week of orientation. * Collaborative work environment with internal claims teams and external legal partner The deadline to submit applications for this posting is January 15, 2026. #LI-ONSITE #LI-JA1 #LI-CM1 The pay range for this position is $32,700.00 - $46,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
    $32.7k-46.7k yearly 4d ago
  • Non Profit Donation Processor 1

    Faithful Financial Co

    Claim processor job in Epes, AL

    Remote Fundraising Support Agent - Nonprofit Call Center We're hiring dedicated professionals to join our remote call center team. Support nonprofit organizations by managing donor calls and helping drive their missions forward. Responsibilities: ● Inbound and outbound donor calls ● Log data with accuracy and speed ● Provide helpful, friendly service ● Provide program details when needed ● Consistently meet performance goals RequirementsBasic Requirements: ● High school diploma or GED ● 6 months remote or 1 year on -site experience ● Solid communication skills ● Microsoft Office proficiency ● Quiet home setup and flexible schedule Technology Requirements: ● Windows 11 ONLY - No Chromebooks or Apple ● 16 GB RAM computer is preferred ● Dual monitors (highly suggested) ● Noise -canceling USB headset (not required during application) ● Hardwired internet connection ( not required during application ) Benefits● Start at $13-$15/hour ● Set your own hours ● Growth and promotion opportunities ● Work from the comfort of home
    $13-15 hourly 5d ago
  • 2nd shift Processor

    Universal Logistics 4.4company rating

    Claim processor job in Lincoln, AL

    Are you looking to join a dynamic team that provides its people with the tools to be successfull and opportunities to grow? Universal Logistics is a leading provider of customized transportation and logistics solutions, offering a comprehensive suite of services including transportation, value-added, intermodal, and specialized services utilized throughout entire supply chains. Universal has immediate career opportunities in your area. Apply today to become part of the Universal team! 2nd shift processor Hours: Monday through Friday 2pm-10:30pm w/ mandatory OT as needed on the weekends Rate: $17.00/hr
    $17 hourly Auto-Apply 34d ago
  • Claim Benefit Specialist

    CVS Health 4.6company rating

    Claim processor job in Homewood, AL

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. A Brief OverviewPerforms claim documentation review, verifies policy coverage, assesses claim validity, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims. Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution. Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims. Determines if claims processing activities comply with regulatory requirements, industry standards, and company policies. Develops and implements regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and team development. Analyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Required Qualifications1-2 years' experience working in Customer Service. Possess strong teamwork and organizational skills. Strong and effective communication skills. Ability to handle multiple assignments competently through use of time management, accurately and efficiently. Strong proficiency using computers and experience with data entry. Preferred QualificationsExperience in a production environment. Healthcare experience. Knowledge of utilizing multiple systems at once to resolve complex issues. Claim processing experience preferred but not required. Understanding of medical terminology. EducationHigh School or GED equivalent. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17. 00 - $28. 46This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 01/19/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $17 hourly 7d ago
  • CLAIMS REPRESENTATIVE

    State of Alabama 3.9company rating

    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+ ago
  • Revenue Examiner

    Montgomerty City-County Personnel

    Claim processor job in Montgomery, AL

    Salary Information Compensation plans are based on a multi-step progression system. The pay range reflects the entry level and maximum salary potential in the assigned pay grade. **A starting salary may be negotiated and will be commensurate with education, training and experience in alignment with pay administration policies and Montgomery Personnel Board Rules & Regulations** Nature of Work The fundamental reason this classification exists is to enforce revenue and licensing laws and regulations. Work involves inspecting business premises within an assigned location to ensure compliance and promptly identify violations. The work responsibilities include thoroughly examining and verifying revenue and license receipts from businesses operating in Montgomery. Incumbents in this position must exercise tact and decisive judgment to ensure public cooperation and compliance while adhering to established policies and procedures. Work is performed under the immediate supervision of the Revenue Compliance Officer and/or Revenue Manager. Minimum Qualifications High School Diploma or GED and two (2) years of delinquent account tax collection work. NOTE: Qualifying education, training and experience that provide the requisite knowledge, skills, and abilities to perform the job will be considered. Special Requirements SPECIAL REQUIREMENTS: Must have and maintain a valid Alabama Driver's License and an insurable driving record in order to drive City and/or personal vehicles. Must be available to work flexible hours, which include nights, days, holidays and weekends. WORKING CONDITIONS: Work is performed primarily in the field, which involves traveling to local business locations. This may require working in inclement weather, visiting construction sites, climbing stairs, and walking over rough terrain. There may be minimal lifting of items such as boxed documents, laptops, printers, and similar items. Occasional travel outside of Montgomery and the State of Alabama may be necessary, including work occurring outside of regular business hours. Kind of Examination Applications are being accepted to fill one (1) vacancy and any vacancies that may occur during the life of the register. The current vacancy is with the City of Montgomery Finance Department. Applicants will be screened and qualified based upon education and experience as shown on the application and attached supplemental questionnaire. For this reason, applicants are urged to fill in the application form and supplemental questionnaire completely providing detailed information concerning the kinds of jobs they have held, the dates they held them, where and exactly what their duties were. Complete an online application by visiting Montgomery Personnel Board's Online Employment Center. Paper applications are no longer accepted. Completed applications will be accepted online until 11:59 p.m. on the closing date. If there is no closing date, the announcement may be closed at any time without prior notice. Additional Information BENEFITS: Employees are offered a competitive benefits package, which includes health, dental, and life insurance; paid annual and sick leave; paid holidays; and participation in the Retirement Systems of Alabama (RSA) retirement program. DRUG TEST: Employment may be conditional upon the potential employee passing a pre-employment drug test. (The drug test may require the submission of a sample of hair, finger nails, and/or urine that will verify illegal drug use). BACKGROUND CHECK: Employment may be conditional upon the potential employee passing a background check. (Candidates will be asked to provide consent prior to the administration of background checks.) EQUAL EMPLOYMENT OPPORTUNITY: Discrimination against any person in recruitment, examination, appointment, training, promotion, retention, discipline, or any other aspect of personnel administration because of political or religious opinions or affiliations or because of race, national origin, or any other non merit factors is prohibited. Discrimination on the basis of age, sex, or physical disability is prohibited except where specific age, sex, or physical requirements constitute a bona fide occupational qualification necessary to proper and efficient administration. REQUEST FOR ACCOMMODATION: Under the Americans with Disabilities Act, it is the responsibility of the applicant with a disability to request accommodation which he/she requires in order to participate in the application or examination process. The Montgomery Personnel Board reserves the right to require documentation of the need for accommodation under the ADA. In order to request accommodation in the application or testing process, contact the Personnel Director at (334) 625-2675. I9: Prior to your employment, you will be required to provide to your employer documentation of your identity and employment eligibility in order to comply with the Immigration Reform and Control Act of 1986. UPDATE OF CONTACT INFORMATION: It is your responsibility to update your contact information (address, phone, email) so that we can contact you about jobs. Please visit the Update Contact Information page to log in and update to your contact information at any time.
    $33k-53k yearly est. 52d ago
  • Wire Transfer Processor

    First Horizon 3.9company rating

    Claim processor job in Birmingham, AL

    At First Horizon Bank Operations, we are on a mission to deliver a seamless customer experience. We are passionate about doing things right and doing the right things. We collaborate with each other and with our internal business partners to delight our customers. We believe in creating an environment where everyone's ideas are valued so that the team operates at its best. Our team members serve with humility and a deep commitment to their responsibility to be the best at serving their customers one opportunity at a time. Summary: The Wire Transfer Processor provides internal and external support for customers processing wire transactions. Responsibilities include: processing outgoing/incoming customer wire requests; effectively communicating with external customers and internal business partners, providing excellent customer service, telephone courtesy and professionalism. Processes wires to meet departmental standards; strives to process transactions 100% error free, with no monetary loss. Contributes to the success of the Wire Transfer team by supporting and achieving the productivity and quality goals of the department. Essential Duties and Responsibilities: Key Activities: Processes wire transfer requests from internal business partners and external customers. Answers a high volume of telephone calls from external customers and internal business partners. Handles difficult customer situations with professionalism. Maintains open communication with internal business partners. Follows up with customers and/or managers to ensure problems are resolved. Meets or exceeds customer service needs and reports barriers. Shares knowledge and experience with team in support of high performance. Ensures compliance with established bank policies, guidelines and regulatory requirements. Customer Service: Fosters a positive working environment. Provides timely, complete and accurate response to inquiries. Addresses client needs by involving the right people at the right time. Solves problems by asking probing questions. Demonstrates a strong sense of optimism, ownership and a commitment to achieving meaningful results. Projects a positive image and acknowledges others efforts and accomplishments, exerts extra effort and a personal commitment to work. Tailors communication style and content to the audience. Handles all situations in a professional, ethical manner. Escalates special situations or problems as necessary. Productivity: Ensures all goals and departmental service standards (SLAs) are met. Meets productivity goals. Consistently meets quality control and data integrity standards. Effectively utilizes available tools. Education and/or Work Experience Requirements: Excellent written and verbal communication skills Understanding of Wire Transfer controls and procedures Basic understanding of deposit and lending processes and functions Exhibits a high level of ownership and accountability to meet deadlines Utmost commitment to quality Strong customer orientation Awareness of regulatory environment and implications High School graduate or similar certificate and experience in a related field required. 5 years banking related experience, customer service experience or bachelor's degree preferred. Ability to promote the appropriate company image and maintain a professional attitude in an ever-changing environment Ability to work under pressure and meet deadlines Knowledge of Excel and other Microsoft Office software Physical Requirements: Basic keyboarding or other repetitive motions Must be able to talk, listen and speak clearly on telephone Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state, and local standards, including meeting qualitative and/or quantitative productivity standards Hours: Monday - Friday 8:00 AM - 5:00 PM About Us First Horizon Corporation is a leading regional financial services company, dedicated to helping our clients, communities and associates unlock their full potential with capital and counsel. Headquartered in Memphis, TN, the banking subsidiary First Horizon Bank operates in 12 states across the southern U.S. The Company and its subsidiaries offer commercial, private banking, consumer, small business, wealth and trust management, retail brokerage, capital markets, fixed income, and mortgage banking services. First Horizon has been recognized as one of the nation's best employers by Fortune and Forbes magazines and a Top 10 Most Reputable U.S. Bank. More information is available at ********************* Benefit Highlights • Medical with wellness incentives, dental, and vision • HSA with company match • Maternity and parental leave • Tuition reimbursement • Mentor program • 401(k) with 6% match • More -- FirstHorizon.com/First-Horizon-National-Corporation/Careers/Our-Benefits Follow Us Facebook X formerly Twitter LinkedIn Instagram YouTube
    $25k-34k yearly est. 2d ago
  • Pre-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. 9d ago
  • Hospital Processor/ Phlebotomist-Fairhope- 3rd shift

    Labcorp 4.5company rating

    Claim processor job in Fairhope, AL

    At LabCorp we have a passion in helping people live happy and healthy lives. Every day we provide vital information that helps our clients and patients understand their health. If you are passionate about helping people and have a drive for service, then LabCorp could be a great next career step! We are currently seeking a Phlebotomist/Processor to work at Thomas Hospital in Fairhope, AL. In this role you will provide exceptional customer service, perform skilled specimen collections and be the face of the company. In addition, you will be provided opportunities for continuous growth within the organization. Work Schedule: Monday-Friday 10:30pm-7:00am, w/rotating weekends and holidays Work Location: Thomas Hospital 750 Morphy Ave - Fairhope, AL Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here. Job Responsibilities: Perform blood collections by venipuncture and capillary techniques for all age groups Collect specimens for drug screens. Perform data entry of patient information in an accurate and timely manner Prepare all collected specimens for testing and analysis Maintain patient and specimen information logs Provide superior customer service to all patients Administrative and clerical duties as necessary Travel to additional sites when needed Job Requirements: High school diploma or equivalent Phlebotomy certification or completed training program from an accredited agency or previous experience as a phlebotomist is required Previous experience working in a Lab setting Proven track record in providing exceptional customer service Strong communication skills; both written and verbal Ability to work independently or in a team environment Comfortable working under minimal supervision Reliable transportation required Flexibility to work overtime as needed Able to pass a standardized color blindness test If you're looking for a career that offers opportunities for growth, continual development, professional challenge and the chance to make a real difference, apply today! Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
    $24k-30k yearly est. Auto-Apply 33d ago
  • Claims Examainer - Workers Comp (Southeast State exp needed)

    Sedgwick 4.4company rating

    Claim processor job in Birmingham, 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 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.** **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**
    $31k-42k yearly est. 7d ago
  • 1st shift Processor

    Universal Logistics 4.4company rating

    Claim processor job in Lincoln, AL

    Are you looking to join a dynamic team that provides its people with the tools to be successfull and opportunities to grow? Universal Logistics is a leading provider of customized transportation and logistics solutions, offering a comprehensive suite of services including transportation, value-added, intermodal, and specialized services utilized throughout entire supply chains. Universal has immediate career opportunities in your area. Apply today to become part of the Universal team! 1st shift Processor 6am-2:30pm $16.25/hour
    $16.3 hourly Auto-Apply 34d ago
  • 2nd shift Hospital Specimen Processor-Fairhope

    Labcorp 4.5company rating

    Claim processor job in Fairhope, AL

    Are you organized, accountable, and have always gone the extra mile to make sure things are done right? Imagine the impact those skills can have in ensuring the accuracy of millions of healthcare tests, every month. If you share our passion for strengthening physician care, please apply for the Specimen Management Specialist position! Labcorp is seeking a dedicated and motivated individual to join their Specimen Management team at Thomas Hospital in Fairhope, AL. Work Schedule: Monday to Friday 2:00pm - 10:30pm with rotating weekends Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here. . Job Responsibilities: Act a liaison between the lab, clients, and patients. Resolve internal & external customer requests via calls, instant messenger & email communications Communicates with customers in respectful and professional manner. Work in multiple databases to research complex issues and questions. Provide customer education and information as needed. Review test forms for accuracy and report any discrepancies. Prepare and triage specimens for analysis. Accurately identify and label specimens. Pack and ship specimens as necessary. Prepare and store excess specimen samples. Requirements: High School Diploma or equivalent required Associates degree or higher is preferred Prior medical/clinical laboratory experience is preferred Familiarity with laboratory operations as well as policies and procedures is preferred Excellent communication skills; both written and verbal Comfortable handling biological specimens Ability to accurately identify specimens Experience working in a team environment Strong data entry and organizational skills High level of attention to detail Proficient in MS Office Ability to lift up to 40lbs. Ability to pass a standardized color blind test If you're looking for a career that offers opportunities for growth, continual development, professional challenge and the chance to make a real difference, apply today! Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
    $24k-30k yearly est. Auto-Apply 2d ago

Learn more about claim processor jobs

How much does a claim processor earn in Birmingham, AL?

The average claim processor in Birmingham, AL earns between $26,000 and $61,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Birmingham, AL

$40,000

What are the biggest employers of Claim Processors in Birmingham, AL?

The biggest employers of Claim Processors in Birmingham, AL are:
  1. Sedgwick LLP
Job type you want
Full Time
Part Time
Internship
Temporary