Claim processor jobs in Bossier City, LA - 456 jobs

As a Claims Specialist for the Marsh McLennan Agency, you will be a claims consultant providing oversight and advocacy on behalf of our clients throughout the process of a loss event and the life of a claim. Duties include: You will submit claims or provide guidance on claim submission; Review coverages and resolve claims issues; Ensure carrier commitments are honored; Coordinate and participate in scheduled claims reviews; Serve as your client's advocate with adjusters and their coverage counsel; Resolve coverage disputes whenever possible; Assess and strategize to produce best possible claim outcomes; Duties may also include: Review of client's overall claims program and individual complex claims situations; Develop strategic action plans to reach desired outcomes; Provide guidance regarding potential large settlements; Recommend suitable vendor partners, including claims TPAs, nurse triage, and others; Review adjuster's claim action plans; facilitate claims resolutions; Evaluate insurance company claim reserves and push for reductions where appropriate; REQUIREMENTS: High School Diploma, Bachelor's degree preferred; Adjusters license; Knowledge of accepted industry standards and practices; Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges; Analytical skill necessary to make decisions and resolve issues inherent in handling of claims; Construction experience and professional liability experience highly preferred We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: ****************************

SERVPRO Team Shaw - Ranked #69 Fastest Growing Construction/Restoration Company in US by Inc 5000 and #2 Best Place to Work by Dallas Business Journal SERVPRO Team Shaw is one of the largest SERVPROs in Texas and has grown from one location in 2019 to 30 locations today. We have grown 10x in the last 3 years and are looking to double in growth in near future. We are a full turnkey provider for our customers doing everything from Water and Fire Emergency Services, Moving and Storage of Contents, and Textile Cleaning all the way to Reconstruction. Growth opportunities can arise through any of the above-mentioned divisions, as well as specializations for commercial large loss, fire damage restoration, Reconstruction and Capital Improvement Projects. If you have a sense of urgency and want to grow with a company that has seen 10x growth over the last 2 years, look no further and apply today! As a Construction Claims Coordinator with SERVPRO, you will be responsible for ensuring the highest quality of service is provided to all customers, insurance partners, and internal teams. In this role, you will manage a wide range of administrative and communication functions that support the insurance claims process from start to finish. This position will work heavily within carrier portals, documentation systems, and in close partnership with Estimators, Project Managers, and Insurance Adjusters. Key Responsibilities: As a Construction Claims Coordinator, you will oversee essential file management and claims communication functions that keep insurance-related projects accurate, compliant, and moving forward efficiently. In this role you will: Manage all claims documentation, uploading and organizing required photos, estimates, invoices, and notes. Work heavily within insurance carrier portals (XactAnalysis) to update job status and submit required documents. Manage mortgage company authorization regarding ACV and depreciation. Create PO's and work within our construction software to manage payments and expenses. Communicate professionally with insurance adjusters regarding approvals, supplements, missing information, and claim status. Assist Estimators and Project Managers by ensuring job files are complete and meet carrier guidelines. Track claim progress, approvals, payments, and outstanding items to keep files moving efficiently. Provide homeowners with timely updates on claim status, required documents, and next steps. Coordinate re-inspections, supplemental requests, and additional documentation between field teams and adjusters. Maintain accurate digital file organization for all mitigation and reconstruction claims. Support internal reporting and compliance requirements related to carrier scores, timelines, and file accuracy. Schedule: Monday - Friday, 8:00 AM - 5:00 PM (Some overtime may be required) Qualifications: 1-3 years of experience in insurance claims, restoration, construction administration, or related office support. Strong written and verbal communication skills. High attention to detail and accuracy in documentation. Ability to prioritize, multitask, and manage deadlines in a fast-paced environment. Proficiency with Microsoft Office (Outlook, Excel, Word). Comfortable learning multiple software platforms and carrier portals. Strong customer service skills and professional phone/email presence. Preferred Experience: Experience with restoration software (Xactimate, PSA/CAM, BuilderTrend, Company Cam, etc.). Prior work in insurance, claims management, construction coordination, or mitigation/reconstruction support. Familiarity with insurance carrier requirements, SLAs, and documentation standards. Understanding of restoration industry workflows is a plus. Attributes for Success: Highly organized and detail-oriented. Strong communicator - clear, calm, and professional. Dependable with excellent follow-through. Able to stay calm under pressure and adapt quickly. Proactive about solving problems and closing gaps. Team-oriented with a positive, service-focused mindset. Comfortable juggling multiple open claims and deadlines. Benefits: Medical, Dental, Vision Insurance Paid Time Off + Sick Leave 401K with Company Matching Professional Development & Training Opportunities Growth potential in a rapidly expanding company

Claims Supervisor - Workers' Compensation Salary: $85,000-$90,000 Full Medical, Dental, Vision, PTO (4 weeks to start), employee discount program and internal training opportunities for advancement We are seeking an experienced Workers' Compensation Claims Supervisor to lead a claims unit in an in-office, fast-paced, compliance-driven environment. This is a hands-on leadership role overseeing examiners and support staff while ensuring high-quality claim handling and strict adherence to Texas workers' compensation regulations. Key Responsibilities Supervise, mentor, and performance-manage claims staff Review claim activity, reserves, payments, denials, and compliance Approve reserves (up to $250K) and payments (up to $10K) Conduct detailed file reviews and support internal/external audits Lead training on laws, policies, and best practices Serve as a point of contact for clients, vendors, and internal partners Ensure balanced caseloads and coverage during absences Prepare client reports and participate in client file reviews Requirements 5+ years supervising workers' compensation claims Active Texas Adjuster License Strong knowledge of Texas WC statutes and medical terminology Experience managing high-volume claim environments Preferred Bachelor's degree Texas public entity or school district claims experience

Salary: $50,000+ depending on experience Skills: Hospital Billing, Claims Appeals, Post-Acute Setting, Payor Contract Interpretation, MS Excel About the Health Care Company / The Opportunity: This is an exciting opportunity to join a dynamic team in the Health Care industry dedicated to making a meaningful impact in the lives of patients every day. As a Hospital Billing & Claims Appeal Specialist, you will play a pivotal role in supporting operations within a post-acute care environment while growing your career in a collaborative and supportive setting. This on-site role offers a chance to contribute to integrated healthcare management in Lafayette, Louisiana, and be part of a mission-driven organization committed to excellence in patient care and employee development. Responsibilities: Manage patient account billing, including preparing and mailing monthly statements and processing electronic billing submissions. Oversee fiscal year-end cost reporting and ensure accurate documentation for billing records. Support the billing team and corporate office in identifying and resolving incorrect contracted payments from managed care payors. Write, file, and follow up on appeals regarding claim denials in compliance with payor contract guidelines. Assist billing specialists in obtaining necessary documentation for appeals and maintaining appeal timelines. Collaborate effectively with colleagues to achieve departmental objectives and provide excellent customer service. Interpret and explain complex information related to billing and claim appeals to internal and external stakeholders. Utilize strong organizational and time management skills to handle multiple tasks and deadlines efficiently. Must-Have Skills: 2-3 years of hospital billing, collections, or accounting experience in a health care setting. Extensive experience with claim appeals and billing in the post-acute or long-term acute care (LTAC) setting. Ability to interpret payor contracts for appropriate appeal rights and regulatory compliance. Strong knowledge of MS Word and Excel for billing operations and reporting. Exceptional communication, organizational, analytical, and problem-solving skills. Diplomatic and clear articulation of complex information in written and verbal communications. Nice-to-Have Skills: Prior experience supporting billing specialists and managing multiple appeal workflows. Background in patient account billing in multi-site or multi-facility health systems. Experience with Employee Stock Ownership Plan (ESOP) organizations. Familiarity with a variety of managed care payors and electronic submission systems. Ability to work as a self-starter with strong attention to detail under tight deadlines.

Staffing Now is looking for a detail-driven Mechanical Claims Processing Specialist to support our client's Mechanical Claims team in a contract to hire, hybrid role. Responsibilities: Review and organize claims documents Verify repair orders and service invoices Process payments accurately and on time Collaborate with Claims Examiners to resolve open claims Hours - Monday - Friday and Saturday What you bring: Experience in warranty, automotive service, or claims support Strong attention to detail and data entry skills Comfort with invoices, contracts, and automotive terminology Why work here: Amazing leadership team! Small training classes with personal one on one attention and group training by a seasoned and experienced coach and trainer. Fully equipped breakroom with beverages, breakfast, lunch and dinner options available to all employees Friendly and fun environment with excellent employee culture GROWTH potential

PENNYMAC Pennymac (NYSE: PFSI) is a specialty financial services firm with a comprehensive mortgage platform and integrated business focused on the production and servicing of U. S. mortgage loans and the management of investments related to the U. S. mortgage market. At Pennymac, our people are the foundation of our success and at the heart of our dynamic work culture. Together, we work towards a unified goal of helping millions of Americans achieve aspirations of homeownership through the complete mortgage journey. A Typical Day The Claims Processor will take direction from the department supervisor for post-sale functions, such as: evictions, property maintenance, conveyance of title, title delivery, and adherence to GSE servicing requirements during the REO process. As the Claims Processor, you will be responsible for filing MI, investor, and insurer claims timely and accurately, providing all back-up as requested, and the reconciliation and posting of claim proceeds. The Claims Processor will: Perform post-foreclosure servicing functions as required by MI, investor, insurer, and internal guidelines including: eviction management, property inspection and maintenance, conveyance of title, title delivery, maintenance of HOA, taxes, and property insurance during the GSE REO process File claims for reimbursement of expenses Reconcile claim proceeds File supplemental claims as needed Ensure data accuracy Perform other related duties as required and assigned Demonstrate behaviors which are aligned with the organization's desired culture and values What You'll Bring High School Diploma / GED 1+ years of relevant work experience Default-related experience preferred Demonstrated aptitude for data, reporting, and working with numbers, desired Familiar with GSE and Insurer servicing guidelines Must be highly proficient in Excel and Word Why You Should Join As one of the top mortgage lenders in the country, Pennymac has helped over 4 million lifetime homeowners achieve and sustain their aspirations of home. Our vision is to be the most trusted partner for home. Together, 4,000 Pennymac team members across the country are guided by our core values: to be Accountable, Reliable and Ethical in all that we do. Pennymac is committed to conducting a business that makes positive contributions and promotes long-term sustainable growth and to fostering an equitable and inclusive environment, where all employees and customers feel valued, respected and supported. Benefits That Bring It Home: Whether you're looking for flexible benefits for today, setting up short-term goals for tomorrow, or planning for long-term success and retirement, Pennymac's benefits have you covered. Some key benefits include: Comprehensive Medical, Dental, and Vision Paid Time Off Programs including vacation, holidays, illness, and parental leave Wellness Programs, Employee Recognition Programs, and onsite gyms and cafe style dining (select locations) Retirement benefits, life insurance, 401k match, and tuition reimbursement Philanthropy Programs including matching gifts, volunteer grants, charitable grants and corporate sponsorships To learn more about our benefits visit: ********************* page. link/benefits For residents with state required benefit information, additional information can be found at: ************ pennymac. com/additional-benefits-information Compensation: Individual salary may vary based on multiple factors including specific role, geographic location / market data, and skills and experience as defined below: Lower in range - Building skills and experience in the role Mid-range - Experience and skills align with proficiency in the role Higher in range - Experience and skills add value above typical requirements of the role Some roles may be eligible for performance-based compensation and/or stock-based incentives awarded to employees based on company and individual performance. Salary $39,000 - $55,000 Work Model OFFICE

Do you have 5+ years of dental office administrative experience with an emphasis on Insurance Billing, Collections, and Revenue Cycle Management? We are seeking an experienced Insurance Billing/Collections Specialist from a dental office to join our support team in Dallas, TX. This position will require phone contact with insurance company representatives and dental practices. Specific Job Skills and Responsibilities Must have knowledge of Insurance Billing, Collections, and Revenue Cycle Management in a dental office Employ measures to expedite claim adjudication by resolving issues that may delay processing Expert knowledge of outgoing and incoming insurance processes and insurance follow-up Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes, and works cooperatively and jointly to provide quality seamless customer service Follow up with insurance carriers on special insurance billings and claims Knowledge of CDT coding and terminology is a plus Must be detail-oriented, organized, and work with little supervision Knowledge of dental/medical industry and insurance plans Ability to read and write in a clear and concise manner Ability to multi-task effectively under stress, prioritize and meet deadlines with strong attention paid to detail of work produced Pleasant and professional phone etiquette Must have knowledge of computer programs and operations (Word, Excel, PowerPoint, Outlook) Knowledge and experience working with public and private insurance companies Ability to maintain client and patient confidentiality Open Dental knowledge is a plus Education and/or Experience Associate's or Bachelor's degree; Or two-five years related experience or equivalent combination of education and experience in the dental insurance billing processing environment. Dental experience is required In addition to full medical, dental, and vision we provide life insurance, paid vacation, standard holidays, and 401K. About Pearl Street Pearl Street is a small group of partner dentists with dental practices throughout Texas. We are working to empower the dentists in our group with the best tools for their practice. Additionally, we have a centralized business team that handles many of the non-clinical services, including Human Resources, Operations, Billing, Training, Finance & Bookkeeping, Credentialing, Facilities Support, IT, and Marketing. Pearl Street is reimagining group dentistry and preserving the private practice! We are bringing a fresh perspective and providing exceptional dental care. We are passionate about creating extraordinary experiences for our dental providers, our loyal team members, and our patients. Job Type: Full-time Benefits: 401(k) 401(k) matching Dental insurance Employee discount Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule: Monday to Friday Experience: Dental: 5 years (Preferred) Dental RCM: 5 years (Preferred) Work Location: In person Qualifications Experience: Dental: 2 years (Preferred) Dental RCM: 2 years (Preferred) Work Location: In person

About the Role PuroClean of Shreveport is seeking a high-character individual to join our team as a Loss Claims Specialist. This is more than a job-it's a leadership role designed for someone who can take full ownership of a project from start to finish and align with our mission of providing empathetic, efficient, and professional restoration services to our community. As a Loss Claims Specialist, you will serve in a project manager capacity, overseeing the execution of all services related to water damage, mold, biohazard, contents handling, and reconstruction. This role demands strong organizational skills, technical knowledge, and a commitment to both customer care and team collaboration. Why Join Us Profit Sharing Position - your success is our success Annual Draw of $50,000 + laptop + software subscriptions Be part of a purpose-driven company that values integrity, excellence, and service Opportunities for growth and advancement in a fast-paced industry What You'll Need A personal vehicle and reliable transportation A working phone A desire to learn and align with our SOPs and company goals Willingness to take ownership and be accountable for job outcomes Ability to manage multiple claims and ensure timely completion of each project What You'll Do Manage restoration projects from intake through completion Coordinate and execute all mitigation and reconstruction services: Water Damage Mold Remediation Biohazard Cleanup Contents Pack-Out and Cleaning Reconstruction/Build-Back Estimate, invoice, and track jobs using software including: Xactimate Estimate Time and Materials platforms Learn and apply our internal SOPs with consistency and accuracy Meet or exceed quarterly performance goals Preferred (but not required): Prior construction or restoration experience Familiarity with insurance claims processes or property loss mitigation Who We're Looking For We're looking for someone with more than just technical skills. We value character, accountability, and alignment with our company vision. If you take pride in your work, can lead by example, and are looking to grow in an environment that rewards dedication and results-you may be exactly who we're looking for. “We Build Careers” - Steve White, President and COO With over 300 locations across North America and Canada, PuroClean is leading the industry in emergency property restoration services, by helping families and businesses overcome the devastating setbacks caused by water, fire, mold, biohazard, and other conditions resulting in property damage. We operate with a ‘servant-based leadership' mindset and seek to create an environment where our team members can grow both professionally and spiritually through serving our customers, communities, and each other. Culture is very important to us. We want to make sure that we are the right fit for YOU! Apply today and join our Winning TEAM. “We are One Team, All In, Following The PuroClean Way in the spirit of Servant Leadership” This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to PuroClean Corporate.

The Insurance Claims Specialist will be responsible for assisting with the management of all aspects of complex Construction Defect and Property Damage incidents and claims for DPR (and DPR-related entities), as assigned. Reporting: Role reports to Insured Claims Manager and Insured Claims Leader Specific Duties Include: Claims & Incident Management (General): Initial triage and processing of incidents received from project teams for DPR (and DPR-related entities). Input and/or review all incidents reported in DPR's RMIS system. Working with the incident triage group to ensure timely and appropriate review of all incidents Ensure all necessary information is compiled to properly manage claims. This includes working with the DPR teams to collect relevant documents such as the Prime contract, Subcontracts, Certificates of Insurance, Owner Policy Documents, Project Documents and Project Specific Coverage information, etc. Assess all potential risks, as well as identify all contractual risk transfer mechanisms. Analyzing potential insurance coverage for all applicable lines of coverage and report, with all appropriate documents and information, potential claims for DPR (and DPR-related entities) to the broker for any applicable program (Traditional, CCIP, OCIP). Assist with the development and training of other DPR Workgroups (and DPR-related entities) around CD/PD Best Practices. Construction Defect & Property Damage (CD/PD) Specific Claims Management: Manage all assigned claims in DPR's RMIS system relating to Construction Defect and Property Damage matters for DPR (and DPR-related entities). This would include using all appropriate lines of coverage such as Commercial General Liability, Builder's Risk, Property, Contractor's Pollution Liability and Professional Liability, whether the policies are placed by DPR or our Clients. Act as a liaison between all parties involved, including but not limited to, carriers, clients, trade partners, brokers, consultants, attorneys and DPR project teams (and DPR-related entities), as it relates to claim progress, strategy, expenses, and settlements. Management of and coordination with DPR's consultants and outside attorneys throughout the claim process. Continuously analyze claim-specific details as the claim progresses to devise key strategies in conjunction with all internal stakeholders and outside consultants. Proactive management and coordination of all phases of the DPR CD/PD Claims Workflow. Key Skills: Basic working knowledge and familiarity of: Commercial General Liability Property Insurance (Including Inland Marine and Builder's Risk Pollution Liability Professional Liability Controlled Insurance Programs (CCIP/OCIP) RMIS Systems Construction Industry Expertise Strategic thinking Strong written and oral communication skills High level of EQ (Soft skills) Self-Starter Highly organized and responsive; ability to meet deadlines Detail Oriented Contractual risk assessment Dispute management Integrity Ability to mentor and inspire others Team player Willingness to understand and advance the DPR Culture Proactive Learner Qualifications: 5-7 years relevant construction industry and/or insurance industry experience preferred. Previous experience in construction company Risk Management highly desired. Position location - TBD based on location of most qualified candidate. DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world. Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek. Explore our open opportunities at ********************

Job Description Key Responsibilities: Customer Claims: • Manage Customer Injury and Liability Claims: Oversee the investigation, documentation, and resolution of customer claims related to personal injury, property damage, or any other incidents occurring on organization premises. • Coordinate with Insurance Providers: Liaise with insurance companies to ensure proper claims filing and coordinate the resolution of claims involving external parties. • Customer Support: Handle escalated customer claims and provide appropriate resolutions while ensuring the store's best interests are maintained. • Documentation & Compliance: Ensure that all claims are properly documented in compliance with company policies and legal requirements. Keep detailed records of each customer-related claim. • Risk Prevention: Identify trends or recurring incidents that may contribute to customer claims and work with store management to implement safety measures or preventive actions. Employee Claims: • Workers' Compensation Claims: Oversee and manage all workers' compensation claims, ensuring compliance with state and federal regulations, and ensuring employees receive appropriate benefits. • Workplace Injury Claims: Manage the investigation of employee injury claims, including gathering evidence, interviewing witnesses, and ensuring all necessary forms are completed and submitted on time. • Fleet Claims Management: Manage the investigation of employee fleet claims, support employee's injuries if any, gather witness statements • Support and Guidance: Provide support to injured employees, ensuring they are informed throughout the claims process and are aware of their rights and available benefits. • Collaboration with HR and Legal: Work with HR and legal teams to ensure employee-related claims are handled correctly and in compliance with labor laws, insurance regulations, and company policies. • Collaboration with Safety Team: Work with the Safety Team to consistently do store visits, conduct safety audits, checklists and investigations as needed. Development: • Process Improvement: Identify opportunities to improve the claims process, whether through more efficient systems, better documentation, or enhanced communication strategies. Risk Management and Reporting: • Claims Analysis and Reporting: Review and analyze the data on claims to identify trends, recurring issues, or areas for improvement. Prepare detailed reports for management regarding claim frequency, costs, and risk mitigation efforts. • Collaboration with Risk and Safety Teams: Work closely with the Risk Management and Safety teams to address underlying causes of incidents that may lead to claims and develop preventive strategies. • Compliance: Ensure that all claims are processed in line with company policies, industry standards, and legal requirements, including managing documentation for audits or regulatory reviews. • Invoices: Reconcile and verify all invoices generated from claims. • Safety Monitor Report: Complete Safety Monitor report and communicate all parties involved to resolve an issue related to an investigation. Qualifications: • Bachelor's degree in Business, Risk Management, Insurance, or a related field (or equivalent experience). • 3-5 years of experience in claims management, risk management, or a specialist role, preferably in a retail or supermarket environment. • Strong understanding of risk management principles, insurance claims processes, and workers' compensation regulations. • Strong problem-solving and analytical abilities to investigate and resolve complex claims efficiently. • Excellent communication skills, both written and verbal, with the ability to manage sensitive issues with customers and employees. • Attention to detail and ability to maintain accurate records and reports. • Proficient in Microsoft Office and experience with claims management software or risk management tools. Physical Requirements: • Ability to stand for extended periods • Ability to lift up to 50 lbs as needed Work Environment: • Fast-paced, high-volume environment • Occasional evening, weekend, or holiday work may be required • Occasional travel to different company locations Physical Demands: Some lifting, carrying, pushing, and/or pulling; some stooping, kneeling, crouching, and/or crawling; and significant fine finger dexterity. Generally, the job requires 70% sitting, 20% walking, and 10% standing. This job is performed in a generally clean and healthy office environment.

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. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals. - Ensures all compliance requirements are satisfied and all payments are made against company practices and procedures. - Identifies and reports possible claim overpayments, underpayments and any other irregularities. - Performs claim rework calculations. - Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for claim or reconsideration. **Required Qualifications** - New York Independent Adjuster License - Experience in a production environment. - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG system knowledge **Education** **-** High School Diploma required - Preferred Associates degree or equivalent work experience. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $42.35 This 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 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 ***************************************** We anticipate the application window for this opening will close on: 02/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

As a 100% employee-owned contractor, when you work at Sundt, you're not just hiring on at a company, you're joining a culture. Because everyone at Sundt is part owner, you'll join a team of people who are deeply invested in their work. From apprentices to managers, we're passionate about the details and deliberate in everything we do. At Sundt we focus on building long-term prosperity for our clients, communities, and employee-owners. We offer competitive pay, industry-leading benefits including a 401k and employee stock ownership plan, incentive programs for craft and administrative employees as well as training that focuses on your personal and professional growth. We're driven by skill, grit and purpose. Join us as we strive to be the most skilled builder in America. Job Summary The Paralegal / Claims Specialist supports the company's Legal and Risk Management functions by assisting attorneys and insurance professionals in the investigation, evaluation, and resolution of claims and lawsuits. The role involves direct collaboration with outside counsel, insurance adjusters, and internal Safety and Operations teams. The Paralegal/Claims Specialist will independently manage the day-to-day handling of routine litigation and claims matters, including discovery, documentation, and coordination with defense counsel. Key Responsibilities 1. Assists attorneys with trial preparation, exhibits, witness coordination, and logistics. 2. Assists company attorneys with responding to non-party subpoenas and regulatory inquiries. 3. Attends mediations, depositions, and hearings as appropriate to support counsel, our internal personnel and maintain awareness of case progress. 4. Communicates directly with claimants, witnesses, experts, and internal personnel to obtain and analyze relevant information, including managing internal electronic data preservation in coordination with IT team, and oversee transfer of preserved data for discovery. 5. Coordinates with Safety personnel regarding incident intake, documentation, and potential claims escalation. 6. Drafts and edits legal documents including correspondence, discovery requests and responses, routine pleadings, affidavits, and case summaries. 7. In conjunction with attorneys, manages litigation, including coordinating discovery and e-discovery, tracking deadlines, managing document production, approving and processing legal invoices and maintaining organized case files. 8. Maintains accurate and up-to-date records in Risk Information Management Systems {RIMS) or other claims databases. 9. Reviews and analyzes claims in coordination with legal and risk management professionals determine liability, damages, and insurance coverage. 10. Works closely with company attorneys, outside counsel, and insurance adjusters to investigate, evaluate, and resolve claims and lawsuits. Minimum Job Requirements 1. 5-10 Years of Experience 2. Bachelor's degree 3. Knowledge working for a law firm or an insurance company representing clients in responding to claims and lawsuit preferred. 4. Paralegal certification Note: is subject to change at any time and may include other duties as assigned. Physical Requirements 1. May stoop, kneel, or bend, on an occasional basis 2. Must be able to comply with all safety standards and procedures 3. Required to use hands to grasp, lift, handle, carry or feel objects on a frequent basis 4. Will interact with people and technology frequently during a shift/work day 5. Will lift, push or pull objects up to 50Ibs on an occasional basis. 6. Will sit, stand or walk short distances for up to the entire duration of a shift/work day. 7. Will use telephone, computer system, email, and other electronic devices on a frequent basis to communicate with internal and external customers or vendors Note: Job Description is subject to change at any time and may include other duties as assigned. Physical Requirements 1. May stoop, kneel, or bend, on an occasional basis 2. Must be able to comply with all safety standards and procedures 3. Required to use hands to grasp, lift, handle, carry or feel objects on a frequent basis 4. Will interact with people and technology frequently during a shift/work day 5. Will lift, push or pull objects up to 501bs on an occasional basis. 6. Will sit, stand or walk short distances for up to the entire duration of a shift/work day. 7. Will use telephone, computer system, email, and other electronic devices on a frequent basis to communicate with internal and external customers or vendors Equal Opportunity Employer Statement: Sundt is committed to the equal treatment of all employees, and/or applicants for employment, and prohibits discrimination based on race, religion, sex (including pregnancy), sexual orientation, gender identity, color, age, disability, national origin, covered veteran status, genetic information; or any other classification protected by applicable Federal, state, or local laws. Benefit list: Market Competitive Salary (paid weekly) Bonus Eligibility based on company, group, and individual performance Employee Stock Ownership Plan & 401K Industry Leading Health Coverage Starting Your First Day Flexible Time Off (FTO) Medical, Health Savings, and Wellness credits Flexible Spending Accounts Employee Assistance Program Workplace Wellness Programs Mental Health Program Life and Disability Insurance Employee-Owner Perks Educational Assistance Sundt Foundation - Charitable Employee-Owner's program #LI-KA1

Sign On Bonus: $1,000 **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. **Alternate locations may be considered if candidates reside within a commuting distance from an office.** Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. This position is not eligible for employment based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. + Translates medical policies into reimbursement rules. + Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. + Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts are needed. **Minimum Requirements:** Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. **Preferred Skills, Capabilities and Experience:** + CEMC, RHIT, CCS, CCS-P certifications preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. Job Description: Kelly Services is currently hiring multiple Claims Examiners in temporary to hire opportunities in Marshall, TX. Pay rate is $10.58/hour Shift Information: Monday through Friday 8:00 AM until 4:30 PM/ Flexible Schedule after Training (8 hour shift between 7AM-6PM) Job Duties: •Under supervision, you will be responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims •Review and compare information in computer systems and apply proper codes/documentation •May place outgoing calls to providers and/or pharmacies for further investigation before processing claims Job Specific Qualifications: •High School Diploma or GED •Data Entry and/or typing experience •Clear and concise written and verbal communication skills •Ability to multi task and prioritize is required •Social, verbal and written communication skills •Ability to sit for long periods of time •Strong problem-solving and analytical skills •Dependable and flexible Additional Information Kelly Services is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.

Title: Mechanical Claims Processing Specialist Reports to: Mechanical Claims Supervisor Department: Operations Direct Reports: No Exempt Status: Non-Exempt Position Type: Full-Time, Hybrid Schedule Claims Hours of Operation: Monday - Friday, 7 am - 7 pm, Saturday, 8 am - 3:30 pm Job Purpose The Mechanical Claims Processing Specialist role is responsible for providing essential clerical and administrative assistance to the Mechanical Claims Team. This position is not directly responsible for adjudicating claims, but plays a critical role in ensuring efficient and accurate claims processing. Essential Job Functions Review, upload, and organize mechanical claims-related documents into internal systems for review and processing Review service invoices and repair orders for accuracy and completeness prior to processing payment Process claims payments accurately and in a timely manner Coordinate with Claims Examiners on open or pending claims to resolve outstanding issues Perform accurate data entry and maintenance of claims records Monitor workflow to ensure claims and documents are processed within established timelines Communicate professionally with internal teams and external partners, as needed, regarding claim statuses and updates Other tasks as assigned by Management Minimum Qualifications Previous experience as Warranty Administrator, Automotive Service Advisor, or similar role preferred Familiarity with Vehicle Service Contracts and mechanical claims processes Experience handling financial transactions, invoice verification, and payment reconciliation Ability to read and understand contractual language as well as automotive repair terminology Ability to interpret automotive service invoices and repair orders Proficiency in data entry and Microsoft Office Suite (Excel, Outlook, Word) Excellent verbal and written communication skills High attention to detail and accuracy Maintain production level as assigned The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons.

Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option Hybrid - Ability to work remotely part of the week Travel % No Work Shift Day Compensation Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. Job Description At Manheim (a Cox Automotive company), we strive to make sure every customer is completely satisfied when they do business with us. On the off-chance we fall short, we do our best to make things right, pronto. That's where you come in. We're looking for an Auto Claims Specialist I to learn the ropes of resolving customer complaints and ensuring we don't make the same mistake again. Do you have the skills we're looking for? Keep reading for more details! Benefits * We all have lives and responsibilities outside of work. We have an exceptional work/life balance at Cox, with flexible time-off policies. * How does a great healthcare benefits package from day one sound? Multiple options are available for individuals and families. One employee-only plan could be FREE, if you participate in our health screening program. * 10 days of free child or senior care through your complimentary Care.com membership. * Generous 401(k) retirement plans with up to 8% company match. * Employee discounts on hundreds of items, from cars to computers to continuing education. * Looking to grow your family? You'll have access to our inclusive parental leave policies, plus comprehensive fertility coverage and adoption assistance. * Want to volunteer in your community? We encourage that, and even offer paid hours for you to do so. * We all love our pets-whether they walk, crawl, fly, swim or slither-and we're happy to supply insurance for them as well. At Cox, we believe in being transparent - please click on this link (Cox Benefits Overview) to learn more about our amazing benefits. What You'll Do From your very first day on the job, you'll receive guidance and coaching so you can learn the ropes. You'll work with everyone from buyers to sellers to dealers in coordinating and validating customer returns and claims. With Guidance, responsibilities include: * Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines. * Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision-making. * Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases. * Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution. * Uses appropriate levels/limits of financial approval authority to resolve cases. * Evaluate claims by obtaining, comparing, evaluating, and validating various forms of information. * Prepares and facilitates communication for resolution via telephone, email, and in-person discussion. * Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold. * Monitors and maintains accurate files for each arbitration case, verifying the accuracy of all required documentation, including invoices and settlement agreements. * Engages with supervisor/manager to determine if escalation is required. * Performs other duties as assigned. Who You Are You've got a knack for negotiation. You're ethical, dependable, and trustworthy. You're eager to learn. You also have the following qualifications: Minimum * A high school diploma or GED and less than 2 years of related experience. * Accuracy and attention to detail. * Organizational and time management skills. * The ability to adapt in a fluid and changing environment. Preferred * 1+ years of automotive or body shop experience. * Claims adjuster experience. Cox is a great place to be, wouldn't you agree? Apply today! MSCOX Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited. Benefits Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship. Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.

About Us: Struction Solutions is an innovative Independent Adjusting, Building Consultant, and Disaster Recovery Firm, known for our commitment to delivering innovative and tailored solutions to our clientele. Our team of professionals work tirelessly to ensure accuracy, efficiency, and customer satisfaction. As we continue to grow and expand, we're seeking talented individuals who share our dedication to excellence and are eager to make a meaningful impact in our industry. Position Details: Resolves insurance claims involving marine casualties. Their role includes investigating, evaluating, and negotiating claims to determine the extent of the insurance company's liability. This role requires a thorough understanding of maritime laws, insurance policies, and handling procedures. Investigation: They conduct thorough investigations of marine incidents, such as collisions, groundings, sinkings, fires, or cargo damage. This includes gathering evidence, interviewing witnesses, and inspecting vessels and cargo. Assessment: They assess the extent of the damage and determine the cause of the incident. This may involve working with marine surveyors, engineers, and other experts to evaluate the condition of the vessel and cargo. Documentation: They collect and review relevant documents, such as ship logs, maintenance records, cargo manifests, and insurance policies, to support the claim. Evaluation: They evaluate the claim to determine whether it is covered under the insurance policy and to what extent. This involves interpreting policy terms and conditions, as well as applicable laws and regulations. Negotiation: They negotiate settlements with claimants, which can include shipowners, charterers, cargo owners, and other affected parties. The goal is to reach a fair and equitable resolution while minimizing the financial impact on the insurance company. Reporting: They prepare detailed reports and recommendations for the insurance company, documenting their findings, the extent of the damage, and the proposed settlement. Liaison: They act as a liaison between the insurance company and other parties involved in the claim, such as legal representatives, regulatory authorities, and other stakeholders. Compliance: They ensure that all claims are handled in compliance with relevant laws, regulations, and industry standards. Risk Management: They may also be involved in risk management activities, helping to identify and mitigate potential risks to reduce the likelihood of future claims. Qualifications: Proven experience in insurance claims adjustment, preferably in marine insurance. Strong knowledge of maritime laws and regulations. Excellent analytical, negotiation, and communication skills. Ability to manage multiple claims efficiently under tight deadlines. Proficiency in claim management software and Microsoft Office Suite. Location: New Orleans, LA area Marine casualty claim adjustment specialists need a strong understanding of maritime law, insurance principles, and the technical aspects of marine operations. They also require excellent analytical, communication, and negotiation skills. Join us at Struction Solutions, and let's redefine the future of the Independent Adjusting industry together! View all jobs at this company

Peach Tree Dental - Monroe, West Monroe, Ruston, Jonesboro Job Details: Salary: Starting from $16.00-$20.00/hourly Pay is based on experience, qualifications, and desired location. **incentives after training vary and are based on performance Job Type: Full-time Qualifications For Insurance Claims Specialists: High school or equivalent (Required) Takes initiative. Has excellent verbal and written skills. Ability to manage all public dealings in a professional manner. Ability to recognize problems and problem solve. Ability to accept feedback and willingness to improve. Ability to set goals, create plans, and convert plans into action. Is a Brand ambassador, both in and outside of the facility. Benefits Offered For Full-Time Insurance Claims Specialists: Medical, Dental, Vision Benefits Dependent Care & Healthcare Flexible Spending Account Simple IRA With Employer Match Basic Life, AD&D & Supplemental Life Insurance Short-term & Long-term Disability Perks & Rewards For Full-Time Insurance Claims Specialists: Competitive pay + bonus Paid Time Off & Sick time 6 paid Holidays a year Full Job Description: With our hearts, minds, and hands, we build better smiles, better relationships, and better lives. Living this purpose over the last 25 years has allowed us to create a world-class dental organization that continues to grow. At every turn, you will see our continued investment in leadership, the community, and advanced technologies. Do you want to be a part of developing one of the leading models of dental care in Louisiana? Do you thrive in a fast-paced, progressive environment? The role of the Insurance Claims Specialist could be for you! Please go to WWW.PEACHTREEDENTAL.COM to complete your online application and assessments or use the following URL: **********************************************

The Claims Denial Specialist works within the organization's revenue cycle to investigate, resolve, and appeal denied insurance claims. By identifying the root causes of denials, correcting errors, and communicating with insurance companies, they help prevent revenue loss and secure proper reimbursement for services. Core responsibilities Denial analysis and resolution: Research denied or rejected claims by reviewing insurance correspondence, billing and coding documentation, and patient medical records. Appeals processing: Prepare and submit detailed, well-argued appeals to insurance payers, often citing clinical documentation, payer-specific policies, and contractual language. Investigative follow-up: Follow up on appeals and resubmitted claims with insurance companies, typically by phone or through payer portals, to resolve outstanding issues and ensure timely reimbursement. Process improvement: Identify trends and patterns in claim denials to help prevent future errors. This often involves collaborating with other departments, such as billing and coding, to improve processes. Documentation and reporting: Accurately document all communication and actions taken on a claim within the patient accounting system. Create and deliver reports to management on denial trends and recovery efforts. Compliance monitoring: Stay up-to-date with changing regulations, payer guidelines, and billing rules for government programs (like Medicare and Medicaid) and commercial insurance. Essential qualifications and skills Healthcare knowledge: A strong understanding of the healthcare revenue cycle, medical terminology, and medical coding systems. Experience with electronic health record (EHR) systems and billing software. The ability to conduct root-cause analysis, recognize patterns in denial data, and use critical thinking to build effective appeal strategies. Excellent written communication for drafting persuasive appeal letters and verbal communication for interacting with payers, providers, and patients. Professional certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are often preferred or required. Meticulous attention to detail is necessary to review complex documentation, catch errors, and ensure all resubmissions are accurate and compliant.