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Claim processor jobs in Memphis, TN

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  • 1st Shift Entry Level Processor

    Conagra Foods 4.7company rating

    Claim processor job in Marshall, MO

    Shift: 6:00 AM-3:00 PMHourly Rate: $20.27 an hour Conagra Brands in Marshall Missouri, a local supplier of Banquet products, is seeking qualified individuals to fill entry level openings in the production department for 1st shift. Reporting to Production Supervisors, you will work on-site at one of Conagra's largest manufacturing facilities with over 800 employees. Why Conagra Brands - Marshall? $20.27 per hour Overtime Eligibility (based on business needs) Excellent benefit package Up to 10 paid Holidays per year 401K and vacation Employee Assistance Program Company Store Processor: You will assist on automated production lines to transfer food products and inspect the completion of finished goods. You will ensure good manufacturing practices and quality standards are being maintained across all products. What will you need to work as a Processor? 1+ years of manufacturing experience Ability to stand for extended periods of time You will frequently handle, grasp, and reach for products Interested in joining the team? You will need: A high school diploma or GED or equivalent experience in lieu of education. Ability to pass a background screening process. Complete a post offer drug screen. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. At this time, we require applicants for this role to be legally authorized to work in the United States without requiring employer sponsorship either now or in the future. #LI-Onsite Anticipated Close Date: December 5, 2025Location: Marshall, Missouri Our Benefits: We care about your total well-being and will support you with the following, subject to your location and role: Health: Medical, dental and vision insurance, company-paid life, accident and disability insurance Wealth: Great pay, 401(k)/pension eligibility, financial wellness programs and stock purchase plan Growth: Career development opportunities, employee resource groups and team collaboration Balance: Paid-time off and volunteer opportunities Our Company: At Conagra Brands, we have a rich heritage of making great food. We aspire to have the most impactful, energized and inclusive culture in food. As a member of our 18,000+ person team across 40+ locations, you are empowered to reach your potential, make an impact and own your career. We're in the business of building champions - within our people and our iconic brands like Birds Eye , Slim Jim and Reddi-Wip . Our focus on innovation extends beyond making great food, it also reflects our commitment to embracing new solutions that positively impact our team, the communities we serve and the health of our planet. Foodies Welcome. Conagra Brands is an equal opportunity employer and considers qualified applicants for employment without regard to sex, race, color, religion, ethnic or national origin, gender, sexual orientation, gender identity or expression, age, pregnancy, leave status, disability, veteran status, genetic information and/or any other characteristic or status protected by national, federal, state or local law. Reasonable accommodation may be made upon request.
    $20.3 hourly 4d ago
  • Claims Examiner II

    Forrest t Jones & Company 4.0company rating

    Claim processor job in Kansas City, MO

    Forrest T. Jones & Company, Inc., and its affiliates (“FTJ”), provide insurance and insurance related services to clients, corporations, employers and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets. Position Summary The Claims Examiner II is responsible for the accurate and timely processing of disability claims. The Claims Examiner II is expected to provide courteous and prompt response to customer inquiries. Expectations Verifies the accuracy and receipt of all required documentation for each claim submitted. Evaluates claims for benefit payment according to policy provisions and assures that the system processes each claim correctly. Communicates with insureds, agents, providers, attorneys, and employers. Documents the claim and image systems in an accurate manner. Contributes to the daily workflow with regular and punctual attendance. Adheres to the Claims Department's established time-in-process, production, and quality standards. Performs related or other assigned duties as required. Maintains a professional demeanor with internal and external clients, insureds, and all FTJ associates and affiliates. Competencies Excellent oral and written communication skills. PC skills, including Microsoft Word. Typing ability of 45 wpm. Ability to learn all functions of claims processing software as is necessary for claims processing and adjudication. Must be able to adapt to software changes as they occur. Basic knowledge of disability claims practices. Basic mathematical skills. Strong interpersonal skills to work effectively with others, able to work in a team environment. Strong organizational skills. Strong analytical and interpretive skills. Ability to meet productivity standards with 99% financial accuracy. Ability to be flexible, work under pressure, and meet deadlines. Ability to occasionally work overtime as required. Requisites High School Diploma or equivalent. Five years of claims processing experience required, preferably disability. We offer comprehensive benefits to full time employees including company paid medical, STD, LTD and life insurance; plus voluntary dental, vision, Life/AD&D insurance, 401(k) with company-matching, generous paid time off and much more. We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age. ALL OFFERS OF EMPLOYMENT ARE CONTINGENT UPON PASSAGE OF A DRUG SCREEN AND BACKGROUND CHECK
    $34k-48k yearly est. Auto-Apply 37d ago
  • Claims Processor

    Integrated Resources 4.5company rating

    Claim processor job in Maryland Heights, MO

    Responsible and accountable for the accurate and timely claims processing of all claim types. Claims must be processed with a high level of detailed quality and in accordance with claims payment policy and by the terms of our customer/provider contractual agreements. Essential Functions: - Adjudicate claims and adjustments as required. - Resolve claims edits and suspended claims. - Maintain and update required reference materials to adjudicate claims. - Provide backup support to other team/group members in the performance of job duties as assigned. · Requirements/Certifications: - Ability to quickly use a 10-key machine- Experience with list of ICD-9 codes and Current Procedural Terminology (CPT) Claims High School (Required) GED (Required) Additional Information All your information will be kept confidential according to EEO guidelines.
    $29k-41k yearly est. 8h ago
  • Claims Examiner, Transportation - Remote (Little Rock, Arkansas)

    Claimspro LP

    Claim processor job in Little Rock, AR

    Company:ClaimsPro LP - International Programs GroupClaims Examiner, Transportation - Remote (Little Rock, Arkansas) Claims Examiner - Transportation Reporting to a Claims Supervisor, the Claims Examiner is responsible for investigating and settling transportation and first party claims and third-party claims, with an emphasis on strong communication and customer service, while utilizing state specific guidelines. IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of claims including, but not limited to auto physical damage, inland marine cargo, dealers' open lot, property damage (commercial and homeowners) and general liability. Job Responsibilities: Initiate the investigation of new claims Make liability/coverage decisions Evaluate and negotiate settlements of collision, specified perils, property damage, and transportation losses as appropriate. Manage and oversee the work of outside adjusters, appraisers and experts. Establish contact with the insured and claimant within established protocol. Recognize coverage issues and bring them to the attention of the supervisor. Develop basic understanding of liability and coverage principles. Recognize state specific laws and claims regulations throughout the United States to insure proper compliance in claims investigation including sending and securing proper documentation. Complete research to determine market value on automobiles and heavy equipment to make recommendations on total loss settlement values using proper state valuation methods. Summarize and make recommendations for disposition of claims in excess of the individual settlement authority. Respond to time sensitive material including but not limited to intercompany arbitration hearings, and department of insurance complaints. Manage a diary system to systematically review and resolve claims within the specified state compliance guidelines. Maintain state license by completing continuing education coursework and/or work towards a claims designation. Handle small claim suits as needed. Other duties as assigned by the claims supervisor Duties may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing. Qualifications: High School Diploma or Equivalent required; Bachelor's degree is preferred Experience with Lloyd's of London is considered an asset Proficient in Microsoft Office ; Experience with Xactimate Able to be licensed in states, countries where necessary AIC designation preferred Competencies: Use of clear, rational, thinking supported by evidence to audit fees of independent adjusters, appraisers, and other vendors in order to properly manage and pay expense invoices. Strong writing skills and proper use of grammar to prepare written status reports for the principal. Document claim file notes clearly with all communications and activities that occur during of handling the claim using factual and objective information. Ability to plan and exercise conscious control over the amount of time spent on specific activities. Strong Communicator (verbal and written) Ability to multi-task and handle high volume of concurrent tasks Work collaboratively with others inside and outside the company Environment/Working Conditions: Dynamic environment with tight deadlines, number and changing priorities All prospective employees must pass a background check Office environment including prolonged periods of computer use Location: Remote working but may require some travel to home office, etc. Only US Residents will be considered SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.
    $24k-37k yearly est. Auto-Apply 15d ago
  • Workers' Compensation Claim Representative I

    Cannon Cochran Management 4.0company rating

    Claim processor job in Saint Louis, MO

    Workers' Compensation Claim Representative I Work Arrangement: Hybrid after training Schedule: Monday-Friday, 8:00 AM to 4:30 PM Salary Range: $50,000-$60,000 annually At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm. Career development: CCMSI offers robust internships and internal training programs for advancement within our organization. Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. The Workers' Compensation Claim Representative I is responsible for the investigation and adjustment of assigned workers compensation claims. This position may be used as an advanced training position for future consideration for promotion to a Work Comp Claim Rep II or more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision. Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution. Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority. Negotiate settlements with claimants and attorneys in accordance with client's authorization. Assist in selection and supervision of defense attorneys. Assess and monitor subrogation claims for resolution. Prepare reports detailing claims, payments and reserves. Provide reports and monitor files, as required by excess insurers. Compliance with Service Commitments as established by team. Delivery of quality claim service to clients. Performs other duties as assigned. 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, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Individual must be a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, initiative, and the ability to work with a minimum of direct supervision a must. Discretion and confidentiality required. Ability to work as a team member in a rapidly changing environment. Reliable, predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs. Ability to clearly communicate verbally and/or in writing both internally and externally. Education and/or Experience 3 or more years of workers compensation claim experience or other related industry experience is required. Associates degree is preferred. Computer Skills Proficient using Microsoft Office programs such as: Word, Excel, Outlook, etc. Certificates, Licenses, Registrations Adjuster's license may be required based upon jurisdiction. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires the ability to sit or stand up to 7.5 or more hours at a time. Work requires sufficient auditory and visual acuity to interact with others. CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #WorkersCompCareers #AdjusterJobs #ClaimsProfessional #HybridJobs #InsuranceCareers #GreatPlaceToWorkCertified #EmployeeOwned #CCMSICareers #NowHiring #IND123 #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.
    $50k-60k yearly Auto-Apply 25d ago
  • Claim Specialist // Memphis TN 38134

    Mindlance 4.6company rating

    Claim processor job in Memphis, TN

    Business Claim Specialist Visa GC/Citizen Division Pharmaceutical Contract 6 Month Timings Mon - Fri between 8.00AM - 5.00PM Qualifications The primary function/purpose of this job. Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency. Moderate knowledge of drugs and drug terminology used daily. Process claims according to client specific guidelines while identifying claims requiring exception handling. Navigate daily through several platforms to research and accurately finalize claim submissions. Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues. Adhere to strict HIPAA regulations especially when communicating to others outside the client. Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met. Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing. Analyze claims for potential fraud by member or pharmacy. May be required to work on special projects for claims team. ESSENTIAL FUNCTIONS: The 6-10 major responsibility areas of the job. Weight: (%) (Total = 100%) 1. Manage member and client expectations related to claim reimbursements. Input claim requests into adjudication platform maintaining compliance to performance guarantees, HIPAA guidelines and service standards, which include production and accuracy standards. Processing according to client guidelines making exceptions upon member appeal and client approval. Recognize and escalate appropriate system crises/problems and fraudulent claims to management. 40 % 2. Identify claims requiring additional research, navigate through appropriate system platforms to perform research and resolve issue or forward as appropriate 15 % 3. Research to define values for missing information not submitted with claim but required for processing. Identify drug form, type and strength to manually determine correct NDC number value which will allow claim to process. Continue researching values if system editing does not accept original assigned value. Utilize anchor platform, internet resources and/or contacting retail pharmacist as resources for missing values. 15 % 4. Initiate correspondence to members, pharmacies or other internal departments for missing information, claim denials or other claim issues. 15 % 5. Evaluate claim submission, ensure all required information is present and determine what action should be taken. Confirm patient eligibility and verify patient information matches system. Update member's address to match claim form if necessary. 5 % 6. Identify exception handling and process per client requirements. Monitor system to ensure client specific documentation related to claims processing and benefits is current and system editing is operating appropriately. 5 % 7. Variety of other miscellaneous duties as assigned 5 % SCOPE OF JOB Provide quantitative data reflecting the scope and impact of the job - such as budget managed, sales/revenues, profit, clients served, adjusted scripts, etc. Maintain an average of 30 Commercial claims per hour (cph) or 35 Work Comp claims per hour (cph). MINIMUM QUALIFICATIONS TO ENTER THE JOB: Formal Education and/or Training: High school diploma or equivalent required, some college or technical training preferred Years of Experience: Two years' experience in P.B.M. environment is helpful but not required. Computer or Other Skills: Strong data entry, 10-key skills, general PC skills and MS Office experience Knowledge and Abilities: • Strong data entry and 10-key skills • Retail pharmacy, customer service experience helpful but not required • PC and MS Office literate • Strong attention to detail • Excellent retention and judgment ability • Proficient written and oral communication skills • Ability to work in fast-paced, production environment • Reliable, self-motivated with excellent attendance • Team player who has the ability to stay on task with little supervision If you are available and interested then please reply me with your “ Chronological Resume” and call me on ************** . Additional Information Thanks & Regards, Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W : ************ *************************
    $29k-38k yearly est. Easy Apply 8h ago
  • Senior Claims Examiner, New York Labor Law

    Arch Capital Group Ltd. 4.7company rating

    Claim processor job in Morristown, TN

    With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠. Position Summary The Claims Division is seeking a team member to join the Casualty Team as Senior Claims Examiner, New York Labor Law. In this role, the responsibilities include but not limited to actively manage a caseload and provide oversight to third-party administrator claims handlers for commercial New York Labor Law cover, liability, and damage claims. Responsibilities * Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis * Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care * Develop and implement strategy to resolve matters of liability and damages of a particular case * Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker * Investigate claim and review the insureds' materials, pleadings, and other relevant documents * Identify and review of each jurisdiction's applicable statutes, rules, and case law * Review litigation materials including depositions and expert's reports * Analyze, and direct risk transfer, additional insured issues and contractual indemnity issues * Retain counsel when necessary and direct counsel in accordance with resolution strategy * Analyze coverage, liability and damages for purposes of assessing and recommending reserves * Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves * Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter * Negotiate resolution of claims * Select and utilize structure brokers * Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from insured, counsel, underwriters, brokers, and senior management regarding claims Experience & Required Skills * Three to five (3-5) years of working experience with commercial accounts supporting primary and/or excess claims experience handling New York Labor Law claims * Energy Casualty, Construction and/or Rail experience is a plus * Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines * Strong time management and organizational skills * Ability to take part in active strategic discussions * Ability to work well independently and in a team environment * Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word * Willing and able to travel 25% * This position is a hybrid role with 2 days in office Education and Experience * Bachelor's degree required; Juris Doctorate degree preferred * Proper Adjuster Licensing in all applicable states #LI-SW1 #LI-HYBRID For individuals assigned or hired to work in the location(s) indicated below, the base salary range is provided. Range is as of the time of posting. Position is incentive eligible. For NYC, Jersey City: $123,400 - $150,000/year * Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above pay range may be modified in the future. * Arch is committed to helping employees succeed through our comprehensive benefits package that includes multiple medical plans plus dental, vision and prescription drug coverage; a competitive 401k with generous matching; PTO beginning at 20 days per year; up to 12 paid company holidays per year plus 2 paid days of Volunteer Time Offer; basic Life and AD&D Insurance as well as Short and Long-Term Disability; Paid Parental Leave of up to 10 weeks; Student Loan Assistance and Tuition Reimbursement, Backup Child and Elder Care; and more. Click here to learn more on available benefits. Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn't the right fit but you're interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join our talent community to share your preferences directly with Arch's Talent Acquisition team. 14400 Arch Insurance Group Inc.
    $48k-68k yearly est. Auto-Apply 10d ago
  • Claims Investigator - Experienced

    Command Investigations

    Claim processor job in Memphis, TN

    Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must. Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ****************** The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. Writing accurate, detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Possession of a valid driver's license Ability to prioritize and organize multiple tasks Computer literacy to include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment We are an equal opportunity employer.
    $31k-42k yearly est. Auto-Apply 60d+ ago
  • Senior Liability Reinsurance Claims Manager

    Safety National

    Claim processor job in Saint Louis, MO

    At Safety National, we don't just offer jobs - we build careers with purpose! Since 1942, we've been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, career growth opportunities, and flexible work options that promote balance. With tuition reimbursement, wellness perks, and a strong community impact, we invest in your success-both personally and professionally. Ready to grow with us? Apply today! Follow this link to view all of our available careers and apply: ******************************************** This opportunity is in the Claims department. Our Claims Department oversees both high-exposure workers' compensation and liability claims. As an unbundled carrier, we work actively with third-party administrators (TPAs) and self-administered accounts to assist in guiding claims to a successful resolution. As an excess carrier, the catastrophic claims we handle keep our group challenged, but the uniqueness provides plenty of growth opportunities. Role Description: Are you an expert in complex liability claims, particularly those involving facultative reinsurance or runoff operations? In this role, you'll take ownership of high-exposure litigation cases, guide TPAs and self-administered programs, and play a crucial role in managing our umbrella runoff program. You'll conduct detailed coverage reviews, set and monitor reserves, and participate in litigation management, settlement, and reporting. This role calls for strategic oversight and collaboration across multiple business units, ensuring timely reporting, reinsurance recovery efforts, and client engagement. With opportunities to travel for mediations, audits, and trials, your impact will be both national and deeply strategic. If you're looking for a challenging claims role where your litigation knowledge, analytical abilities, and project experience can shine-this is your opportunity to lead and make a difference. Qualifications: Education: Bachelor's Degree from an accredited college or university required. JD preferred. Required Qualifications: Must be presently authorized to work in the U.S. without a requirement for work authorization sponsorship by our company for this position now or in the future. 10 or more years of litigation or claims experience handling complex, high-exposure liability claims, including facultative reinsurance, umbrella run-off, and construction liability claims. 5 or more years handling environmental and latent disease claims. Strong knowledge of coverage issues, with the ability to draft reservation of rights and coverage letters. Preferred Qualifications: Experience across multiple jurisdictions with an insurance carrier or Third-Party Administrator. Proficiency with all phases of claims litigation, including mediations, settlement conferences, and trials. Demonstrated project leadership and cross-functional influence. Exceptional organizational, analytical, and communication skills. Self-starter with the ability to independently prioritize a high-volume workload. Proficiency with Microsoft Excel, Word, and Outlook. AIC, SCLA, or CLCS designation preferred. Ability to travel as business needs require. Protect the confidentiality, integrity and availability of information and technology assets against unauthorized disclosure, destruction and/or alteration, in accordance with Safety National policies, standards, and procedures. Safety National is a leading specialty insurance and reinsurance provider. Our culture is built upon relationships, which allow us to demonstrate our expertise gained through our rich 80-year history. As a wholly-owned subsidiary of Tokio Marine, Inc., we appreciate the benefits and support provided by our affiliation with one of the top 10 insurance companies in the world. Total Rewards That Put Employees First In our vision to be First with Co-Workers, compensation that includes base salary, holiday bonus, and incentive awards is only a small portion of the comprehensive total rewards package we offer. Our total rewards approach recognizes and rewards the time, talents, efforts, and results of our valued employees. Highlights of our exceptional benefits include generous health, dental, and vision coverage, health savings accounts, a 401(k)-retirement savings match and an annual profit sharing contribution. We proudly offer family forming benefits for adoption, fertility, and surrogacy, generous paid time off and paid holidays, paid parental and caregiver leave, a hybrid work environment, and company-paid life insurance and disability. To support employees in their career journeys, we provide professional growth and development opportunities in addition to employee recognition and well-being programs. Apply today to learn more. Safety National is committed to fair, transparent pay and we strive to provide competitive, market-based compensation. In our vision to be First with Co-Workers, compensation is only one piece of the comprehensive total rewards package we offer. The target base salary range for this position is $99,000 to $128,500. Compensation for the successful candidate will consider the candidate's particular combination of knowledge, skills, competencies, experience and geographic location. #LI-Hybrid #LI-Remote
    $99k-128.5k yearly 19d ago
  • Auto Claim Representative, I

    The Travelers Companies 4.4company rating

    Claim processor job in Morristown, TN

    Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $55,200.00 - $91,100.00 Target Openings 4 What Is the Opportunity? This role is eligible for a sign on bonus up to $10,000 Be the Hero in Someone's Story When life throws curveballs - storms, accidents, unexpected challenges - YOU become the beacon of hope that guides our customers back to stability. At Travelers, our Claims Organization isn't just a department; it's the beating heart of our promise to be there when our customers need us most. As a Claim Rep, you will be responsible for managing, evaluating, and processing claims in a timely and accurate manner. In this detail-oriented and customer focused role, you will work closely with insureds to ensure claims are resolved efficiently while maintaining a high level of professionalism, empathy, and service throughout the claims handling process. What Will You Do? * Provide quality claim handling of Auto claims including customer contacts, coverage, investigation, evaluation, reserving, negotiation, and resolution in accordance with company policies, compliance, and state specific regulations. * Communicate with policyholders, claimants, providers, and other stakeholders to gather information and provide updates. * Determine claim eligibility, coverage, liability, and settlement amounts. * Ensure accurate and complete documentation of claim files and transactions. * Identify and escalate potential fraud or complex claims for further investigation. * Coordinate with internal teams such as investigators, legal, and customer service, as needed. * Insurance License: In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. What Will Our Ideal Candidate Have? * Bachelor's Degree. * Three years of experience in insurance claims, preferably Auto claims. * Experience with claims management and software systems. * Strong understanding of insurance principles, terminology with the ability to understand and articulate policies. * Strong analytical and problem-solving skills. * Proven ability to handle complex claims and negotiate settlements. * Exceptional customer service skills and a commitment to providing a positive experience for insureds and claimants. What is a Must Have? * High School Diploma or GED required. * A minimum of one year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program is required. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************
    $26k-35k yearly est. 29d ago
  • Field Claims Investigator

    Phoenix Loss Control

    Claim processor job in Covington, TN

    Job Description Job Type: Contract Workplace Type: Hybrid (50% remote, 50% fieldwork) Compensation: $25/hr plus $.50/mi Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC's core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. POSITION SUMMARY Outside Plant Damage (OPD) costs our clients over 30 million annually. Field investigators are needed to collect, access, and report these damages. This is a part-time, on-call contract job to help support our clients with damage recovery. For our field investigators, each day and every investigation is different. We need inquisitive, self-driven individuals who are comfortable rolling up their sleeves and working in a constantly changing, dynamic environment. Duties Conduct on-site field investigations Write detailed but concise investigation reports using diverse sources of information, types of evidence, witness statements, and costing estimates Develop and maintain comprehensive knowledge of local and state statutes, laws, and regulations for underground and aerial cables and utility service lines Remain prepared and willing to respond to damage calls within a timely manner Complete damage investigations within 7 days and then work with and support our claims managers to complete the investigation and begin the recovery process Respond to damages same day if received during business hours (if not, first response following day) Accurately record all time, mileage, and other associated specific items Requirements Interpersonal skills to gather information and conduct field interviews with involved parties including contractors and technicians, witnesses, law enforcement, and possible damagers Smartphone to gather photos, videos, and other information while conducting investigations Computer, with high-speed internet access, to upload and download reports, research cases, and to interact with our claims system and other databases and portals Exceptional attention to detail and strong written and verbal communication skills Proven ability to operate independently and prioritize while adhering to timelines Strong and objective analytical skills Valid driver's license, current insurance, and reliable vehicle with ability to respond to damages at any time Safety vest, work boots, and hard-hat Preferred Qualifications and Skills Current or previous telecommunication or utility experience Knowledge of underground utility locating procedures and systems Investigation, inspection, or claims/field adjusting Criminal justice, legal, or military training or work experience Engineering, infrastructure construction, or maintenance background Remote location determined at discretion of investigations manager This is a contract position. There are no benefits offered with this position.
    $25 hourly 8d ago
  • Claims Specialist

    Riverside Transport Group

    Claim processor job in North Little Rock, AR

    Job Details AR North Little Rock TLI - North Little Rock, AR TransportationDescription The responsibility of this position is to be available for accident and incident reporting and be proactive in the claims management process. Essential job duties include: Managing the day to day activities involved with accident and incident documentation. Report all claims to the appropriate insurance company in a timely manner. Correspond with public on accident claims as needed. Request and approve payments below insurance deductibles. Elevate any claims disputes to the appropriate parties. Manage a reporting database used to run reports and pass along information to other departments. Prepare reports for bi-weekly claims meetings with management. Collect all documentation needed for catastrophic accidents as required. Assist other safety coordinators in day to day activates to include driver phone calls, e-log corrections, employment verifications, etc. Training other employees in all the above as assigned. Various projects as needed. Qualifications Education: HS diploma or equivalent required. Preferred knowledge, skills and abilities: High school or equivalent Claims management experience 2+ years preferred. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required: To stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is frequently required to climb or balance; stoop, kneel, crouch, or crawl and talk or hear. The employee is occasionally required to sit. The employee must frequently lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, peripheral vision and depth perception. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
    $31k-52k yearly est. 60d+ ago
  • Certification Specialist

    The Agency 4.1company rating

    Claim processor job in Springfield, MO

    Class Title: EXECUTIVE I - 13851 Skill Option: None Bilingual Option: None Salary: Anticipated Starting Salary $5,928 monthly; Full Range $5,928 - $8,493 monthly Job Type: Salaried Category: Full Time County: Sangamon Number of Vacancies: 1 Bargaining Unit Code: RC062 Technical Employees, AFSCME Merit Comp Code: This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position. All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal. Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered. Position Overview: The Law Enforcement Training and Standards Board (ILETSB) invites well qualified candidates to apply for the position of Certification Specialist. The ideal candidate for this position will have the ability to work in a fast-paced and energetic environment, develop and maintain positive and effective professional relationships, be highly organized, and be capable of multi-tasking to keep up with the demands of a busy and growing agency. ILETSB is conveniently located at the southern edge of downtown Springfield in a beautifully maintained building across from the Lincoln's Home National Historic Site with free secured parking on-site. Illinois Law Enforcement Training and Standards Board offers a robust benefit package including: Monday-Friday schedule Health, life, vision, and dental insurance Paid Parental leave Pension Plan Deferred Compensation, and other pre-tax benefit programs Employees earn (12) paid sick days annually (10-25) paid vacation days (based on years of service) Employees earn (3) paid personal days (pro-rated based on start date) (13-14) paid state holidays annually Work hours and schedule will be mutually agreed upon by supervisor during the onboarding process. Why Work for Illinois? Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you're helping to improve schools, protect our natural resources, or support families in need, you're part of something bigger-something that touches the lives of every person who calls Illinois home. No matter what state career you're looking for, we offer jobs that fit your life and your schedule-flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois. Essential Functions Under direction of the Lead Certification Specialist, organizes, plans, executes, controls and evaluates the operation of the certification and professional standards program Receives and reviews waiver applications and records submitted by law enforcement administrators. Serves as liaison for the Deputy Director of Professional Standards, maintaining working relationships with law enforcement agencies and the public. Coordinates and maintains confidential data regarding discretionary and automatic decertification of police officers in accordance with State law. Administers the highly confidential State Law Enforcement and Corrections Certification Exams and the Crash Reconstruction Exam. Communicates regularly with other Certification Specialists, Intake Specialists, Certification Assistants, and Field Investigators across all areas in the state regarding matters of officer certification and professional standards. Performs other duties as required or assigned which are reasonably within the scope of the duties enumerated above. Minimum Qualifications Requires knowledge, skill and mental development equivalent to completion of four years of college, preferably with coursework in business or public administration. Requires one year of responsible administrative experience in a public or business organization, or completion of an agency approved professional management training program. Specialized Skills Two (2) years or more of prior work experience at a law enforcement or criminal justice agency or department. Preferred Qualifications Prefers two (2) years or more of prior work experience at a law enforcement or criminal justice agency or department. Prefers one (1) year of experience utilizing the principles and practices of public and business administration. Prefers one (1) year of practical experience with and knowledge of the functions of state government and of the character of relationships between the executive branch with other branches, and between the State and higher and lower levels of government. Prefers the ability to analyze administrative problems and adopt an effective course of action. Prefers the ability to exercise sound judgment and discretion in developing, implementing, and interpreting departmental policies and procedures. Prefers a proven ability to develop and maintain cooperative and effective working relationships with both intra-agency staff and with officers and administrators from law enforcement agencies around the State of Illinois. Prefers the ability to demonstrate a strong proficiency in Microsoft Word, Outlook, PowerPoint, Excel, and Internet applications. Conditions of Employment Overtime is a condition of employment, and you may be requested or required/mandated to work overtime including scheduled, unscheduled, or last-minute overtime. This requires the ability to work evenings and weekends. This position is considered sedentary work as defined by the U.S. Department of Labor (20 CFR 404.1567(a)). Sedentary work involves lifting no more than 10 pounds at a time and requires occasional lifting, carrying, walking, and standing. Ability to pass a criminal background check. The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description. About the Agency The Illinois Law Enforcement Training and Standards Board is the state agency mandated to promote and maintain a high level of professional standards for law enforcement and correctional officers. Its purpose is to promote and protect citizen health, safety, and welfare by encouraging municipalities, counties, and other governmental agencies in their efforts to upgrade and maintain a high level of training and standards for law enforcement personnel. The Board is responsible for developing and providing quality training and education, setting professional standards, and aiding in the establishment of adequate training facilities. By constantly adapting to changes in technology, the ever‐changing face of crime in the United States, and society's demands on those entrusted with the responsibility of enforcing its laws, the Board plays a crucial role in the professionalization of policing in Illinois. The Board is an equal opportunity employer and is dedicated to building and maintaining a diverse, equitable, and inclusive workforce. The Law Enforcement Training & Standards Board is a drug‐free workplace. Work Hours: Monday - Friday 8:30am - 5:00pm Work Location: 500 S 9th St, Springfield, Illinois, 62701 Agency Contact: Ellen Petty Email: ********************* Phone #: ************ Posting Group: Public Safety This position [DOES] contain “Specialized Skills” (as that term is used in CBAs). APPLICATION INSTRUCTIONS Use the “Apply” button at the top right or bottom right of this posting to begin the application process. If you are not already signed in, you will be prompted to do so. State employees should sign in to the career portal for State of Illinois employees - a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon. Non-State employees should log in on the using the “View Profile” link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon. If you have never before signed in, you will be prompted to create an account. If you have questions about how to apply, please see the following resources: State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid Non-State employees: on Illinois.jobs2web.com - click “Application Procedures” in the footer of every page of the website. The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses: ****************************** ***************************
    $5.9k-8.5k monthly Easy Apply 54d ago
  • Insurance Claims/Restoration Specialists

    Classic Contracting

    Claim processor job in Missouri

    Rapidly growing Insurance Restoration Company seeking qualified candidates for the position of Sales Representative. The Sales Representative will sell roofing product lines / systems and generate new growth and profitability through business networking, contacts, telephoning, door knocking, and the like to obtain inspections for potential weather related structural property damage and consultations for cosmetic/structural replacements, upgrades and remodels. You will also be provided with occasional company generated leads. Our ideal candidates will have in-home sales experience or come from the residential real estate, window/siding/roofing, home inspection, or home improvement industries. You MUST have verifiable and STABLE sales experience. Construction experience and knowledge is a definite plus. The ideal candidate must also have strong listening, follow-up, and closing skills. You must be proficient working with computer software and be detail oriented, focused, and a team player. Most importantly, you MUST have strong ethics and high integrity and be committed to ALWAYS putting the customer first. We also ask that you are outgoing, with a positive personality, have a professional and respectable demeanor, clean cut and professional appearance, are self-motivated, eager to succeed, possess excellent communication skills, have the ability to multitask and manage time effectively, are positive and energetic, have the ability & willingness to learn and implement today's top marketing and selling techniques, and be willing to work some weekends to go above and beyond. Team Players will thrive in our environment. We build our jobs promptly! Requires ability to climb on roofs and transport a ladder. W2 & 1099 Positions. If interested please call ************ to schedule your interview today! Qualifications Would prefer prior sales experience Additional Information All your information will be kept confidential according to EEO guidelines.
    $31k-51k yearly est. 8h ago
  • Bodily Injury Claims Representative I

    Job Listingsomni Human Resource Management

    Claim processor job in Kansas City, MO

    Reliable, Local Company, Providing Full-Time Remote Job Opportunities. While this position is a full-time remote position, we are looking for candidates in the KC Metro. Play an integral role in driving success, being a part of a passionate team, working directly from the comfort of your own home. We value your expertise and passion, and aim to create a supportive atmosphere that encourages personal and professional growth. We pride ourselves on being a leading company in our industry, known for our stability, reliability, and commitment to excellence. At Traders Insurance, we value employee empowerment, open communication, and the ability to make a difference. Join us today to enjoy a multitude of opportunities for learning, development, and advancement. The Bodily Injury Claims Representative position is primarily responsible for the handling of bodily injury and associated property damage claims that result from an automobile accident. The role requires a basic level of technical expertise along with sufficient problem solving and organizational skills to gather details, investigate accidents, and manage the claims process. Every day is different as you work to resolve problems and we ask that you be willing to work hard in a fast-paced and ever-changing environment. It is also expected this person exhibit strong interpersonal skills with other team members, while providing strong contributions to overall company and claims department success. Responsibilities Primarily investigates and handles bodily injury claims along with associated property damage claims, including questions of coverage, liability, and damages, of moderate to high complexity. Ability to deliver superior customer service through strong verbal and written communication skills. Interviews customers, claimants, and witnesses. Helps determine coverage and liability (who's at fault for the damages). Partners with appraisers/estimators to manage vehicle repairs. Sets timely, adequate reserves in compliance with the company reserving philosophy. Negotiates with customers and other insurance carriers. Demonstrates ownership attitude with the ability to be analytical and make accurate decisions. Personal computer literate with proficiency in the use of Word and Excel. Ensures all operations are consistent with the stated mission and direction set forth by Traders. All other duties as assigned. Qualifications Bachelor's degree or four years related work experience. 1+ years of prior experience as an auto claims representative or equivalent experience AIC or CPCU degree or equivalent insurance course preferred. Ability to obtain and maintain adjuster license in required states. Compensation is commensurate with experience. Traders employees also benefit from: Group Medical/Dental/Vision Employee and Dependent Life Insurance Paid Time Off 401K Plan Training and Career Development Opportunities for Advancement Traders is an Equal Opportunity Employer.
    $31k-42k yearly est. Auto-Apply 60d+ ago
  • Bodily Injury Claims Representative I

    OMNI Human Resource Management

    Claim processor job in Kansas City, MO

    Reliable, Local Company, Providing Full-Time Remote Job Opportunities. While this position is a full-time remote position, we are looking for candidates in the KC Metro. Play an integral role in driving success, being a part of a passionate team, working directly from the comfort of your own home. We value your expertise and passion, and aim to create a supportive atmosphere that encourages personal and professional growth. We pride ourselves on being a leading company in our industry, known for our stability, reliability, and commitment to excellence. At Traders Insurance, we value employee empowerment, open communication, and the ability to make a difference. Join us today to enjoy a multitude of opportunities for learning, development, and advancement. The Bodily Injury Claims Representative position is primarily responsible for the handling of bodily injury and associated property damage claims that result from an automobile accident. The role requires a basic level of technical expertise along with sufficient problem solving and organizational skills to gather details, investigate accidents, and manage the claims process. Every day is different as you work to resolve problems and we ask that you be willing to work hard in a fast-paced and ever-changing environment. It is also expected this person exhibit strong interpersonal skills with other team members, while providing strong contributions to overall company and claims department success. Responsibilities Primarily investigates and handles bodily injury claims along with associated property damage claims, including questions of coverage, liability, and damages, of moderate to high complexity. Ability to deliver superior customer service through strong verbal and written communication skills. Interviews customers, claimants, and witnesses. Helps determine coverage and liability (who's at fault for the damages). Partners with appraisers/estimators to manage vehicle repairs. Sets timely, adequate reserves in compliance with the company reserving philosophy. Negotiates with customers and other insurance carriers. Demonstrates ownership attitude with the ability to be analytical and make accurate decisions. Personal computer literate with proficiency in the use of Word and Excel. Ensures all operations are consistent with the stated mission and direction set forth by Traders. All other duties as assigned. Qualifications Bachelor's degree or four years related work experience. 1+ years of prior experience as an auto claims representative or equivalent experience AIC or CPCU degree or equivalent insurance course preferred. Ability to obtain and maintain adjuster license in required states. Compensation is commensurate with experience. Traders employees also benefit from: Group Medical/Dental/Vision Employee and Dependent Life Insurance Paid Time Off 401K Plan Training and Career Development Opportunities for Advancement Traders is an Equal Opportunity Employer.
    $31k-42k yearly est. Auto-Apply 60d+ ago
  • BlueCard Claims & Adjustment Specialist

    Bcbsms

    Claim processor job in Flowood, MS

    Healthy Careers Start Here At Blue Cross & Blue Shield of Mississippi, we encourage professional growth in a challenging and fast-paced atmosphere. Our 'be healthy' culture promotes health and wellness at all levels of the Company, and we provide our employees with the time, tools and resources to commit to a healthy lifestyle. The Claims & Adjustments Specialist, BlueCard is responsible for maintain inventories which focus on the accurate and timely processing of member claim as well as member and provider inquiries. The Claims & Adjustments Specialist will process fully insured group, fully insured non-group and self insured in-state and out-of-area claims for Mississippi members. The Claims & Adjustments Specialist is also responsible for handling member and provider inquiries and inter-plan communication with other BlueCross and BlueShield Plans as well as provider and member correspondence. In completing these activities, the Claims & Adjustments Specialist is responsible for ensuring performance levels meet or exceed established timeliness and accuracy benchmarks. Job-Specific Requirements Bachelor's degree required. Must have average PC skills including experience with Microsoft Office suite Logical thought process in order to interpret and apply contract benefits as well as identify issues, recommend solutions, interpret and apply contract benefits and accurately adjust claims. Customer focused and service oriented to ensure timely and accurate performance and benchmark achievement. Ability to work with a high degree of accuracy and attention to detail to ensure work products are of high quality. Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation. Our benefits program is among the best in the health care field. We are looking for employees who can bring their experience, expertise and dedication to work for our customers.
    $27k-46k yearly est. Auto-Apply 58d ago
  • Dental Claims Coordinator- Special Needs

    University of Tennessee 4.4company rating

    Claim processor job in Memphis, TN

    Market Range: 06 Hiring Salary: $19.67/Hourly JOB SUMMARY/ESSENTIAL JOB FUNCTIONS: The Dental Claims Coordinator for the Special Needs Clinic oversees all dental insurance billing, claims processing, and provider credentialing for a clinic dedicated to patients with intellectual, developmental, or complex medical conditions. This position ensures accurate, timely claims and pre-authorizations, with a strong focus on services commonly required by patients with special health care needs such as hospital-based dentistry, sedation, and multidisciplinary treatment. This position serves as the clinic's subject matter expert on CDT coding, payer requirements, and documentation standards to secure coverage for specialized care. MINIMUM REQUIREMENTS: EDUCATION: High School Diploma or GED. (TRANSCRIPT REQUIRED) EXPERIENCE: Four (4) years of public and private dental claims processing; OR Associate's Degree and two (2) years of public and private dental claims processing. KNOWLEDGE, SKILLS, AND ABILITIES: Ability to organize and prioritize work to meet competing deadlines. Knowledge of special needs patient population guidelines, regulations, policy, and procedures Knowledge of public and private dental insurance billing policies. Ability to manage multiple job priorities and tasks efficiently, effectively, and accurately while demonstrating close attention to detail. Expert knowledge of dental terminology, treatment planning, CDT coding, accounts receivable and collections processes. Ability to communicate professionally and courteously with faculty, residents, students, patients and staff. Ability to identify, research and/or resolve financial conflicts with insurance companies and patient accounts. DUTIES AND RESPONSIBILITIES: Performs daily verification of patient insurance eligibility, focusing on coverage for special-needs-specific services such as anesthesia, behavioral support, or hospital procedures. Audits patient records for accurate financial and CDT coding documentation; initiates corrections and communicates with providers to ensure compliant submissions. Prepares and submits insurance claims and pre-authorizations (electronic and paper) and monitors all unsubmitted or denied claims. Identifies and resolves payment issues proactively, coordinating with families, caregivers, and payers to expedite approvals for medically necessary services. Guides patients, caregivers, and social service advocates through the insurance and reimbursement process for complex treatment plans. Processes patient reimbursement requests, ensuring compliance with documentation and coding requirements. Supports scheduling and billing processes for lengthy or hospital-based appointments unique to special-needs dentistry. Completes and maintains provider credentialing with commercial and government payers. Performs other duties as assigned.
    $19.7 hourly Auto-Apply 9d ago
  • Claims Denial Specialist

    Medical Assets Holding Company LLC

    Claim processor job in Russellville, AR

    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.
    $30k-51k yearly est. Auto-Apply 31d ago
  • Claims Specialist - Full Time

    Frontier Health 3.5company rating

    Claim processor job in Gray, TN

    JOB TITLE Claims Specialist Responsible for follow-up of all third-party claims to assure maximum reimbursement for services rendered by Frontier Health staff. Must exercise sound judgment, demonstrate initiative, develop and maintain good working relationships with all corporation staff and clients. EDUCATION AND EXPERIENCE: Education: High School Diploma/GED required. Licensure: N/A Certification: N/A Experience: Medical billing experience preferred. Knowledge/Skills: ICD-10, CPT, DSM-V, and HCPCS coding knowledge. Excellent verbal/written communication skills. Skilled in use of all major computer applications, especially Excel. Able to work independently and as a team player. EQUIPMENT: Computer, fax, copier, calculator and any other equipment required to perform the functions of the position. MAJOR DUTIES AND RESPONSIBILITIES: 1. Responsible for follow-up of all third-party claims in a timely fashion. 2. Assures guidelines and billing procedures are followed. 3. Identifies problem accounts and works with Utilization Management to maximize revenue. 4. Responsible for re-billing appropriate charges to the next responsible funding source. 5. Must obtain and maintain knowledge of all collection policies and procedures. 6. Must obtain and maintain knowledge of all services rendered by the agency and the liability of each third-party contract. 7. Must have or obtain working knowledge of CPT coding, revenue coding, HCPCS coding, DSM-V, and ICD-10 coding. 8. Attend and participate in regularly scheduled staff meetings and in-services and individual program planning staffings as needed. 9. Maintains records and prepares reports related to Accounts Receivable follow-up for applicable payors. 10. Responds to questions, telephone calls and letters for follow-up of accounts and documents as necessary. 11. Works with supervisor or other team members 12. All other duties as assigned. PERFORMANCE RESPONSIBILITIES: Although each position has its own unique duties and responsibilities, the following listing applies to every employee. All employees of the organization are expected to: 1. Support the organization's mission, vision, and values of excellence and competence, collaboration, innovation, commitment to our community, and accountability and ownership. 2. Exercise necessary cost control measures. 3. Maintain positive internal and external customer service relationships. 4. Demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed. 5. Plan and organize work effectively and ensure its completion. 6. Demonstrate reliability by arriving to work on time and utilizing effective time management. 7. Meet all productivity requirements. 8. Demonstrate team behavior and must be willing to promote a team-oriented environment. 9. Represent the organization professionally at all times. 10. Demonstrate initiative and strive to continually improve processes and relationships. 11. Follow all Frontier Health rules, policies and procedures as well as any applicable laws and standards.
    $24k-29k yearly est. 60d+ ago

Learn more about claim processor jobs

How much does a claim processor earn in Memphis, TN?

The average claim processor in Memphis, TN earns between $24,000 and $56,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Memphis, TN

$37,000
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