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Claim processor jobs in Topeka, KS

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Claim Processor
Claims Representative
Senior Claims Examiner
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Claim Auditor
  • Benefit and Claims Analyst

    Highmark Health 4.5company rating

    Claim processor job in Topeka, KS

    This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims, and Medical Policy. The person in this position must fully understand all product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. **ESSENTIAL RESPONSIBILITIES** + Coordinate, analyze, and interpret the benefits and claims processes for the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims. Communicate benefit explanations clearly and concisely to all pertinent parties. + Investigate benefit/claim information and provide technical guidance to clinical and claims staff regarding the final adjudication of complex claims. Research and investigate conflicting benefit structures in multi-payor situations. + Provide prompt, thorough and courteous replies to written, electronic and telephonic inquiries from internal/external customers (e.g., clinical, sales/marketing, providers, vendors, etc.) Follow-up on all inquiries in accordance with corporate and regulatory standards and timeframes. + Must have the ability to apply knowledge about the business operations of the area within the defined scope of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim processing inaccuracies. Bring trends to the attention of management. + Assist with handling inbound calls and strive to resolve customer concerns received via telephone or written communication. + Work independently of support, frequently utilizing resources to resolve customer inquiries. + Collaborate with Clinical Strategy, Sales/Client Management and other areas across the enterprise to respond to client questions and concerns about care/case management and high-cost claimants. + Gather information and develop presentation/training materials for support and education. + Other duties as assigned or requested. **EDUCATION** **Required** + High School or GED **Substitutions** + None **Preferred** + Associate's degree in or equivalent training in Business or a related field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. + Working knowledge of Highmark products, systems (e.g., customer service and clinical platforms, knowledge resources, etc.), operations and medical policies + PC Proficiency including Microsoft Office Products + Ability to communicate effectively in both verbal and written form with all levels of employees **Preferred** + Working knowledge of medical procedures and terminology. + Complex claim workflow analysis and adjudication. + ICD9, CPT, HPCPS coding knowledge/experience. + Knowledge of Medicare and Medicaid policies **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services + Knowledge of administrative and clerical procedures and systems such as managing files and records, designing forms and other office procedures + The ability to take direction, to navigate through multiple systems simultaneously + The ability to interact well with peers, supervisors and customers + Understanding the implications of new information for both current and future problem-solving and decision-making + Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate and not interrupting at inappropriate times + Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems + Ability to solve complex issues on multiple levels. + Ability to solve problems independently and creatively. + Ability to handle many tasks simultaneously and respond to customers and their issues promptly. **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $21.53 **Pay Range Maximum:** $32.30 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273827
    $21.5-32.3 hourly 3d ago
  • Claims Processor Analyst

    Stefanini 4.6company rating

    Claim processor job in Overland Park, KS

    Stefanini is a global IT services company with over 88 offices in 39 countries across the Americas, Europe, Africa, Australia, and Asia in 35 languages. Since 1987, Stefanini has been providing offshore, onshore, and nearshore IT services, including application development, IT infrastructure outsourcing, systems integration, consulting and strategic staffing to Fortune 1000 enterprises around the world. Job Description Educates patients, their families and health care professionals in the use of the organization's products and services. Organizes and conducts classes and individual meetings to demonstrate how the organization's products and services contribute to the maintenance and improvement of health and/or the management of specific diseases and physical conditions. Prepares and distributes educational and instructional material (e.g., booklets, promotional kits). May expand patient pool through participation in referral and screening programs. Provides information and suggestions to sales and/or medical representatives and management on the results of educational programs, including comments and questions from patients and health care professionals. Has developed specialized skills or is multi-skilled through job-related training and considerable on-the-job experience. Completes work with a limited degree of supervision Likely to act as an informal resource for colleagues with less experience Identifies key issues and patterns from partial/conflicting data Post-secondary certifi./Assoc. degree in applicable discipline and 3-5 Yrs of related Exp. Qualifications Previous Medical Claims Experience Strong Problem-Solving Skills Previous Experience Calling Plans & figuring out patient's out of pocket costs for both Medical & Pharmacy Plans Additional Information All your information will be kept confidential according to EEO guidelines.
    $29k-47k yearly est. 60d+ 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 54d ago
  • Claims Examiner

    Harriscomputer

    Claim processor job in Missouri

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $29k-45k yearly est. Auto-Apply 3d 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. 19h ago
  • Workers' Compensation Claim Representative I

    Ccmsi 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
    $50k-60k yearly Auto-Apply 40d ago
  • Claims Representative - Overland Park, KS

    Federated Mutual Insurance Company 4.2company rating

    Claim processor job in Overland Park, KS

    Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Overland Park, KS office, located at 6130 Sprint Parkway, Ste 200 Overland Park, KS. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary Range: $63,800 - $78,000 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy.
    $63.8k-78k yearly Auto-Apply 60d+ ago
  • Senior Claim Benefit Specialist

    CVS Health 4.6company rating

    Claim processor job in Topeka, KS

    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** Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and problems. + Perform adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise. + Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process. + Performs claim re-work calculations. + Follow through completion of claim overpayments, underpayments, and any other irregularities. + Process complex non-routine Provider Refunds and Returned Checks. + Review and interpret medical contract language using provider contracts to confirm whether a claim is overpaid to allocate refund checks. + Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals. + Ensures all compliance requirements are satisfied and that all payments are made following company practices and procedures. + Review and handle relevant correspondences assigned to the team that may result in adjustment to claims. + May provide job shadowing to lesser experience staff. + Utilize all resource materials to manage job responsibilities. **Required Qualifications** + 2+ years medical claim processing experience. + Experience in a production environment. + Demonstrated ability to handle multiple assignments competently, accurately, and efficiently. + Effective communications, organizational, and interpersonal skills. **Preferred Qualifications** + DG system claims processing experience. + Associate degree preferred. **Education** + High School Diploma or GED. **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: 12/23/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $18.5-42.4 hourly 2d ago
  • Executive Claims Examiner

    Markel Corporation 4.8company rating

    Claim processor job in Omaha, NE

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority. Responsibilities: * High complexity coverage interpretation, liability investigation, multiple vehicles, potential extra-contractual, litigation or significant injuries. * Direct involvement in litigation claims management to reach desired outcomes and minimize expenses * Investigate, negotiate and settle complex liability cases. Maintain and make sure alignment to Markel's guidelines and procedures. * Ensure proper adherence to internal large loss reporting requirements. * Promptly communicate with Claims Manager on case developments and provide information on issues affecting the lines of business * Chip in and assist in the implementation of a range of initiatives, discussion and action plans brought forth by the Claims Manager * Connect with underwriting as needed to handle claims and to alert of any significant developments * Participate in agent related functions and meetings as required Requirements: * 7-10+ years of Liability claims handling experience with a commercial insurance company * Successful Liability claim handling experience is critical * College degree and/or professional designation preferred * Sound comprehension of personal and commercial liability coverages. * Excellent written and oral communication skills. * Experience in resolving contractual obligations, coverage analyses, and investigations. * Ability to run sophisticated large liability exposures, set loss and expense reserves and evaluate settlement values. * Ability to proactively self-manage an active caseload. * Ability to analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form. * Travel required as necessary (less than 15%). * Adjuster license in multiple states or across the US strongly preferred. US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The salary for the position is $97,520 - $134,000 with a 25% bonus potential. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $34k-47k yearly est. Auto-Apply 6d ago
  • Technical Claim/Litigation Manager-Auto Bodily Injury/Personal Liability Umbrella

    RLI Corp 4.8company rating

    Claim processor job in Chesterfield, MO

    About Us We're not like other insurance companies. From our specialty products to our business model, our culture to our results - we're different. Different is who we are, and how we work, interact, deliver and succeed together. Creating a different and better insurance experience doesn't just happen. It takes focus and a shared passion for going beyond the expected to forge relationships and deliver care that makes a difference. This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results. Apply today to make a difference with us. RLI is a Glassdoor Best Places to Work company with a strong, successful background. For decades, our financial track record has been stellar - a testament to our culture and validation of our reputation as an excellent underwriting company. Principal Duties & Responsibilities * Proactively handle Personal Umbrella Liability claims (auto, premises and personal liability) with a detailed focus on claim investigation, evaluation, and monitoring of primary carrier activity to achieve optimum results. * Effectively investigate and analyze complex coverage issues and write coverage letters as appropriate. * Complete timely and thorough investigations into liability and damages for early exposure recognition. * Focus on claims resolution with timely and effective liability investigations and damage evaluations and reserve setting. * Handle claims in accordance with RLI's Best Practices. Education & Experience * Typically requires a bachelor's degree and 6+ years of relevant legal or technical claims experience. * Experience handling large exposure third-party liability claims on a primary/excess basis is preferable. * Significant experience in effective handling of policy limit demands in states such as Florida, Texas and California. * Must be able to excel in a fast-paced environment with little supervision. * Effectively work with primary carriers and defense counsel and understand umbrella/excess handling and management of outside counsel. * Ideal candidate will have superior working knowledge of Florida, California, New York and Texas case law, statutes and procedures impacting the handling and value of liability claims. Knowledge, Skills, & Competencies * Ability to use analytical methods in complex claim processes to find workable solutions. * Ability to generate innovative solutions within the claims department. * Ability to communicate findings and recommendations to internal and external contacts on claim matters. Compensation Overview The base salary range for the position is listed below. Please note that the base salary is only one component of our robust total rewards package at RLI. The salary offered will take into account a number of factors including, but not limited to, geographic location, experience, scope & responsibilities of the role, qualifications/credentials, talent availability & specialization, as well as business needs. The below range may be modified in the future. Base Pay Range $108,348.00 - $157,917.00 Total Rewards At RLI, we're all owners. We hire the best and the brightest employees and allow them to share in the company's success through our Total Rewards. With the Employee Stock Ownership plan at its core, the Total Rewards program includes all compensation, benefits and perks that come with being an RLI employee. Financial Incentives * Annual bonus plans * Employee stock ownership plan (ESOP) * 401(k) - automatic 3% company contribution * Annual 401k and ESOP profit-sharing contributions (Up to 15% of eligible earnings) Work & Life * Paid time off (PTO) and holidays * Paid volunteer time off (VTO) to support our communities * Parental and family care leave * Flexible & hybrid work arrangements * Fitness center discounts and free virtual fitness platform * Employee assistance program Health & Wellness * Comprehensive medical, dental and vision benefits * Flexible spending and health savings accounts * 2x base salary for group life and AD&D insurance * Voluntary life, critical illness, & accident insurance for purchase * Short-term and long-term disability benefits Personal & Professional Growth RLI encourages its employees to pursue professional development work in insurance and job-related areas. We make a commitment to employees to provide educational opportunities that help them enhance their skills and further their career advancement. RLI fosters a true learning culture and encourages professional growth through insurance courses, in-house training and other educational programs. RLI covers the cost for most programs and employees typically earn a bonus upon successful completion of approved courses and certifications. Our personal and professional growth benefits include: * Training & certification opportunities * Tuition reimbursement * Education bonuses Diversity & Inclusion Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers. We actively support, and participate in, initiatives led by the American Property Casualty Insurance Association that aim to increase diversity in the insurance industry. Cultivating an exceptional and diverse workforce to deliver excellent customer service reinforces our culture and is a key to achieving superior business results. RLI is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.
    $108.3k-157.9k yearly Auto-Apply 60d+ ago
  • Auto Claim Representative

    The Travelers Companies 4.4company rating

    Claim processor job in Overland Park, KS

    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 3 What Is the Opportunity? 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. This role is eligible for a sign on bonus. 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. 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 *********************************************************
    $55.2k-91.1k yearly 17d ago
  • Claims Representative (IAP) - Workers Compensation Training Program

    Sedgwick 4.4company rating

    Claim processor job in Topeka, KS

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? + A stable and consistent work environment in an office setting. + A training program to learn how to help employees and customers from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional growth opportunities through increasing responsibilities. + A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL CANDIDATE?** We are seeking enthusiastic individuals for an entry-level trainee position. This role begins with a comprehensive 6-week classroom-based professional training program designed to equip you with the foundational skills needed for a successful career in claims adjusting. Over the course of a few years, you'll have the opportunity to grow and advance within the field. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Attendance and completion of designated classroom claims professional training program. + Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. + Participates in rotational assignments to provide temporary support for office needs. **QUALIFICATIONS** Bachelor's or Associate's degree from an accredited college or university preferred. **EXPERIENCE** Prior education, experience, or knowledge of: - Customer Service - Data Entry - Medical Terminology (preferred) - Computer Recordkeeping programs (preferred) - Prior claims experience (preferred) Additional helpful experience: - State license if required (SIP, Property and Liability, Disability, etc.) - WCCA/WCCP or similar designations - For internal colleagues, completion of the Sedgwick Claims Progression Program **TAKING CARE OF YOU** + Entry-level colleagues are offered a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career development and promotional growth opportunities + A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 25.65/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claims #claimsexaminer #entrylevel #remote #LI-Remote_ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $35k-43k yearly est. 11d 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 36d ago
  • Claims Auditor I, II & Senior

    Elevance Health

    Claim processor job in Saint Louis, MO

    Claims Auditor I, II and Senior 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. 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. The Claims Auditor I is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers. The Claims Auditor II is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without significant guidance. The Claims Auditor Senior is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as the subject matter expert for the unit. How you will make an impact : * Performs audits of high dollar claims. * Ensures claim payment accuracy by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity. * Contacts others to obtain any necessary information. * Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary discrepancies which are used for financial reporting and trending analysis. * Provides feedback on processing errors; identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. * Refers overpayment opportunities to Recovery Team. * Claims Auditor II - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. * Claims Auditor Senior - all the above, plus : Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a mentor and resource to other audit staff. Must possess strong research and problem solving skills. Minimum Requirements : * Claims Auditor I : Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide an equivalent background. * Claims Auditor II : Requires a HS diploma or GED and a minimum of 5 years of claims processing experience including a minimum of 1 year related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. * Claims Auditor Senior : Requires a HS diploma or GED and a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities & Experiences: * Stop loss claims experience highly preferred. * Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred. * Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred. * Strong research and problem solving skills preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is : Claims Auditor I $21.41 to $38.88/hr Claims Auditor II $22.54 to $40.94/hr Claims Auditor Senior $25.69 to $46.64/hr Locations: Illinois, Massachusetts, Minnesota, Washington State In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: CLM > Claims Support 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.
    $21.4-38.9 hourly 5d 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. 19h ago
  • Senior Claims Examiner - Insurance - Base Salary to 140k/year - Omaha, NE

    Allsearch Recruiting

    Claim processor job in Omaha, NE

    Our client, a 80+ year insurance company, is looking for a remote Senior Claims Examiner specifically from a private practice to join their team. They specialize in commercial auto and general liability insurance. They are looking for claims professionals who have commercial auto bodily injury and litigation management experience. Responsibilities: You will be responsible for investigating, evaluating, providing defense if appropriate, negotiating and resolving assigned commercial auto bodily injury claims. You will contact Insureds, Claimants and others by telephone and correspondence regarding information and documents necessary to evaluate and resolve claims, claim processes and related matters, and resolution alternatives. You will be involved in litigation management, trails and mediations. You will also be responsible for loss assessment, coverage analysis, claims reserving and negotiating settlements over the phone. The typical claims case load is between 130-150 claims. Qualifications: 5+ years of handling commercial auto bodily injury claims. JD degree required. Must have experience in litigation. Private practice experience. Must be open to travel a few times a year for trials/mediations as well as one week per quarter to corporate headquarters in NE for team building events. Compensation: Base salary in the 110k - 140k/year range plus a comprehensive benefits package including medical, dental, vision, retirement plan with employer match, wellness program, learning & development program, team building events, educational reimbursement, and more. #INDALL
    $32k-47k yearly est. 53d ago
  • Senior Claims Examiner - Insurance - Base Salary to 140k/year - Omaha, NE

    Allsearch Professional Staffing

    Claim processor job in Omaha, NE

    Our client, a 80+ year insurance company, is looking for a remote Senior Claims Examiner specifically from a private practice to join their team. They specialize in commercial auto and general liability insurance. They are looking for claims professionals who have commercial auto bodily injury and litigation management experience. Responsibilities: You will be responsible for investigating, evaluating, providing defense if appropriate, negotiating and resolving assigned commercial auto bodily injury claims. You will contact Insureds, Claimants and others by telephone and correspondence regarding information and documents necessary to evaluate and resolve claims, claim processes and related matters, and resolution alternatives. You will be involved in litigation management, trails and mediations. You will also be responsible for loss assessment, coverage analysis, claims reserving and negotiating settlements over the phone. The typical claims case load is between 130-150 claims. Qualifications: 5+ years of handling commercial auto bodily injury claims. JD degree required. Must have experience in litigation. Private practice experience. Must be open to travel a few times a year for trials/mediations as well as one week per quarter to corporate headquarters in NE for team building events. Compensation: Base salary in the 110k - 140k/year range plus a comprehensive benefits package including medical, dental, vision, retirement plan with employer match, wellness program, learning & development program, team building events, educational reimbursement, and more. #INDALL
    $32k-47k yearly est. 50d ago
  • Claims Analyst

    Panasonic Corporation of North America 4.5company rating

    Claim processor job in De Soto, KS

    Do you want to join a team that's changing the world? Do you have a strong background as a Claims Analyst? Then we're looking for you! Check out the job description and apply now! Put your skills to meaningful use, gain unique experience, and work with world-class team members with diverse backgrounds and expertise who share the same vision. Join the PECNA team today! Responsibilities Meet the Recruiter: Anh Martin Summary: Join us at Panasonic Energy as we expand to De Soto, Kansas, where we're building the world's largest lithium-ion battery factory. This is an exciting opportunity to grow your career while contributing to the future of electric vehicles. As part of our team, you'll help push the limits of battery technology, enhancing performance and efficiency in sustainable transportation. Our state-of-the-art facility, just outside the Kansas City Metro, will be a hub for innovation in green energy solutions. If you're passionate about sustainability and eager to contribute to the electric vehicle revolution, we invite you to be part of our dynamic team. Join us and make a meaningful impact on the future of energy and transportation. Job Summary: The Claims Analyst plays a key role in the insurance claims lifecycle at a high-volume, 24/7 lithium-ion battery manufacturing facility. This position serves as a bridge between the administrative functions of the Claims Coordinator and the strategic oversight of the Claims Manager. The Analyst supports complex claims analysis, documentation, investigation coordination, and regulatory compliance, while identifying trends to improve loss control. Strong technical knowledge of claims processes, OSHA recordkeeping, and data analysis is critical to success in this role. Essential Duties: Claims Administration & Reporting: * Support timely and accurate reporting of all claims to insurance carriers in compliance with policy and regulatory standards * Maintain and update claim files in the Claims Management System (CMS) with documentation, notes, and supporting evidence * Review claims for completeness, accuracy, and compliance prior to submission; flag discrepancies for correction * Prepare internal reports summarizing claim activity and status for management review * Assist with OCIP enrollments and claims tracking related to contractor claims as needed Incident Investigation & Regulatory Compliance: * Collaborate with EHS, HR, Legal, and Operations teams to ensure thorough investigation documentation * Assist in collecting evidence such as witness statements, photos, and reports following incidents * Monitor OSHA 1904 Recordkeeping compliance, reviewing reportable vs. recordable classifications * Enter and audit injury and illness records and assist with annual OSHA log preparation and submittal Claims Analysis & Loss Prevention: * Track and analyze claims data to identify patterns, trends, and areas of high exposure * Generate loss run reports, root cause summaries, and trend dashboards for internal use * Participate in risk assessments and offer recommendations for claim prevention strategies * Assist in evaluating TPA performance through claims cycle metrics and communication reviews Stakeholder Communication & Support: * Act as a liaison between internal stakeholders and external parties (e.g., insurance carriers, TPAs, attorneys, medical providers) * Provide technical support and clarification to Claims Coordinators, Supervisors, and Managers on complex cases * Coordinate claim review meetings and ensure preparation of all related materials * Provides mentorship or guidance to Claims Coordinators as needed Personal Protective Equipment (PPE) Requirements: * To ensure health and safety in the workplace and for employee protection, wearing PPE is a possibility and includes equipment such as a full Tyvek suit, safety shoes, gloves, safety glasses, face mask, and a full hazmat suit that includes a respirator. A respirator fit test will be required based on functional area. The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. Qualifications Qualifications: Education: * Required: Bachelor's degree in Risk Management, Insurance, Business Administration, Occupational Safety, or a related field * Preferred: Master's Degree in Business Administration, Occupational Safety, or Risk Management Essential Qualifications: * 4-6 years of experience in insurance claims handling, investigation coordination, or risk administration * Working knowledge of general liability, workers' compensation, property, or pollution/environmental claims * Familiarity with OSHA regulations, especially 1904 Recordkeeping Standards * Proficient in Microsoft Office Suite (Excel, Word, Outlook); experience with RMIS and digital claims platforms * Strong analytical skills and ability to interpret loss data and performance metrics * Excellent written and verbal communication and professional presentation skills * Detail-oriented with strong judgment and decision-making capabilities * Ability to multitask and manage competing priorities in a fast-paced environment * Must have working-level knowledge of the English language, including reading, writing, and speaking English * Alignment to Panasonic's seven (7) core principles (contribution to society, fairness and honesty, cooperation and team spirit, untiring effort for improvement, courtesy and humility, adaptability, gratitude) Preferred Qualifications: * Experience in an industrial, construction, or manufacturing claims setting * Knowledge of OCIP or CCIP programs and related claims processes * Experience supporting insurance audits, renewals, or risk financing strategies * Experience guiding or mentoring junior claims staff, or serving as a technical resource * Familiarity with loss control or claims prevention initiatives in a manufacturing setting Preferred Certification(s): * AIC - Associate in Claims - strongly recommended * INS - Certificate in General Insurance * ARM - Associate in Risk Management * OSHA 1904 Recordkeeping Standard Training - strongly recommended * CRIS - Construction Risk and Insurance Specialist Physical Demands: Physical Activities: Percentage of time (equaling 100%) during the normal workday the employee is required to: * Sit: 40% * Walk: 30% * Stand: 20% * Lift: 10% Required Lifting and Carrying: Not required (0%), Occasional (1-33%), Frequent (34-66%), Continuous (67-100%) For this position, the required frequency is: * Up to 10 lbs.: Occasional * Up to 20 lbs.: Not Required * Up to 35 lbs.: Not Required * Team-lift only (over 35 lbs.): Not Required Who We Are: Meet Panasonic Energy! At Panasonic Energy, you'll do work that matters as we are dedicated to transforming the world through the acceleration of sustainable energy. By producing safe, high-quality lithium-ion batteries, you become part of a team that plays a crucial role in creating technologies that move us. This is an exciting time to join us as we expand our operations to De Soto, Kansas and build the world's largest lithium-ion battery factory. We will provide you with the opportunity to experience career growth in more ways than one. As an innovative thinker, you'll thrive here, as we continually push the boundaries of lithium-ion battery technology and production capabilities to enhance efficiency and performance in EVs. Being part of Panasonic Energy means positively contributing to society, aligning with our commitment to building a better world through sustainable energy solutions. We care about what you care about, fostering an environment where your contributions make a meaningful impact on the future of energy and transportation. Join us and be part of a team that values your work, encourages innovation, and actively contributes to a positive societal impact. In addition to an environment that is as innovative as our products, we offer competitive salaries and benefits. We Take Opportunity Seriously: At Panasonic Energy, we are committed to a workplace that genuinely fosters inclusion and belonging. Fairness and Honesty have been part of our core values for more than 100 years and we are proud of our diverse culture as an equal opportunity employer. We understand that your career search may look different than others and embrace the professional, personal, educational, and volunteer opportunities through which people gain experience. If you are actively looking or starting to explore new opportunities, submit your application! Where You'll Be: For our onsite roles, Panasonic Energy is committed to fostering an ideal working environment that goes beyond the conventional. We understand the significance of moments that matter in your onsite experience, and we prioritize creating a workspace that not only promotes productivity but also ensures a fulfilling and positive work atmosphere. Join us at Panasonic Energy, where your onsite presence is valued, and we strive to make each moment count in your professional journey. Benefits & Perks - What's In It For You: Panasonic Energy prioritizes total well-being and offers comprehensive benefits options to support physical, emotional, financial, social, and environmental health: * Health Benefits - Offering medical, dental, vision, prescription plans, plus Health Savings Account and Flexible Spending Account options. * Voluntary Benefits - Life, accident, critical illness, disability, legal, identity theft, and pet insurance. * Panasonic Retirement Savings & Investment Plan (PRSIP) - 401(k) plan with company matching contributions and immediate vesting. * Paid Time-Off Benefits - Vacation, holidays, personal days, sick leave, volunteer, and parental & caregiver leave. * Educational Assistance - Tuition reimbursement for job-related courses after six months of service. * Health Management and Wellbeing Programs -Lifestyle Spending Account, EAP, virtual health management, chronic condition, neurodiversity, tobacco cessation, substance abuse support, and life stage and fertility resources. Available to eligible employees starting the first day of the month following your start date. Eligibility for each benefit may vary based on employment status, location, and length of service. * Employee Recognition Program - High5 employee recognition and awards platform, quarterly and annual employee recognition * Annual Bonus Program - Opportunity for an annual performance-based bonus. * On-site Food Options: Several on-site cafes, plentiful snack and beverage kitchens, revolving on-site vendor visits and employee events Supplemental Information: Pre-employment drug testing is required. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by law. All qualified individuals are required to perform the essential functions of the job with or without reasonable accommodation. Due to the high volume of responses, we will only be able to respond to candidates of interest. All candidates must have valid authorization to work in the U.S. without restriction. Thank you for your interest in Panasonic Energy Corporation of North America. #LI-AM1 R-103296
    $39k-58k yearly est. 4d ago
  • Claims Examiner

    Harriscomputer

    Claim processor job in Kansas

    Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.
    $28k-42k yearly est. Auto-Apply 3d ago
  • Executive Claims Examiner

    Markel 4.8company rating

    Claim processor job in Nebraska

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority.Responsibilities: High complexity coverage interpretation, liability investigation, multiple vehicles, potential extra-contractual, litigation or significant injuries. Direct involvement in litigation claims management to reach desired outcomes and minimize expenses Investigate, negotiate and settle complex liability cases. Maintain and make sure alignment to Markel's guidelines and procedures. Ensure proper adherence to internal large loss reporting requirements. Promptly communicate with Claims Manager on case developments and provide information on issues affecting the lines of business Chip in and assist in the implementation of a range of initiatives, discussion and action plans brought forth by the Claims Manager Connect with underwriting as needed to handle claims and to alert of any significant developments Participate in agent related functions and meetings as required Requirements: 7-10+ years of Liability claims handling experience with a commercial insurance company Successful Liability claim handling experience is critical College degree and/or professional designation preferred Sound comprehension of personal and commercial liability coverages. Excellent written and oral communication skills. Experience in resolving contractual obligations, coverage analyses, and investigations. Ability to run sophisticated large liability exposures, set loss and expense reserves and evaluate settlement values. Ability to proactively self-manage an active caseload. Ability to analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form. Travel required as necessary (less than 15%). Adjuster license in multiple states or across the US strongly preferred. US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Pay information: The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The salary for the position is $97,520 - $134,000 with a 25% bonus potential. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose ‘Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $34k-46k yearly est. Auto-Apply 7d ago

Learn more about claim processor jobs

How much does a claim processor earn in Topeka, KS?

The average claim processor in Topeka, KS earns between $23,000 and $52,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Topeka, KS

$34,000

What are the biggest employers of Claim Processors in Topeka, KS?

The biggest employers of Claim Processors in Topeka, KS are:
  1. Sedgwick LLP
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