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Claim processor jobs in Tulsa, OK - 106 jobs

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  • Claims Specialist

    Prorecruiters

    Claim processor job in Tulsa, OK

    Claims Specialist Pay: $60,000 - $85,000/year Experience: At least 9 years handling general liability and/or commercial auto claims; experience with high-value, complex files; strong analytical and coverage evaluation skills. Education: Bachelor's degree in Business, Risk Management, Insurance, or related field (or equivalent experience). Type: Full-time; Direct Hire Schedule: Monday - Friday, 8:00 AM to 5:00 PM ProRecruiters is seeking a Claims Specialist to join a growing and dynamic team! Job Description: Manage a portfolio of complex commercial general liability and auto claims. Lead investigations and evaluate coverage, liability, and exposure. Represent the company during mediations, depositions, and trials. Develop and execute resolution strategies for complex claims. Collaborate with underwriting and marketing teams to identify trends. Serve as a technical expert and advisor within the business. Ensure compliance with all legal and regulatory standards. Position Requirements: Strong strategic thinking and analytical ability. Excellent written and verbal communication skills. Strong negotiation and problem-solving skills. Ability to guide and support teammates on complex claim matters. Strong organizational and time-management abilities. ProRecruiters is part of Array Corporation, the leading technology-enabled workforce solutions company whose mission is to fix how work is bought, sold and delivered to enable access to the American Dream. We are proud to be an Equal Employment Opportunity and Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
    $26k-43k yearly est. 22h ago
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  • Claims HMO - Claims Examiner 140-1031

    Community Care 4.0company rating

    Claim processor job in Tulsa, OK

    The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance expectations in accuracy and efficiency. KEY RESPONSIBILITIES: Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions. Identify claims requiring additional resources and route to the team lead, supervisor or other departments as needed. Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials. Identify and communicate trends or problems identified during adjudication process. Contribute to the creation of a pleasant working environment with peers and other departments. Assist in investigating and solving claims that require additional research. Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations. Perform other duties as assigned. QUALIFICATIONS: Self-motivated and able to work with minimal direction. Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures. Ability to read and understand health benefit booklets. Demonstrated learning agility. Successful completion of Health Care Sanctions background check. Knowledge in the contracted managed care plan terms and rates. General understanding of unbundling methods, COB, and other over-billing methodologies. Must have high attention to detail. Proficient in Microsoft applications. Ability to perform basic mathematical calculations. Possess strong oral and written communication skills. EDUCATION/EXPERIENCE: High School Diploma or Equivalent required. Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required.
    $29k-36k yearly est. 3d ago
  • Claims Processor/Claims Examiner - $20/HR!

    Amergis

    Claim processor job in Tulsa, OK

    Amergis Healthcare Staffing is seeking a Claims Processor / Claims Examiner to be responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims. Minimum Requirements: + High school diploma or equivalent required + Minimum of one year or more of processing healthcare claims preferred. + Researching, investigating and adjusting claims. + CPT, ICD-9, and Diagnostic coding experience. + Data entry experience. + Successful completion of background screening and hiring process. Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: + Competitive pay & weekly paychecks + Health, dental, vision, and life insurance + 401(k) savings plan + Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions. Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
    $32k-50k yearly est. 11d ago
  • Claims Examiner

    Relation Insurance, Inc. 4.2company rating

    Claim processor job in Tulsa, OK

    WHAT WE'RE LOOKING FOR Edison Healthcare, A Relation Company is seeking a Claims Examiner who will be responsible for verifying, adjudicating, and resolving insurance claims. The individual in this role serves clients and providers by ensuring claims are processed accurately, efficiently, and in compliance with company policies and regulatory requirements. The Claims Examiner must demonstrate strong interpersonal, analytical, and organizational skills, and be able to communicate effectively with a variety of stakeholders. A GLIMPSE INTO YOUR DAY Reviews and validates claims for accuracy, completeness, and eligibility based on policy terms and guidelines. Analyzes, adjudicates, and resolves claims by approving or denying documentation, calculating benefit amounts, and initiating payments or composing denial letters. Ensures legal compliance with company policies, procedures, and applicable state and federal regulations throughout the claims process. Maintains accurate records of claims, settlements, denials, and related documentation. Addresses questions and concerns from providers, clients, and internal personnel regarding the adjudication process. Reports overpayments, underpayments, and irregularities to supervisors. Communicates with reinsurance brokers and other stakeholders to obtain necessary information for claim processing. Verifies member eligibility, benefit coverage, and authorizations as needed. Protects confidential information and ensure HIPAA compliance. Participates in process improvement initiatives and update documentation as required. Special projects and other duties as assigned. WHAT SUCCESS LOOKS LIKE IN THIS ROLE High school diploma or equivalent required. Ability to read, analyze, and interpret company guidelines, benefit documentation, and government regulations. Intermediate computer skills, including email, database activity, word processing, and spreadsheets. Ability to handle multiple tasks simultaneously and adapt to changing priorities. Strong analytical, problem-solving, and communication skills. Associate's degree or technical college coursework preferred. 1-3 years of healthcare reimbursement, claims processing, or customer service experience preferred. In-depth knowledge of medical coding principles is helpful. Familiarity with Medicaid, Medicare, and commercial insurance claims preferred. Experience in provider contract development, medical billing/coding, patient accounting, claims auditing, or revenue cycle improvement. WHY CHOOSE RELATION? Competitive pay. A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more. Career advancement and development opportunities. . Note: The above is not all encompassing of the full position description. Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. .
    $32k-45k yearly est. Auto-Apply 8d 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

    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 32d 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 18d ago
  • ESIS Claims Specialist, AGL

    Chubb 4.3company rating

    Claim processor job in Overland Park, KS

    ESIS recognizes each risk management program is unique, and we are committed to providing consultative and innovative solutions to drive superior results. Our culture and vision enables us to effectively operate as an extension of our clients' risk management program, aligning combined goals to form a collaborative partnership. We recognize our clients' desire to do things differently, and we are confident that our integrated approach will deliver better overall results. ESIS' specialized claim intervention strategy integrates an effective deployment of resources and appropriate actions, which are essential to our success ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities seriously and are proud to manage over $2.5 billion of customer losses and over 320,000 new claims annually. We specialize in large accounts which have multi-state operations. For information regarding ESIS please visit ************* Summary: ESIS is seeking an experienced Auto, General & Liability (AGL) Claims representative for the Overland Park, KS office. The person in this role will handle and maintain all AGL claims and file reviews under general supervision of a supervisor and as part of the ESIS team. KEY OBJECTIVE: Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. MAJOR DUTIES &RESPONSIBILITIES: Duties include but are not limited to: Under limited supervision, Receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. Contacts, interviews and obtains statements(recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. Prepares and submits to Team Leader unusual or possible undesirable exposures. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims. Informs claimants, insureds/customers or attorney of denial of claim when applicable. Manage litigation as required. High level of technical claims knowledge and competence as evidenced by a minimum of 5 years claims handling experience in specific line of business (Auto & General Liability). Experience within a TPA environment strongly preferred. Required to obtain specific state licenses. Knowledge of coverages; along with a good understanding of applicable legal principles. Knowledge of auto liability cost containment programs and proven account management skills a must. Excellent communication, negotiation and interpersonal skills to effectively interact with all levels of an organization both internal and external. Strong analytical and problem solving ability. Demonstrated ability to provide consistent superior service to customers. An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam.
    $97k-126k yearly est. Auto-Apply 22d ago
  • Claims Examiner

    Partnered Staffing

    Claim processor job in Tulsa, OK

    At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. Job Title: Claims Examiner Pay Rate: $11.77/hour Job Description Overview: •Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims •Review and compare information in computer systems and apply proper codes/documentation •May place outgoing calls to providers and/or pharmacies for further investigation before processing claims Job Specific Qualifications: •High school diploma or GED •Data Entry and/or typing experience •Clear and concise written and verbal communication skills •Ability to multi task and prioritize is required •Interpersonal, verbal and written communication skills •Ability to sit for long periods of time •Analytical and problem solving skills •Must be dependable and flexible Additional Information Kelly Services is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.
    $11.8 hourly 15h ago
  • Northland Liability Major Case Claim Specialist

    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 $104,000.00 - $171,700.00 Target Openings 1 What Is the Opportunity? Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training and serves as an expert technical resource to other claim professionals, business partners, customers, and other stakeholders as appropriate or required. This position does not manage staff. What Will You Do? * Directly handle assigned severe claims. * Full damage value for average claim (without regard to coverage or liability defenses): $500,000 to several million dollars, amounting to a typical inventory of claims with FDV of over a multi-million dollar value. * Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. * Work with Manager on use of Claim Coverage Counsel as needed. * Directly investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. * Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. * Complete outside investigation as needed per case specifics. * Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants nurse consultants, and fire or fraud investigators, and other experts. * Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. * Maintain claim files and document claim file activities in accordance with established procedures. * Develop and employ creative resolution strategies. * Responsible for prompt and proper disposition of all claims within delegated authority. * Negotiate disposition of claims with insureds and claimants or their legal representatives. * Recognize and implement alternate means of resolution. * Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. * Utilize evaluation documentation tools in accordance with department guidelines. * Proactively review Claim File Analysis (CFA) for adherence to quality standards and trend analysis. * Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability and damages exposure. * Establish and maintain proper indemnity and expense reserves. * Provide guidance to underwriting business partners with respect to accuracy and adequacy of, and potential future changes to, loss reserves on assigned claims. * Recommend appropriate cases for discussion at roundtable. * Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. * Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others. * Apply the Company's claim quality management protocols, and metrics to all claims; document the rationale for any departure from applicable protocols and metrics with or without assistance. * Apply litigation management through the selection of counsel, evaluation. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's Degree. * 10+ years claim handling experience with 5-7 years experience handling serious injury and complex liability claims. * Extensive working level knowledge and skill in various business line products. * Excellent negotiation and customer service skills. * Advanced skills in coverage, liability and damages analysis with expert understanding of the litigation process in both state and federal courts, including relevant case and statutory law and procedure; expert litigation management skills. * Extensive claim and/or legal experience and thus the technical expertise to evaluate severe and complex claims. * Able to make independent decisions on most assigned cases without involvement of supervisor. * Openness to the ideas and expertise of others and actively solicits input and shares ideas. * Thorough understanding of commercial lines products, policy language, exclusions, ISO forms and effective claims handling practices. * Demonstrated strong coaching, influence and persuasion skills. * Advanced written and verbal communication skills are required so as to understand, synthesize, interpret and convey, in a simplified manner, complex data and information to audiences with varying levels of expertise. * Can adapt to and support cultural change. * Strong technology aptitude; ability to use business technology tools to effectively research, track, and communicate information. * Analytical Thinking - Advanced. * Judgment/Decision Making - Advanced. * Communication - Advanced. * Negotiation - Advanced. * Insurance Contract Knowledge - Advanced. * Principles of Investigation - Advanced. * Value Determination - Advanced. * Settlement Techniques - Advanced. * Litigation Management - Advanced. * Medical Terminology and Procedural Knowledge - Advanced. What is a Must Have? * Four years bodily injury litigation claim handling experience or comparable claim litigation experience. 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 *********************************************************
    $52k-70k yearly est. 3d ago
  • Claims Follow-Up Rep

    Trinity Employment Specialists

    Claim processor job in Tulsa, OK

    Job Description Accounts Receivable Specialist Pay: Starting at $16/hour Responsible for managing all aspects of accounts receivable, including insurance claim follow-up, patient account review, and payment posting. Ensures accuracy in patient demographics, insurance information, and billing processes while maximizing revenue and patient satisfaction. Provides support to front office staff and maintains compliance with HIPAA, OSHA, and Medicare regulations. Key Responsibilities: Follow up on outstanding insurance claims and rebills to ensure timely reimbursement. Post patient payments, credits, and adjustments accurately. Submit electronic and paper insurance claims (HCFA, UB-04) daily. Provide excellent customer service to patients regarding account inquiries. Maintain organized records of coding, insurance, and billing information. Monitor reimbursements from insurance carriers and managed care networks. Stay current on accounts receivable best practices and compliance regulations. Support front office staff with registration, charge entry, insurance processing, and reporting. Perform other duties as assigned. Qualifications: High school diploma or GED required; 2+ years accounts receivable experience preferred. Knowledge of managed care networks, insurance carriers, CPT, HCPCS, ICD-10, and revenue codes. Strong customer service, organizational, and communication skills. Proficient with PCs, MS Windows, multi-line phone systems, and office equipment. Ability to multitask, prioritize, and work in a fast-paced environment. #MED TRINITY EMPLOYMENT SPECIALISTS IS AN EQUAL OPPORTUNITY EMPLOYER See the great things people are saying by checking out our Google reviews, along with our Facebook, LinkedIn, Instagram, X/Twitter.Please visit the Career Centeron our website for some helpful resources to help in your job search, to build a resume, for interview tips and many job opportunities! At least one year of claims follow-up experience * Review settled claims to determine that payments and settlements are made in accordance with company practices and procedures. Confer with legal counsel on claims requiring litigation. May also settle insurance claims. * Examine claims forms and other records to determine insurance coverage. * Analyze information gathered by investigation and report findings and recommendations. * Pay and process claims within designated authority level. * Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio. * Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures. * Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability. * Investigate and assess damage to property and create or review property damage estimates. * Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims. * Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review. * Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation. * Resolve complex, severe exposure claims, using high service oriented file handling. * Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies. * Confer with legal counsel on claims requiring litigation. * Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments. * Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis. * Refer questionable claims to investigator or claims adjuster for investigation or settlement. * Collect evidence to support contested claims in court. * Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
    $16 hourly 13d ago
  • Claims Specialist

    Acertus 3.7company rating

    Claim processor job in Overland Park, KS

    As a Claims Specialist, you will review and analyze claims and expenses, process new claims and complete old ones, and work with internal teams. Schedule: Monday-Friday (8:00am -5:00pm) Pay: $22 - $25/hr. Based on Experience What will you be doing? Collect and analyze required documentation needed for claim resolution. Communicate with Transportation Carriers/Insurers/Customers to gather necessary information. Assist with claims resolution and collection of payments on Claims. Manage customer claims portals and monthly reports. Interact with external parties like 3rd party claims management and/or insurance providers. Collect payment for damages caused by the carrier. Personal responsibility to manage change. Run weekly data to capture any trending Drivers and Customers. Review data to pinpoint damage trends for call out and executive action. Assist with preventative measures to reduce claims. Claim mitigation start to finish. End of Month close auditing and balancing checks. Must be willing and able to perform all other duties as assigned by management. What are we looking for? This position requires a minimum of a High School Diploma or equivalent. Must have one to two years of experience in claims resolution. Must have working knowledge with Windows computer system and Microsoft Office Programs (Word, Excel, Outlook, etc.). Great oral and written communication skills. Ability to effectively organize and prioritize work as well as concentrate on multiple tasks simultaneously. Creative, can think outside of the box to resolve problems. Excellent customer service skills. Previous Transportation or Automotive Industry knowledge a plus. Personal responsibility to manage change. Critical thinking / ability to think outside of the box to resolve issue at hand. Benefits At ACERTUS we believe that our employees are our greatest asset. Our benefits include: Medical, Dental and Vision Insurance benefits start on the 1 st day of the month following your start date. Company Paid Time Off 8 Company Paid Holidays 401(k) with auto-enrollment at 3% starts on the 1 st day of the month following your start date. Casual Dress Code About ACERTUS ACERTUS is an automotive logistics company specializing in vehicle lifecycle solutions. Our client centric model is enabled by our people, processes and innovative technology that are a differentiator in the industry. Our comprehensive portfolio of services is designed to provide solutions throughout the lifecycle of a vehicle. We offer a full suite of vehicle transportation services, customizable technology, a national title and registration platform plus compliance services, and a growing vehicle storage footprint throughout North America. ACERTUS - Relentless Drive to Deliver! ACERTUS is committed to employing a diverse workforce. Qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, gender expression, veteran status, or disability.
    $22-25 hourly 10d ago
  • Auditor Delegated Authority, Claims

    Trisura Group J

    Claim processor job in Oklahoma City, OK

    At Trisura, we expect more because we believe it can be done better. Trisura brings innovative solutions and expertise through a select network of both national and regional brokerage firms. The company, founded in 2006, and operating across North America with offices throughout Canada and the United States, we are uniquely positioned to satisfy all varieties of risk in Contract, Commercial and Developer Surety, Directors' and Officers' Liability, Fidelity, Professional Liability and Media Liability. We are currently seeking a qualified individual for the following opportunity AUDITOR DELEGATED AUTHORITY, CLAIMS This position plays a key role in maintaining the fronting insurer's brand and interests while fostering strong working relationships with claim administrators and key stakeholders. This is a hands-on auditor role, within a fronting insurer framework, responsible for delivering oversight of entities with delegated claims handling authority. The primary responsibility of this role is performing audits of claims administrators and delivering important feedback from data and analysis of information as captured during audit and reviews. Duties also include audit preparation and drafting of audit reports to include summary of findings and providing recommendations based upon same. A deep understanding of insurance regulations, good faith claims handling practices, coverage and liability analysis, and the roles and responsibilities of Third-Party Administrators (TPAs) within a program business model is required. As an integral member of the team, you will bring Dynamic, motivated, and self-confident disposition capable of delivering expected results without the need for supervision Tenacious, resilient, and resourceful persona with the ability to thrive in a fast-paced environment Dedication to exceptional customer service and good commercial awareness Proven ability to work effectively within a team environment Strong analytical and problem-solving skills, plus a pragmatic, process-oriented work style with a passion to learn and strive for continued professional growth Strong interpersonal and relationship-building skills, especially effective in delivering constructive feedback and in championing support Integrity and personal credibility along with effective and articulate communication skills Responsibilities Audit Performance: Executes detailed and outcome-based audits that include, but also go beyond process compliance, to access the accuracy and adequacy of reserves, the accuracy of coverage determinations, the effectiveness of litigation strategies, and the alignment of claim outcomes with program expectations. Vendor Engagement/Collaboration: Maintains strong relationships with claim administrators to promote a cohesive and effective engagement. Planning & Preparation: Performs analysis of claims data (i.e., dashboard, claims bordereaux, litigation log, etc.) and claims metrics (i.e., complaints, internal/external feedback, etc.) to support effective planning and focused audit testing. Reporting Results: Delivers actionable insights from audit findings in a formal report format, focused on driving continuous improvement in claims outcomes. Coordinates with peers and management for follow-up on any adverse findings to ensure that they are appropriately addressed through to proper resolution/satisfaction. Likewise, identifies risks with TPA's and appropriately escalates along with recommendations for corrective measures and/or a compensating ongoing monitoring framework. Process Improvement: Supports the ongoing development of the claims audit and performance monitoring value proposition by contributing to the enhancement of procedures, templates, and supporting tools. Likewise, identifies opportunities for process optimization within the Delegated Authority Claims audit framework to enhance efficiency and effectiveness. Travel as needed and/or warranted Perform other duties as required or assigned which are reasonably within the scope of the duties in this job description Qualifications Required minimum of five (5) years' experience in claims management/supervision with a focus on complex exposures in all lines; claims handling best practices auditing experience considered a plus Minimum of ten (10) years' experience in direct performance of claims handling specific to commercial and residential property, commercial and personal auto (interstate and intrastate trucking experience considered a plus), and commercial general liability (NY Labor Law, liquor liability, and hospitality experience considered a plus) Background in oversight and control, knowledge of regulatory environment, legal contracts, and data analytics considered a plus Bachelor's degree in risk management, business administration, finance, or related field preferred; Insurance industry recognized accreditation considered a plus. Current and in good standing Resident State Adjusters License with P&C lines of authority Software Proficiency: Familiarity with claims management systems (e.g. Duckcreek, Guidewire, FileHander, Virtual Claims Adjuster) considered a plus Competence in the Microsoft suite of products (specifically, Word and Excel) If you are looking for a career in an exciting and rewarding company, are driven to excel, thrive in a team environment and want to contribute to the success of an organization that values your contribution, we would like to hear from you! Here at Trisura, we are committed to an inclusive and barrier-free workplace that reflects diversity. Accommodation will be provided on request for candidates taking part in all aspects of our recruitment and selection process. All qualified applications will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability or protected veteran status. Trisura offers competitive compensation along with a comprehensive benefit package that includes medical, dental, and vision insurance, as well as 401(k) with company match and Employee Stock Purchase Plan.
    $36k-51k yearly est. 11d ago
  • Claims Auditor I

    Oklahoma State Government

    Claim processor job in Oklahoma City, OK

    Job Posting Title Claims Auditor I Agency 740 STATE TREASURER Supervisory Organization Office of the State Treasurer Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Estimated Appointment End Date (Continuous if Blank) Full/Part-Time Full time Job Type Regular Compensation The annual salary for this position is up to $48,000.00, based on education and experience. About The Job: The Oklahoma State Treasurer is seeking a detail-oriented and hard-working individual to join our Unclaimed Property Division. The duty of the unclaimed property program is to return unclaimed properties to proven rightful owners or their heirs. Unclaimed property may include securities, life insurance proceeds, oil/gas/mineral interest proceeds, cash, and abandoned safe deposit box contents. General Function: A Claims Auditor performs office audits of claims and other business records and documents to determine or verify compliance with laws and regulations. Advises claimants concerning the interpretation and application of statutes and regulations pertaining to unclaimed property, and depending on the complexity, consults with supervisory or lead staff members on proper action/s to be taken in processing a claim. Benefits: State employees enjoy a comprehensive benefits package with a generous monthly benefit allowance between to help offset the cost of insurance premiums for employees and their eligible dependents, a retirement savings plan, 11 paid holidays, and longevity payments. Employees earn 15 days of vacation and 15 days of sick leave in the first year of employment. Physical Demands and Work Environment: Work is typically performed in an office setting with a climate-controlled settings and exposure to moderate noise level. While performing the duties of the job, employee is required to communicate, move about inside the office, perform keyboard and 10-key entries. This position requires long periods of remaining in a stationary position and daily use of a computer and phone. Essential Functions: The functions within this job family will vary by level, but may include the following: Communicate professionally with internal and external stakeholders in person, on the telephone and in writing. Initiate and maintain cooperative relationships with co-workers, managers and supervisors, claimants, and members of the public. Performs increasingly difficult office audits of claims and other business records and documents to determine or verify compliance with laws and regulations. Advises claimants concerning the interpretation and application of the statutes and regulations pertaining to unclaimed property, and depending on the complexity, consults with supervisor or lead staff member on proper action to be taken. Maintains records and submits oral and written reports concerning cases and activities. Confers with attorneys, accountants and other professionals in administering the unclaimed property laws of the State. Performs other related work and duties as required and assigned. Build relationships and team climate in which employees are encouraged to meet their full potential and promote agency excellence while serving claimants and the public. Complexity Of Knowledge, Skills, and Abilities: Knowledge of General accounting & bookkeeping principles and practices Principles and practices of business organization and management. Professional business communications (i.e. Letters, emails, phone etiquette). State unclaimed property law and regulations and their applications. Skills in Determining unclaimed property reporting duties based upon review of records. Expressing ideas clearly and concisely, both orally and in writing. Establishing and maintaining effective working relationships with other employees, and the public. Communicate effectively with difficult or irate customers and provide de- escalation techniques when needed. Use of computers in reviewing, analyzing, and calculations. Maintain a professional demeanor in all situations. Ability to Use good judgment. Critical thinking. Read, interpret, and apply various rules and regulations. Be proficient with PC office software, Microsoft Office Suite, desk top tools, and data entry ability. Demonstrate strong analytical interpersonal, problem solving, time management and negotiation skills. Be detail-oriented with research and investigative techniques. Level Descriptor: This is the basic level of the job family where employees are primarily responsible for performing routine entry level work in a training and supervised status to build their skills applicable to claims processing. Advises claimants concerning the interpretation and application of statutes and regulations pertaining to unclaimed property, and depending on the complexity, consults with supervisory or lead staff members on proper action/s to be taken in processing a claim. This level of the job family may only initiate and recommend claims of any amount for approval. Education and Experience Requirements: Requirements at this level consist of Completion of an Associate degree in business, accounting, finance, public administration, or law 1-year of qualifying experience in business, accounting, finance, public administration or law. Special Requirements: Core working hours for the Unclaimed Property Division are Monday through Friday, 08:00 am to 5:00pm. Performance-based flextime and incentive pay opportunities are available upon completion of initial training and meeting quarterly performance metrics. All new hire and employees are subject to a minimum 6-month to 1-year trial period. This position is at-will and FLSA Non-Exempt. Additional Requirements: If education, certification, or license is required to meet qualifications, applicants must provide documentation with application. All applicants must be legally authorized to work in the United States. All applicants may be subject to an authorized credit check at agency discretion. This job description is not designed to cover nor contain a comprehensive listing of activities, duties or responsibilities that are required of the applicant selected for this job. Duties, responsibilities, and activities may change at any time with or without notice based upon agency and division needs. Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub. If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information: Agency Contact
    $48k yearly Auto-Apply 60d ago
  • Claims Auditor I

    State of Oklahoma

    Claim processor job in Oklahoma City, OK

    Job Posting Title Claims Auditor I Agency 740 STATE TREASURER Supervisory Organization Office of the State Treasurer Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Estimated Appointment End Date (Continuous if Blank) Full/Part-Time Full time Job Type Regular Compensation The annual salary for this position is up to $48,000.00, based on education and experience. About The Job: The Oklahoma State Treasurer is seeking a detail-oriented and hard-working individual to join our Unclaimed Property Division. The duty of the unclaimed property program is to return unclaimed properties to proven rightful owners or their heirs. Unclaimed property may include securities, life insurance proceeds, oil/gas/mineral interest proceeds, cash, and abandoned safe deposit box contents. General Function: A Claims Auditor performs office audits of claims and other business records and documents to determine or verify compliance with laws and regulations. Advises claimants concerning the interpretation and application of statutes and regulations pertaining to unclaimed property, and depending on the complexity, consults with supervisory or lead staff members on proper action/s to be taken in processing a claim. Benefits: State employees enjoy a comprehensive benefits package with a generous monthly benefit allowance between to help offset the cost of insurance premiums for employees and their eligible dependents, a retirement savings plan, 11 paid holidays, and longevity payments. Employees earn 15 days of vacation and 15 days of sick leave in the first year of employment. Physical Demands and Work Environment: Work is typically performed in an office setting with a climate-controlled settings and exposure to moderate noise level. While performing the duties of the job, employee is required to communicate, move about inside the office, perform keyboard and 10-key entries. This position requires long periods of remaining in a stationary position and daily use of a computer and phone. Essential Functions: The functions within this job family will vary by level, but may include the following: * Communicate professionally with internal and external stakeholders in person, on the telephone and in writing. * Initiate and maintain cooperative relationships with co-workers, managers and supervisors, claimants, and members of the public. * Performs increasingly difficult office audits of claims and other business records and documents to determine or verify compliance with laws and regulations. * Advises claimants concerning the interpretation and application of the statutes and regulations pertaining to unclaimed property, and depending on the complexity, consults with supervisor or lead staff member on proper action to be taken. * Maintains records and submits oral and written reports concerning cases and activities. * Confers with attorneys, accountants and other professionals in administering the unclaimed property laws of the State. * Performs other related work and duties as required and assigned. * Build relationships and team climate in which employees are encouraged to meet their full potential and promote agency excellence while serving claimants and the public. Complexity Of Knowledge, Skills, and Abilities: Knowledge of * General accounting & bookkeeping principles and practices * Principles and practices of business organization and management. * Professional business communications (i.e. Letters, emails, phone etiquette). * State unclaimed property law and regulations and their applications. Skills in * Determining unclaimed property reporting duties based upon review of records. * Expressing ideas clearly and concisely, both orally and in writing. * Establishing and maintaining effective working relationships with other employees, and the public. * Communicate effectively with difficult or irate customers and provide de- escalation techniques when needed. * Use of computers in reviewing, analyzing, and calculations. * Maintain a professional demeanor in all situations. Ability to * Use good judgment. * Critical thinking. * Read, interpret, and apply various rules and regulations. * Be proficient with PC office software, Microsoft Office Suite, desk top tools, and data entry ability. * Demonstrate strong analytical interpersonal, problem solving, time management and negotiation skills. * Be detail-oriented with research and investigative techniques. Level Descriptor: This is the basic level of the job family where employees are primarily responsible for performing routine entry level work in a training and supervised status to build their skills applicable to claims processing. Advises claimants concerning the interpretation and application of statutes and regulations pertaining to unclaimed property, and depending on the complexity, consults with supervisory or lead staff members on proper action/s to be taken in processing a claim. This level of the job family may only initiate and recommend claims of any amount for approval. Education and Experience Requirements: Requirements at this level consist of * Completion of an Associate degree in business, accounting, finance, public administration, or law * 1-year of qualifying experience in business, accounting, finance, public administration or law. Special Requirements: * Core working hours for the Unclaimed Property Division are Monday through Friday, 08:00 am to 5:00pm. * Performance-based flextime and incentive pay opportunities are available upon completion of initial training and meeting quarterly performance metrics. * All new hire and employees are subject to a minimum 6-month to 1-year trial period. * This position is at-will and FLSA Non-Exempt. Additional Requirements: * If education, certification, or license is required to meet qualifications, applicants must provide documentation with application. * All applicants must be legally authorized to work in the United States. * All applicants may be subject to an authorized credit check at agency discretion. * This job description is not designed to cover nor contain a comprehensive listing of activities, duties or responsibilities that are required of the applicant selected for this job. Duties, responsibilities, and activities may change at any time with or without notice based upon agency and division needs. Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub. If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information: Agency Contact
    $48k yearly Auto-Apply 2d ago
  • Field Claims Investigator

    Phoenix Loss Control

    Claim processor job in Atoka, OK

    Job Description Job Type: Contract Workplace Type: Hybrid (50% remote, 50% fieldwork) Compensation: $22-25/hr plus $.50/mi Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC's core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. POSITION SUMMARY Outside Plant Damage (OPD) costs our clients over 30 million annually. Field investigators are needed to collect, access, and report these damages. This is a part-time, on-call contract job to help support our clients with damage recovery. For our field investigators, each day and every investigation is different. We need inquisitive, self-driven individuals who are comfortable rolling up their sleeves and working in a constantly changing, dynamic environment. Duties Conduct on-site field investigations Write detailed but concise investigation reports using diverse sources of information, types of evidence, witness statements, and costing estimates Develop and maintain comprehensive knowledge of local and state statutes, laws, and regulations for underground and aerial cables and utility service lines Remain prepared and willing to respond to damage calls within a timely manner Complete damage investigations within 7 days and then work with and support our claims managers to complete the investigation and begin the recovery process Respond to damages same day if received during business hours (if not, first response following day) Accurately record all time, mileage, and other associated specific items Requirements Interpersonal skills to gather information and conduct field interviews with involved parties including contractors and technicians, witnesses, law enforcement, and possible damagers Smartphone to gather photos, videos, and other information while conducting investigations Computer, with high-speed internet access, to upload and download reports, research cases, and to interact with our claims system and other databases and portals Exceptional attention to detail and strong written and verbal communication skills Proven ability to operate independently and prioritize while adhering to timelines Strong and objective analytical skills Valid driver's license, current insurance, and reliable vehicle with ability to respond to damages at any time Safety vest, work boots, and hard-hat Preferred Qualifications and Skills Current or previous telecommunication or utility experience Knowledge of underground utility locating procedures and systems Investigation, inspection, or claims/field adjusting Criminal justice, legal, or military training or work experience Engineering, infrastructure construction, or maintenance background Remote location determined at discretion of investigations manager This is a contract position. There are no benefits offered with this position.
    $22-25 hourly 13d ago
  • Liability Claims Specialist

    Heartland 4.2company rating

    Claim processor job in Kansas City, KS

    Who We Are At HeartLand, our roots run deep - in the landscapes we care for and the partnerships we build. Since our founding in 2016, we've grown by acquiring and empowering exceptional local landscape companies, each bringing unique talent, history, and heart. Together, we've built a national family of brands committed to a shared purpose: Delivering the ordinary in extraordinary ways through investing in people, preserving legacies, and scaling success. Today, with operations across 26+ states and counting, HeartLand is one of the fastest-growing and most trusted names in the green industry - a national employer redefining how great people power great businesses. What You'll Do As HeartLand's Liability Claims & Risk Specialist, you'll play a critical role in how we manage risk, resolve claims, and protect our people, assets, and reputation. You'll shape our ability to proactively spot, assess, and mitigate risk across the business while leading and owning the full lifecycle of claims to drive timely, fair, and defensible outcomes. This hands-on role blends analytical thinking, collaboration, and strategic problem-solving to drive better-than-expected outcomes on all General Liability (GL) and Auto Liability (AL) claims while supporting broader insurance and risk management programs across our family of operating companies. You'll collaborate closely with operations, brokers, carriers, and TPAs to ensure every claim is handled efficiently, transparently, and in HeartLand's best interest. You'll also strengthen our contractual and risk transfer practices, improve data visibility, and build scalable systems that enable proactive risk management. The role focuses on the following areas: Claims Management & Oversight Manage all aspects of General Liability (GL) and Auto Liability (AL) claims from intake through resolution, with an eye toward cost containment and fair outcomes. Serve as the primary contact for new and legacy claims, ensuring continuity, accountability, and timely follow-up. Engage field operations, brokers, carriers, and TPAs to develop claim strategies, confirm reserves, and monitor exposure. Coordinate early response to serious incidents, including communication and legal engagement when appropriate. Monitor legacy claims to ensure timely movement and closure opportunities. Review and approve settlement recommendations within established authority limits. Partner with Safety and Operations to provide feedback that drives future prevention and training efforts. Maintain complete and accurate claim documentation and participate in quarterly performance reviews with TPAs and defense counsel. Risk Program & Insurance Coordination Support execution and administration of the corporate insurance program, including data collection, property schedules, and renewal preparation. Collaborate with brokers and carriers to manage coverage, policy terms, and renewals. Ensure data accuracy and responsiveness to underwriting and audit requests. Contract & Compliance Review Review customer and subcontractor contracts to confirm appropriate risk transfer and insurance compliance. Assist in developing insurance requirements, contract templates, and best practice guides. Educate operating companies on contractual risk and insurance compliance. What You Bring Required: 8+ years of experience managing liability and/or auto claims in a corporate, broker, carrier, or TPA environment Working knowledge of insurance coverage, claims processes, and legal coordination Experience reviewing contracts and insurance requirements Strong organizational, analytical, and communication skills Proficiency in claims systems, Microsoft Excel, and data reporting tools Ability to build trust and influence across a multi-entity business structure Preferred: Bachelor's degree in Risk Management, Business, or a related field Experience with property schedules, COI tracking, and risk data analytics Exposure to service industry or multi-site operations Familiarity with AI or automation tools for claims analysis and reporting Your Mindset: Proactive & Resolute: Anticipates issues before they escalate; takes a stand on claim strategy when facts support it; drives timely, fair, and defensible outcomes rather than defaulting to the path of least resistance. Collaborative: Builds trust and alignment with field operations, brokers, and carriers. Accountable: Owns outcomes and follows through on every claim. Analytical: Uses data and evidence to inform decisions and recommendations. Adaptable: Thrives in a fast-paced, high-growth environment. Service-Oriented: Approaches problem-solving with an enterprise mindset and customer-first attitude.
    $32k-38k yearly est. 60d+ ago
  • Certification Specialist

    Crmresidential

    Claim processor job in Oklahoma City, OK

    Reports to: Community Manager is eligible for overtime. The Certification Specialist will receive general supervision, direction and guidance from the Community Manager. CRM Residential requires a background and drug screening as a condition of employment. Certification Specialist will be required to travel to all necessary training sessions. A valid driver's license and reliable transportation are required. Qualifications: Education: High School diploma or equivalent education required. Experience: Previous certification experience. Experience level may vary due to the special needs of the property. Skills: The position requires the ability to deal well with people and get them to feel comfortable quickly. Proficiency in MS Office (MS Excel and MS PowerPoint, in particular). Must be fluent in Spanish. Attendance: Due to the property staffing limitations, it is extremely critical that the individual be able to work their scheduled hours plus any other hours necessary to complete the job. In addition, the position requires the following: Professional image Be able to multi-task Excellent communication skills and upbeat attitude Strong customer service orientation Good organizational and time management skills Strong administrative ability The Certification Specialist will comply with established policies and authorized approval. Certification Specialist responsibilities include, but are not limited to the following: 1. Resident selection and orientation. In accordance with the Resident Selection Plan. 2. The assistance of leasing of vacant apartments in an expeditious manner per company policy striving for 100% occupancy. 3. The timely recertification and interim recertifications of residents in accordance with HUD regulation and Low Income Housing Tax Credit Program. 4. Maintaining the waiting list book and keeping it up to date in the computer following HUD regulations. 5. Assist with the development of goals and objectives for the property. 6. Resident Files Maintain resident files according to policy outlined in CRM's Occupancy Manual Assist Property Manager in preparation of various file reviews such as: Management Review Mortgagee Inspection 7. Accept daily resident requests and write up corrective work orders as directed by the Maintenance Plus program. 8. Daily management of office duties Open office at prescribed time Immediately handles daily work orders that come in Take applications for prospective residents Compute applications for eligibility, with supporting documents Send out billing notices Greet in-coming guests, respond to mail and handle all incoming telephone calls 9. Additional Skills and Responsibilities Have strong time-management skills Strong communication skills Maintain a professional demeanor Attend required training 10. In absence of the Community Manager, enforcement of the lease and the rules and regulations. 11. Attend training courses as required by CRM Residential. 12. Completion of all required reports as directed by various departments of CRM Residential. 13. Required to observe all federal and local Fair Housing Laws 14. Perform other related duties, as assigned. Job Descriptions are intended to present an illustrative description of the range of duties, the scope of responsibility and the required level of knowledge, skills and abilities necessary to describe the primary functions of the job; they are not intended to reflect all duties performed by those assigned to this classification. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship. Requirements HUD Background required Salary Description $19.00
    $26k-50k yearly est. 13d ago
  • Certification Specialist - Charles Atkins

    CRM Residential 3.6company rating

    Claim processor job in Oklahoma City, OK

    CRM Residential has been a trusted name in the property management industry for over 46 years specializing in affordable housing. Our success story is a testament to the dedicated and talented individuals who have chosen to build their careers with us. We take great pride in our values, and we live and breathe them every day. Working at CRM Residential is so much more than a job, it is a career with purpose. No matter what department or level of the company you join, our mission is to provide a comfortable and reliable home environment for those who need it most and to provide excellent service to our customers. You will make a difference. Why Join the CRM Residential Team: Comprehensive Health Coverage Retirement Savings with employer contribution Bonus Potential Paid Time Off (PTO) Company Paid Holidays Once eligible for enrollment, the company will contribute a Safe Harbor match of 3% of your compensation to your 401(k) account, regardless of whether you choose to make your own contributions. Pay Rate: $16-$19 per hour What You'll Get To Do: The Compliance Specialist will be responsible for keeping abreast of all HUD, state agency, and tax credit rules and regulations concerning occupancy, recertifications, and tax credit related issues. The Compliance Specialist will deal directly with HUD and state agencies in reference to Section 8 contract renewals. This role will be responsible for but not limited to: Prepare monthly, quarterly, and annually reports for Tax Credit Properties Prepare Company Occupancy Reports weekly and for properties and owners Review and critique recertification move in packages at tax credit properties Prepare handouts for training classes and an assist in allocating the cost to each property that attended training Site visits may be required from time to time to offer assistance to onsite staff pertaining to occupancy, file compliance or other tax credit specific areas Attend educational seminars relating to tax credit compliance & other affordable housing Monitor the timely completion of annual recertifications for all sites. Advise Regional Manager of any potential problems Written correspondence with owners and agencies, relating to affordable housing Requirements: High School diploma or equivalent education required. 3-4 years of experience can offset minimum educational requirements for this position. Valid driver's license and reliable transportation Ability to work with a variety of people and make them feel comfortable quickly Strong customer service skills required Must have strong organizational and time management skills Valid driver's license Proficiency at multi-tasking Organizational skills Working knowledge of Microsoft Office software Experience with verifications and renewals Other administrative duties as assigned Onsite Monday-Friday 8:30am-5:00pm Bi-lingual Spanish required About CRM Residential: CRM Residential is an award-winning full-service property management company which professionally manages 11,000+ apartments valued in excess of one billion. We are exclusively third-party so there is no conflict of interest between the properties that we manage for our clients and our own properties, because we do not own any properties. Our focus is dedicated to our clients. We are an equal opportunity employer and welcome applicants from all backgrounds to apply. If you have a passion for property management and a desire to work for a reputable company, we encourage you to apply for this exciting opportunity.
    $16-19 hourly Auto-Apply 60d+ ago
  • CCBHC Certification Specialist

    State of Kansas

    Claim processor job in Shawnee, KS

    Job Posting Important Recruitment Information for this vacancy * Job Posting closes: Open until Filled * Required documents uploaded by: All required documents listed below must be attached to your application within 2 days of applying for your application to be considered complete. Agency Information: Kansas Department for Aging and Disability Services Protecting Kansans, Promoting Recovery and Supporting Self Sufficiency ************************* About the Position Who can apply: Anyone Classified/Unclassified Service: Unclassified Full-Time/Part-Time: Full-Time Regular/Temporary: Regular Work Schedule: M-F Eligible to Receive Benefits: Yes Veterans' Preference Eligible: Yes Disability Preference Eligible: Yes Search Keywords: CCBHC Certification Specialist Compensation: Up to a maximum salary of $50,000.00 annually. * Salary can vary depending upon education, experience, or qualifications. Employment Benefits Comprehensive medical, mental, dental, vision, and additional coverage Sick & Vacation leave Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave Paid State Holidays (designated by the Governor annually) Fitness Centers in select locations Employee discounts with the STAR Program Retirement and deferred compensation programs Visit the Employee Benefits page for more information… Position Summary & Responsibilities Position Summary: This position verifies that mental health programs including Community Mental Health Centers (CMHC), Certified Community Behavioral Health Centers (CCBHC), Residential Care Facilities (RCF). Psychiatric Residential Treatment Facilities (PRTF) and free standing Private Psychiatric Hospitals (PPH), provide effective services that meet the minimum licensing standards and result in Kansans with mental illness experiencing recovery and live safe, healthy, successful, self-determined lives in their homes and communities. The incumbent will be expected to develop good working relationships with a variety of people working within counties, other state agencies, and other commissions within KDADS, as well as with consumers, family members, providers, professional organizations, primary care provider organizations, health plans, advocates, public officials, contracted vendors, planning groups, and the general public. Job Responsibilities may include but are not limited to the following: Compliance Monitoring Coordinates operational activities related to the ongoing development of service standards, evidence-based and best practices for individuals with mental illnesses, substance use disorders and chronic health conditions. Collaborate with staff from the KDADS Survey and Certification Commission and the Behavioral Health Services Commission, and KDHE KanCare policy staff to align certification, recertification, and licensure processes. Ensures compliance of licensed/certified providers based off of regulatory requirements, program policies, and other program standards by evaluating provider operational policies, procedures, personnel and clinical records, environment and other activities. Work includes interpreting statutes, regulations, policy and standards. Conduct licensing/certification or compliance reviews to ensure minimum requirements are being met according to appropriate statutes and regulations. Investigations of Complaints, Grievances, and Critical Incidents Conduct investigations of critical incidents, grievances, and complaints following policy, procedure and protocol, as assigned by the supervisor. Reviews compliance with regulations and statutes through receipt of complaints, grievances and critical incidents regarding Behavioral Health facilities. Competes reviews based on established timeframes established in policy and procedures. Verifies facts related to reports. Makes judgement on whether each incident requires corrective measures and documents findings in writing. Uses professional communication with providers in order to obtain or clarify information in records, and review findings of noncompliance. In consultation with the BHS Licensing Manager oversees contract management within the division's contract oversight process to support the goals and initiatives of the division. Develop and negotiate contracts in support of the needs of the division. Monitor contract deliverables and timely payment in coordination with the KDADS Fiscal and Legal staff according to contracting and accounts payable procedures. Qualifications Minimum Requirements: * One year experience in planning, implementing and monitoring activities relevant to the agency's behavioral health programs. * The position involves statewide travel and requires an Unrestricted Driver's License, and the ability to drive throughout the state. * Communicate well, with strong oral and written communications skills. The incumbent must know how to gear communications to the audience being addressed, continually cognizant of the political, legal, and policy implications of his/her responses. * Ability to organize and document information * Ability to establish and maintain effective working relationships * Ability to facilitate and support positive problem-solving in workgroups; ability to problem-solve at a significant level of independence to complete assigned work responsibilities. * Ability to use a database Preferred: * Four years of experience in human services, public health, social services, or behavioral health field. * Two years of experience working with community mental health centers or substance use treatment centers. * Working knowledge of diverse community service areas and systems.99 Post-Offer, Pre-employment Requirements * Pass a background/fingerprint check conducted by the Kansas Bureau of Investigation (KBI) Recruiter Contact Information KDADS - Human Resources Recruiter 503 S. Kansas Ave Topeka, KS 66603 Phone: ************ Fax: ************ Email: ****************** Job Application Process First Sign in or register as a New User. Complete or update your contact information on the Careers> My Contact Information page. *This information is included on all your job applications. Upload required documents listed below for the Careers> My Job Applications page. *This information is included on all your job applications. Start your draft job application, upload other required documents, and Submit when it is complete. Manage your draft and submitted applications on the Careers> My Job Applications page. Check your email and My Job Notifications for written communications from the Recruiter. Email - sent to the Preferred email on the My Contact Information page Notifications - view the Careers> My Job Notifications page Helpful Resources at jobs.ks.gov: "How to Apply for a Job - Instructions" and "How to Search for a Job - Instructions" Required Documents for this Application to be Complete Upload these on the Careers - My Job Applications page * DD214 (if you are claiming Veteran's Preference) Upload these on the Attachments step in your Job Application * Cover Letter * Resume Helpful Resources at jobs.ks.gov: "How, What, & Where do I Upload Documents" Kansas Tax Clearance Certificate: A valid Kansas Tax Clearance Certificate is a condition of employment for all employees of the State of Kansas. Applicants (including non-residents) who receive a formal job offer for a State job, are required to obtain a valid Tax Clearance within ten (10) days of the job offer. A Tax Clearance can be obtained through the Kansas Department of Revenue who reviews individual accounts for compliance with Kansas Tax Law. If you have a missing tax return(s) or you owe taxes to the State of Kansas, please know that the Kansas Department of Revenue will work with you. The Kansas Department of Revenue can set you up on a payment plan to receive a Tax Clearance so you can get a job working for the State of Kansas. The Kansas Department of Revenue can be contacted at ************. Kansas Department of Revenue - Tax Clearance Frequently Asked Questions How to Claim Veterans Preference Veterans' Preference Eligible (VPE): Former military personnel or their spouse that have been verified as a "veteran"; under K.S.A. 73-201 will receive an interview if they meet the minimum competency factors of the position. The veterans' preference laws do not guarantee the veteran a job. Positions are filled with the best qualified candidate as determine by the hiring manager. Learn more about claiming Veteran's Preference How to Claim Disability Hiring Preference Applicants that have physical, cognitive and/or mental disabilities may claim an employment preference when applying for positions. If they are qualified to meet the performance standards of the position, with or without a reasonable accommodation, they will receive an interview for the position. The preference does not guarantee an applicant the job, as positions are filled with the best qualified candidate as determined by the hiring manager. Learn more about claiming Disability Hiring Preference PLEASE NOTE: The documentation verifying a person's eligibility for use of this preference should not be sent along with other application materials to the hiring agency but should be sent directly to OPS. These documents should be scanned and emailed to *************************, or can be mailed/delivered in person to: ATTN: Disability Hiring Preference Coordinator Office of Personnel Services Docking State Office Building 915 SW Harrison Ave, Suite 260 Topeka, KS 66612 Equal Employment Opportunity The State of Kansas is an Equal Opportunity Employer. All qualified persons will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, political affiliation, disability or any other factor unrelated to the essential functions of the job. If you wish to identify yourself as a qualified person with a disability under the Americans with Disabilities Act and would like to request an accommodation, please address the request to the agency recruiter.
    $50k yearly 7d ago

Learn more about claim processor jobs

How much does a claim processor earn in Tulsa, OK?

The average claim processor in Tulsa, OK earns between $27,000 and $60,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Tulsa, OK

$40,000

What are the biggest employers of Claim Processors in Tulsa, OK?

The biggest employers of Claim Processors in Tulsa, OK are:
  1. Amergis
  2. Partnered Staffing
  3. Community Care
  4. Relation Insurance
  5. Sedgwick LLP
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