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Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Stout 4.2
Claim specialist job in Indianapolis, IN
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. About Stout's Forensics and Compliance GroupStout's Forensics and Compliance group supports organizations in addressing complex compliance, investigative, and regulatory challenges. Our professionals bring strong technical capabilities and healthcare industry experience to identify fraud, waste, abuse, and operational inefficiencies, while promoting a culture of integrity and accountability. We work closely with clients, legal counsel, and internal stakeholders to support investigations, regulatory inquiries, litigation, and the implementation of sustainable compliance and revenue cycle improvements.What You'll DoAs an Analyst, you will play a hands-on role in client engagements, contributing independently while collaborating closely with senior team members. Responsibilities include: Support and execute client engagements related to healthcare billing, coding, reimbursement, and revenue cycle operations. Perform detailed forensic analyses and compliance reviews to identify potential fraud, waste, abuse, and process inefficiencies. Analyze and document EMR/EHR hospital billing workflows (e.g., Epic Resolute), including charge capture, claims processing, and reimbursement logic. Assist in audits, investigations, and litigation support engagements, including evidence gathering, issue identification, and corrective action planning. Collaborate with Stout engagement teams, client compliance functions, legal counsel, and leadership to support project objectives. Support EMR/EHR implementations and optimization initiatives, including system testing, data validation, workflow review, and post-go-live support. Prepare clear, well-structured analyses, reports, and client-ready presentations summarizing findings, risks, and recommendations. Communicate proactively with managers and project teams to ensure alignment, quality, and timely delivery. Continue developing technical, analytical, and consulting skills while building credibility with clients. Stay current on healthcare regulations, payer rules, EMR/EHR enhancements, and industry trends impacting compliance and reimbursement. Contribute to internal knowledge sharing, thought leadership, and practice development initiatives within Stout's Healthcare Consulting team. What You Bring Bachelor's degree in Healthcare Administration, Information Technology, Computer Science, Accounting, or a related field required; Master's degree preferred. Two (2)+ years of experience in healthcare revenue cycle operations, EMR/EHR implementations, compliance, or related healthcare consulting roles. Experience supporting consulting engagements, audits, or investigations related to billing, coding, reimbursement, or compliance. Epic Resolute or other hospital billing system experience preferred; Epic certification a plus. Nationally recognized coding credential (e.g., CCS, CPC, RHIA, RHIT) required. Additional certifications such as CHC, CFE, or AHFI preferred. Working knowledge of EMR/EHR system configuration, workflows, issue resolution, and optimization. Proficiency in Microsoft Office (Excel, PowerPoint, Word); experience with Visio, SharePoint, Tableau, or Power BI preferred. Understanding of key healthcare regulatory and compliance frameworks, including CMS regulations, HIPAA, and the False Claims Act. Willingness to travel up to 25%, based on client and project needs. How You'll Thrive Analytical and Detail-Oriented: You are comfortable working with complex data and systems, identifying risks, and drawing well-supported conclusions. Collaborative and Client-Focused: You communicate clearly, work well in team-based environments, and contribute to positive client relationships. Accountable and Proactive: You take ownership of your work, manage priorities effectively, and deliver high-quality results on time. Adaptable and Curious: You are eager to learn new systems, regulations, and methodologies in a fast-paced consulting environment. Growth-Oriented: You seek feedback, develop your technical and professional skills, and build toward increased responsibility. Aligned with Stout Values: You demonstrate integrity, professionalism, and a commitment to excellence in all client and team interactions. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. 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 $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
$34k-41k yearly est. 2d ago

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Associate Claims Specialist - Workers Compensation - Central Region
Liberty Mutual 4.5
Claim specialist job in Indianapolis, IN
Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Claims Specialists within the Central Region! As a Workers Compensation Claims Specialist, the successful candidate will join a dedicated Claims Team, utilizing the latest technology to manage a caseload of routine to moderately complex claims. Responsibilities include investigating claims, assessing liability and compensability, evaluating losses, and negotiating settlements. The role involves interactions with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in February 2026. This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I, or a Workers Compensation Claims Specialist II. The salary range posted reflects the range for the varying pay scale across various locations. To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or Indianapolis, IN, and will be required to work in the office twice a month. Candidates located in Ohio, Montana, and Virginia are eligible for 100% remote work, as we do not have claims offices in these states. Please note that this policy is subject to change. Responsibilities * Manages an inventory of claims to evaluate compensability/liability. * Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. * Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. * Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. * Evaluates actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. * Performs other duties as assigned. Qualifications * Effective interpersonal, analytical and negotiation abilities required * Ability to provide information in a clear, concise manner with an appropriate level of detail * Demonstrated ability to build and maintain effective relationships * Demonstrated success in a professional environment; success in a customer service/retail environment preferred * Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent * Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory * Licensing may be required in some states About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
$64k-89k yearly est. Auto-Apply 5d ago
Claims Negotiation Specialist
The Strickland Group 3.7
Claim specialist job in Indianapolis, IN
Join Our Team as a Claims Negotiation Specialist! Are you a strategic thinker with a passion for driving business growth and innovation? We are looking for a Claims Negotiation Specialist to develop data-driven strategies, identify new opportunities, and optimize business performance for long-term success. Why You'll Love This Role: 📈 High-Impact Role - Shape business strategies that drive sustainable growth. 🚀 Career Advancement - Access professional development and leadership opportunities. 💡 Strategic Influence - Work closely with decision-makers to implement winning strategies. 💰 Competitive Compensation - Earn a stable income with performance-based incentives. Your Responsibilities: Analyze market trends, business performance, and competitive landscapes to identify growth opportunities. Develop and implement data-driven growth strategies that optimize revenue and profitability. Collaborate with cross-functional teams to align business strategies with company objectives. Provide strategic recommendations on market expansion, customer acquisition, and operational efficiencies. Monitor key performance indicators (KPIs) and adjust strategies to maximize success. Identify and mitigate potential risks while exploring new business opportunities. What We're Looking For: Proven experience in business strategy, growth consulting, or a related field. Strong analytical and problem-solving skills with expertise in market analysis. Ability to develop and execute scalable growth strategies. Excellent communication and presentation skills. Experience working with executive leadership to drive business decisions. Perks & Benefits: Professional development and continuous learning opportunities. Health insurance and retirement plans. Performance-based bonuses and recognition programs. Leadership growth and career advancement opportunities. 🚀 Ready to Drive Business Growth? If you're passionate about helping businesses scale and succeed, apply today! Join us and be a key player in shaping innovative growth strategies. Your journey as a Claims Negotiation Specialist starts here-let's unlock new opportunities together!
$43k-75k yearly est. Auto-Apply 60d+ ago
Bodily Injury Claims Specialist
Auto-Owners Insurance Co 4.3
Claim specialist job in Indianapolis, IN
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: * Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. * Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. * Follow claims handling procedures and participate in claim negotiations and settlements. * Deliver a high level of customer service to our agents, insureds, and others. * Devise alternative approaches to provide appropriate service, dependent upon the circumstances. * Meet with people involved with claims, sometimes outside of our office environment. * Handle investigations by telephone, email, mail, and on-site investigations. * Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. * Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. * Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. * Assist in the evaluation and selection of outside counsel. * Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience * A minimum of three years of insurance claims related experience. * The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. * The ability to effectively understand, interpret and communicate policy language. * The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI
$48k-63k yearly est. Auto-Apply 60d+ ago
Senior Complex Claims Specialist - PROGRAMS
Amerisure Mutual Insurance Co 4.8
Claim specialist job in Indianapolis, IN
Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best "A" (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Join Our Team at Amerisure! Amerisure is seeking a Senior Complex Claims Specialist to join our dynamic team. This position offers a hybrid work schedule (2 days onsite) at one of our Core Service Centers. As a key member of our Programs Team, you will handle complex claims with precision and professionalism. Previous experience managing program-related claims will be highly valued. The ideal candidate will also possess the following skill set. Summary Statement Manage a portfolio of claims presenting moderate to high complexity and exposure to ensure Industry Leading Customer Experience through exceptional service, unmatched relationships and superior claims outcomes. Contribute to the achievement of Claims department goals, established to achieve the company's strategic objectives. Essential Tasks/Major Duties * Build and maintain strong relationships with agents and policyholders through being inclusive, communicative, accessible, and maintaining relevant, insightful, and informative file documentation. * Directly handle an assigned portfolio of litigated and non-litigated commercial general and auto liability claims presenting moderate to high complexity and exposure across multiple jurisdictions. * Conduct relevant, creative, and comprehensive investigation and evaluation on coverage, liability, and damages throughout the life of the claim by analyzing material facts, circumstances, and developments applying applicable law and legal principles. * Positively influence claims outcomes through developing, continuously adjusting, and executing on action plans designed to achieve desired resolutions. * Identify and pursue early resolution when appropriate. * Identify and evaluate risk transfer. * Proactively establish and adjust loss reserves throughout the life of the claim based on newly identified and material information and developments in order to reflect probable ultimate exposure. * Report on and present large losses during file conferences and claim reviews. * Serve as subject matter expert to less experienced staff. * Participate in mediations and settlement conferences and attend trials. * Negotiate settlements. * Maintain current knowledge of multijurisdictional legal and regulatory claims developments and trends. * Engage in/external resources as needed to achieve optimal claims outcomes while monitoring and mitigating costs. * Adjudicate claims in accordance with Amerisure claims guidelines and quality standards. Knowledge, Skills & Abilities * Bachelor's degree required; Juris Doctorate preferred. * 10 years of commercial claims experience, including 5 years with moderate to high complexity and exposure commercial general and auto liability claims (including trucking liability), and 3 years handling litigated files and directing outside defense counsel. * Extensive knowledge of current tort, contract, and coverage laws in multiple jurisdictions. * Experience in FL, GA, IL, SC, and TX, with a proven ability to handle claims in new or less familiar jurisdictions. * Ability to identify potential for aggravated liability and create resolution strategies to mitigate exposure. * Ability to lead discussions, make presentations, and communicate technical results to a non-technical audience. * Excellent organizational skills and ability to function in a changing environment. * Willingness to take on new assignments as required. * Ability to think strategically with supporting analytical and problem-solving skills, including the ability to deal with ambiguity. * Demonstrated successful ability to build positive relationships and partnerships within the department, across the organization, and with external customers. * Industry accreditation preferred. * Ability to obtain appropriate state licensing as required. * Ability to travel overnight up to 20% Just as we are committed to creating exceptional value for our Partners For Success agencies and policyholders, Amerisure also remains committed to being an employer of choice. We reinforce this commitment by adhering to an Employee Value Proposition that, in part, is provided through a competitive total rewards package. This package includes competitive base pay, performance-based incentive pay, comprehensive health and welfare benefits, a 401(k) savings plan with profit sharing, and generous paid time off programs. We also offer flexible work arrangements to promote work-life balance. Recognized as one of the Best and Brightest Companies to Work For in the Nation and one of Business Insurance magazine's Best Places to Work in Insurance, we provide a workplace that fosters excellence and professional growth. If you are looking for a collaborative and rewarding career, Amerisure is looking for you. Amerisure Insurance provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Amerisure Insurance complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Amerisure Insurance expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Amerisure's employees to perform their job duties may result in discipline up to and including discharge.
$84k-129k yearly est. Auto-Apply 12d ago
Product Claims Specialist
Delta Faucet Company of Tennessee
Claim specialist job in Indianapolis, IN
At Delta Faucet, we are committed to transforming everyday experiences with water through innovative products and exceptional service. As a leader in the plumbing industry, we take pride in our dedication to quality, sustainability, and customer satisfaction. We believe that diverse perspectives strengthen our mission to create solutions that inspire and elevate the lives of all our customers. We welcome individuals from all backgrounds to join us on this journey toward inclusivity and excellence. Your Role at Delta Faucet Delta Faucet Company has an opportunity for someone who enjoys resolving consumer and customer issues to ensure satisfaction with our products. When an experience with a Delta Faucet product does not meet expectations, this employee works in a team environment to resolve the issue. The Product Claims Specialist will research and address inquiries from customers and/or agencies that distribute Delta Faucet products. This team member should be prepared to connect with consumers and customers with efficiency and excellence by phone, e-mail, in person, or through other channels. The successful candidate will be able to work with a team as well as independently and have excellent follow-up and accountability for tasks. This will be a hybrid role in our Indianapolis headquarters. Responsibilities Review returned products and call data to take next steps to resolve a customer's issue Monitor e-mail and mail for receipt of subrogation or litigation paperwork and request / file needed information; communicate with Delta and Masco personnel as needed to resolve Review Product Return data in Smartsheet and update the submitted data as needed Evaluate Level 1 Product Returns and determine if the claim should be dispositioned or submitted to Delta's test lab for further evaluation Submit returned product to Delta's test lab for evaluation when needed to evaluate product performance Leverage internal information to answer questions from customers and internal personnel; questions can be both general and technical in nature Communicate directly with customers, consumers, Contact Center employees, and sales personnel Work with Delta Faucet's engineers and other technical resources to understand potential product issues and resolution Request inspection of in-house stock when there is a potential non-conformance Monitor and respond to on-line portal concerns professionally and efficiently Work with product development teams on coordination of product field trials Stay up to date on product changes and new products that are introduced Address consumer or customer dissatisfaction with care, patience, and concern Respond positively when faced with fast-paced decision making Elevate issues within Delta Faucet Company when necessary Additional responsibilities or projects may be assigned Qualifications The ideal candidate will possess a degree from a 4-year college or university and customer service experience Working knowledge of Delta's products or plumbing products is desired Proficient use of software, including the use of Microsoft products and Smartsheet, is required; SAP and Salesforce experience are a plus The demonstrated ability to handle multiple tasks concurrently with attention to detail is required The employee will need to make business decisions with little supervision The candidate must possess strong written and verbal communication skills and must exhibit a high degree of professional excellence characterized by good judgment, initiative, and a high standard of ethics A consistent track record of successfully completing assigned responsibilities without direct supervision required Why Join Us? At Delta Faucet Company, our people are our greatest assets. We value different perspectives and fostering an inclusive environment. You'll have the opportunity to shape the future of our brand, working alongside passionate professionals committed to excellence and innovation. Join us to lead progressive growth and make a significant impact within a leading organization. Here are some of the benefits we offer for your personal and professional growth: Culture: Recognized and award-winning reputation for equality, diversity and inclusion, flexibility, work-life balance, and more. Wellbeing: Comprehensive benefit plans; retirement, savings, tuition reimbursement, and employee incentive programs; resources for mental, physical, and financial wellbeing. Learning & Development: LinkedIn Learning access; internal opportunities to work on projects cross-company. Social Impact: Four employee-led and self-directed Business Resource Groups; Paid volunteer day annually; Employees share their time, skills and talent with charities and nonprofit organizations across the U.S. and around the globe. Company: Delta Faucet CompanyFull time Hiring Range: $20.70 - $32.45Actual compensation may vary based on various factors including experience, education, geographic location, and/or skills. Delta Faucet Company (the “Company”) is an equal opportunity employer and we strive to employ the most qualified individuals for every position . The Company makes employment decisions only based on merit. It is the Company's policy to prohibit discrimination in any employment opportunity (including but not limited to recruitment, employment, promotion, salary increases, benefits, termination and all other terms and conditions of employment) based on race, color, sex, sexual orientation, gender, gender identity, gender expression, genetic information, pregnancy, religious creed, national origin, ancestry, age, physical/mental disability, medical condition, marital/domestic partner status, military and veteran status, height, weight or any other such characteristic protected by federal, state or local law. The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all people involved in the operations of the Company regardless of where the employee is located and prohibits unlawful discrimination by any employee of the Company. Delta Faucet Company is an E-Verify employer. E-Verify is an Internet based system operated by the Department of Homeland Security (DHS) in partnership with the Social Security Administration (SSA) that allows participating employers to electronically verify the employment eligibility of their newly hired employees in the United States. Please click on the following links for more information. E-Verify Participation Poster: English & Spanish E-verify Right to Work Poster: English, Spanish
$20.7-32.5 hourly Auto-Apply 46d ago
Claims Representative - Indianapolis, IN
Federated Mutual Insurance Company 4.2
Claim specialist job in Indianapolis, IN
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 Indianapolis, IN office, located at 9785 Crosspoint Blvd. 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.
$27k-34k yearly est. Auto-Apply 20d ago
Medical Coding Appeals Analyst
Elevance Health
Claim specialist job in Atlanta, IN
Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. PRIMARY DUTIES: Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. Translates medical policies into reimbursement rules. Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. Coordinates research and responds to system inquiries and appeals. Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. Perform pre-adjudication claims reviews to ensure proper coding was used. Prepares correspondence to providers regarding coding and fee schedule updates. Trains customer service staff on system issues. Works with providers contracting staff when new/modified reimbursement contracts are needed. Minimum Requirements: Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. Preferred Skills, Capabilities and Experience: CEMC, RHIT, CCS, CCS-P certifications preferred. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed/Certified - Other 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.
$39k-58k yearly est. Auto-Apply 5d ago
Claims Adjuster Specialist
Cox Roofing
Claim specialist job in Zionsville, IN
Job DescriptionSalary: $21.50 "> The job responsibilities of the Claims Supplementer include, but are not limited to: Review all insurance scope of loss to analyze awarded coverage and line items. Create revised estimate and validate all legitimate line items with documentation and have the ability to justify items required to be in scope of loss for the claim that is currently being handled. Submit revised estimates to Insurance provider for coverage review. Discuss coverage of scope of work for the claim with the assigned adjuster to the claim. Ability to use Xactimate estimation software, Symbility a plus. Communicate directly with clients, updating them on the claim process and addressing any issues or concerns. Be able to breakdown the financials of a claim and explain it to the homeowner. Ability to create the final invoice for the claim and submit it to the insurance provider once all work has been completed. Communicate with Cox Sales Team regarding updated of their clients accounts Knowledge of local building codes a plus. Knowledge of various manufactures and roofing systems required. Prior experience in out of office claims adjusting (Property and Casualty) Run all assigned Adjuster meetings for sales team Benefits Base Salary of $45,000 (OTE $150,000) 1% Override on all contract values on claims assigned (approx. $10 million per year) 401(k) 401(k) matching Health insurance Paid time off Parental leave Professional development assistance Referral program Retirement plan Company Truck (Gas Provided) Company iPhone, computer, clothing, etc. Position could potentially be located in Denver, CO office as well depending on experience. Cox Residential Roofing is a premier roofing and exterior services company, serving the Indiana region. We are family owned and value our relationships and reputation with the community. Our next sales rep will value integrity, be goal-oriented as well a self starter. If this sounds like you, come join the Cox family! The ideal candidate is an energetic brand ambassador who has a passion for making valuable connections with potential clients in the neighborhoods we serve. As an Outside Sales Consultant, you'll be responsible for introducing clients to our high-quality home improvement products and services. Check out the services we offer and what our customers have to say about us! ******************* Cox Residential Roofing is an equal opportunity employer. Apply Today! Job Type: Full-time Schedule: Monday to Friday Sometimes weekends depending on Adjuster Meetings
$42k-52k yearly est. 24d ago
Independent Insurance Claims Adjuster in Lafayette, Indiana
Milehigh Adjusters Houston
Claim specialist job in Lafayette, IN
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$42k-52k yearly est. Auto-Apply 60d+ ago
Evansville -Claims Representative
Padmore Global Connections
Claim specialist job in Indianapolis, IN
Work Arrangement: Onsite Engagement Type: Contract NOTE: Applications with resumes in PDF Format will be automatically rejected. Only Word format resumes will be considered. Short Description: The Hoosier Lottery Claims Representative Temp will assist customers with the claims process of Hoosier Lottery prizes, questions related to Hoosier Lottery products and other duties as needed. Complete Description: Greet customers upon arrival in the Claims Center; Ensure all proper documentation is presented prior to claim processing; Assist Hoosier Lottery staff with daily office duties; Answer claims hotline and assist customers with questions; Assist with PR photos of winners when needed.. Job Requirements High School diploma or equivalent ; Excellent customer service skills; General knowledge of and ability to operate a telephone and cash register; Basic knowledge of clerical procedures, methods, and principles; Proficient in office software, including Microsoft Outlook, Microsoft Excel and Microsoft Word; Proficient with modern office equipment including computer, fax machine, and scanners
$27k-39k yearly est. 60d+ ago
Field Claims Adjuster
EAC Claims Solutions 4.6
Claim specialist job in Indianapolis, IN
At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.
$42k-51k yearly est. Auto-Apply 43d ago
Claims Investigator - Experienced
Command Investigations
Claim specialist job in Indianapolis, IN
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals who possess proven investigative skill sets within the industry, as well as honesty, integrity, self-reliance, resourcefulness, independence, and discipline. Good time management skills are a must. Must have reliable transportation, digital recorder and digital camera. Job duties include, but are not limited to, taking in-person recorded statements, scene photos, writing a detailed, comprehensive report, client communications, as well as meeting strict due dates on all assignments. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ****************** The Claims Investigator should demonstrate proficiency in the following areas: AOE/COE, Auto, or Homeowners Investigations. Writing accurate, detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Possession of a valid driver's license Ability to prioritize and organize multiple tasks Computer literacy to include Microsoft Word and Microsoft Outlook (email) Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment We are an equal opportunity employer.
$31k-42k yearly est. Auto-Apply 60d+ ago
Pre-certification Specialist
Axia Women's Health
Claim specialist job in Carmel, IN
At Axia Women's Health, recognized as a Great Place to Work for a 4th year in a row, our vision is to lead the way in improving women's health. At the core of achieving this is a caring, connected, and progressive community of over 400 providers across nearly 200 women's health centers in New Jersey, Pennsylvania, Indiana, Ohio, and Kentucky. The rapidly growing network spans OB/GYN physicians, breast health centers, high-risk pregnancy centers, two laboratories, urogynecology care, and fertility centers. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives. We are hiring a full time Pre Certification Specialist to join us in our Carmel Indiana Location. The Precertification Specialist will be responsible for a variety of tasks regarding verifying, checking eligibility of benefits, and obtaining authorization for patients, activating patient files, and for providing support to patients and medical staff. Job duties include but are not limited to: Promptly and professionally answers telephone calls. Route calls appropriately, offering voicemail or redirection of calls as needed. Review patient records to determine the necessity of pre-authorization for services. Communicate with healthcare providers to gather required documentation as needed. Follow up on pending requests to ensure timely approvals. Educate patients about their insurance benefits and pre-certification process. Complete obstetrical intake and schedule all new ob appointments Explain financial requirements to patients; collect and record copays as required. Obtaining precertification's from insurance for testing and procedures. Perform registration functions for new and existing patients. Schedule patient appointments per guidelines given Maintain confidentiality regarding all patients. Adhere to infection control/safety guidelines and confidentiality policies through HIPAA compliance. Other duties as assigned. Qualified candidates can: Adapt to changing priorities and business needs Is flexible and not easily flustered Has great customer service skills An ability to work in a fast paced innovative environment An ability to focus on what is best for the team over the individual Can work 40 hours per week. Can work between the hours of 7:45 a.m. and 9 p.m. as needed. We offer an excellent compensation package, which includes full benefits, such as health/dental coverage, holiday/vacation, and 401(k). Equal Opportunity Employer
$31k-60k yearly est. 7d ago
Claims Assistant / Associate
Epic Brokers 4.5
Claim specialist job in Carmel, IN
Come join our team! There are many reasons why EPIC Insurance Brokers & Consultants has become one of the fastest-growing firms in the insurance industry. Fueled and driven by capable, committed people who share common beliefs and values and “bring it” every day, EPIC is always looking for people who have “the right stuff” - people who know what they want and aren't afraid to make it happen. Headquartered in San Francisco and founded in 2007, our company has over 3,000 employees nationwide. With locations spread out across the U.S., our local market knowledge and industry expertise helps support our clients' regional and global needs. We have grown very quickly since our founding, and we continue to see growth and success thanks to our hard-working and growth-minded employees. Our core values are: Owner mindset, Inspire trust, Think big, and Drive results. If these values and growth align with what you're looking for in your next career? Then consider joining our amazing team! JOB OVERVIEW: Claims Assistants provide excellent customer service by ensuring all client needs are met while engaging in behaviors such as claims processing, evaluation, and resolution of claims. They build robust relationships through working to understand client needs and providing solutions that effectively protect the client's risks. In this role, the Claims Associate will be responsible for to support Claims Advocates in the servicing and managing a diverse book of Commercial Lines accounts. ESSENTIAL FUNCTIONS: This role is responsible for, although not limited to, the following job duties: • Receives and processes information for first report of claim from insured, either by phone or email • Processes claim with carrier or assists insured with gathering data required by company to settle a claim • Sets up and maintains client service activity files and filing (electronic), scanning and copying of all required documents • Maintains proper claim file documentation including claim notes, correspondence, faxes and emails in Sagitta and ImageRight • Monitors and follows up on outstanding claims, updates accounts as necessary and answers inquiries • Coordinates gathering of loss runs for claim reports • Completes review of claim summary reports and prepares loss analysis materials • Prepares client presentation materials with Microsoft PowerPoint, Word and Excel • Assists in the coordination and development of client service materials for claims and risk control • Assumes ownership of customer concerns and feedback until a resolution is successfully accomplished • Complies with all internal procedures and practices while demonstrating the ability to meet service performance and quality standards • Contributes to a team effort by accomplishing related results as needed • Performs other related support duties as requested. ADMINISTRATIVE FUNCTIONS: • Filing mail electronically • Entering and maintaining claims logs REPORTS AND DATABASE MANAGEMENT: • Document client activity in Sagitta and ImageRight system. • Coordinate and complete Claim Summary Reports. • Assist with loss analysis reports. QUALIFICATIONS: • Ability to communicate professionally. • Strong analytical and problem-solving skills. • Excellent communication and presentation skills. • Strong organizational skills. • Strong computer skills including MS office suite, Excel and PowerPoint. Experience with Tableau preferred. EDUCATIONAL REQUIREMENTS: • High school diploma required. College degree preferred. COMPENSATION: The base pay offered will be determined based on your experience, skills, training, certifications and education, while also considering internal equity and market data. WHY EPIC: EPIC has over 60 offices and 3,000 employees nationwide - and we're growing! It's a great time to join the team and be a part of this growth. We offer: Generous Paid Time off Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave Generous employee referral bonus program of $1,500 per hired referral Employee recognition programs for demonstrating EPIC's values plus additional employee recognition awards and programs (and trips!) Employee Resource Groups: Women's Coalition, EPIC Veterans Group Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs 50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC! EPIC Gives Back - Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation We're in the top 10 of property/casualty agencies according to “Insurance Journal” To learn more about EPIC, visit our Careers Page: ************************************************ EPIC embraces diversity in all its various forms-whether it be diversity of thought, background, race, religion, gender, skills or experience. We are committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. It is our belief that diversity drives innovation and that creating an environment where every employee feels included and empowered, helps us to deliver the best outcome to our clients. California Applicants - View your privacy rights at: ******************************************************************************************* Massachusetts G.L.c. 149 section 19B (b) requires the following statement: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #LI-TM1 #LI-Hybrid
$30k-34k yearly est. Auto-Apply 5d ago
Claims Associate - Long Term Care
American United Life Ins Co 3.7
Claim specialist job in Indianapolis, IN
Job Description At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives! The Long-Term Care Claims Associate is responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards. Primary Responsibilities Independently adjudicate a broader range of claims, including some with complex documentation or benefit triggers. Analyze provider and care documentation to determine ongoing eligibility. Engage with providers and families to resolve issues or obtain information. Mentoring or supporting of Level 1 associates. Identify potential red flags or inconsistencies for clinical or risk escalation. Taking incoming calls and making outbound calls throughout the claim process. Must meet/maintain procedural accuracy requirements. Required Education and/or Certifications High School Diploma or equivalent Recommended Education and/or Certifications Bachelor's Degree Required Work Experience 1+ years of LTC claims or related experience. Intermediate knowledge of long-term care services and terminology. Demonstrated ability to manage multiple cases with accuracy and empathy. We are currently seeking Level I & II Representative experience. #LI-SC1 Salary Band: 3B This selected candidate will be expected to work hybrid in Indianapolis, IN but we may consider remote associates who are not local to Indianapolis, IN. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team-building and collaboration. If you are offered and accept this position, please be advised that OneAmerica Financial does not have any offices located in the State of New York and OneAmerica Financial associates are not permitted to work remotely in the State of New York. Disclaimer: OneAmerica Financial is an equal opportunity employer and strictly prohibits unlawful discrimination based upon an individual's race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, mental/physical disability, medical condition, marital status, veteran status, or any other characteristic protected by law. For all positions: Because this position is regulated by the Violent Crime Control and Law Enforcement Act, if an offer is made, applicants must undergo mandated background checks as a condition of employment. Such background checks include criminal history. A conviction is not necessarily an absolute bar to employment. Consistent with applicable regulatory guidelines and law, factors such as the age of the offense, evidence of rehabilitation, seriousness of violation, and job relatedness are considered. To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies.
$29k-34k yearly est. 9d ago
Associate, Wage and Hour - Disputes, Claims & Investigations
Stout 4.2
Claim specialist job in Indianapolis, IN
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team. Associate - DCI (Disputes, Claims & Investigations), Wage & Hour Stout is seeking an Associate with 2-5 years of experience to join our Disputes, Claims & Investigations (DCI) Wage and Hour practice. This is a full-time role offering comprehensive benefits, a 401(k), and eligibility for annual bonuses. Stout brings deep expertise supporting clients in high-stakes business litigation and economic consulting matters. Associates work closely with experienced professionals and subject-matter experts to analyze complex data and deliver independent, thoughtful analyses. Impact You'll Make This role plays a critical part in delivering high-quality analytical support on complex wage and hour matters. Your work will directly contribute to successful client outcomes and the effectiveness of project teams. Execute and support complex data analyses related to wage and hour disputes and investigations. Contribute to the development of sound methodologies and analytical approaches that support defensible conclusions. Help ensure projects are completed on time, within scope, and with a high standard of quality. Build strong working relationships across project teams to drive collaboration and efficiency. Support client-facing deliverables that clearly communicate findings and insights. What You'll Do These responsibilities reflect the day-to-day work required to support engagements and achieve project objectives. Review, organize, and analyze large and complex datasets to support litigation and consulting engagements. Support multiple concurrent projects, anticipating scope, timing, and budget considerations. Assist in developing work plans, methodologies, and resource needs to optimize project outcomes. Collaborate closely with team members to meet deadlines and manage competing client expectations. Support written analyses, reports, and presentations prepared for clients and other stakeholders. Apply creative problem-solving techniques to manage risks and address analytical challenges. What You Bring This section outlines the qualifications and technical skills needed to succeed in the role. Bachelor's degree from an accredited college or university, preferably in Economics, Mathematics, or a related field. 2-5 years of experience in wage and hour consulting or a closely related field. Working knowledge of advanced data management and analytical tools such as SAS, SQL, STATA, R, or similar platforms. Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Access. Strong written and verbal communication skills with the ability to present complex information clearly. Demonstrated ability to manage multiple projects simultaneously and work effectively with cross-functional teams. How You'll Thrive These competencies and behaviors will help you excel and grow within Stout's collaborative culture. Maintain flexibility and adaptability in response to changing project requirements and timelines. Demonstrate strong organizational skills and rigorous attention to detail. Exhibit intellectual curiosity, self-motivation, and a commitment to quality control. Collaborate effectively with colleagues while managing competing priorities. Uphold Stout's core values and deliver Relentless Excellence in both client service and internal teamwork. Why Stout? At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life. We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve. We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals. Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives. Learn more about our benefits and commitment to your success. en/careers/benefits The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job. Stout is an Equal Employment Opportunity. All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law. Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. 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 $74,000.00 - $135,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - en/careers/benefits.
$30k-35k yearly est. 2d ago
Bodily Injury Claims Specialist
Auto-Owners Insurance Co 4.3
Claim specialist job in Marion, IN
We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: * Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. * Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. * Follow claims handling procedures and participate in claim negotiations and settlements. * Deliver a high level of customer service to our agents, insureds, and others. * Devise alternative approaches to provide appropriate service, dependent upon the circumstances. * Meet with people involved with claims, sometimes outside of our office environment. * Handle investigations by telephone, email, mail, and on-site investigations. * Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. * Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. * Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. * Assist in the evaluation and selection of outside counsel. * Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience * A minimum of three years of insurance claims related experience. * The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. * The ability to effectively understand, interpret and communicate policy language. * The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI #IN-DNI
$49k-65k yearly est. Auto-Apply 60d+ ago
Medical Coding Appeals Analyst
Elevance Health
Claim specialist job in Indianapolis, IN
Sign On Bonus: $1,000 **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. **Alternate locations may be considered if candidates reside within a commuting distance from an office.** Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. This position is not eligible for employment based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. + Translates medical policies into reimbursement rules. + Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. + Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts are needed. **Minimum Requirements:** Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. **Preferred Skills, Capabilities and Experience:** + CEMC, RHIT, CCS, CCS-P certifications preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$39k-58k yearly est. 6d ago
Independent Insurance Claims Adjuster in Marion, Indiana
Milehigh Adjusters Houston
Claim specialist job in Marion, IN
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$42k-52k yearly est. Auto-Apply 60d+ ago

Learn more about claim specialist jobs

How much does a claim specialist earn in Carmel, IN?

The average claim specialist in Carmel, IN earns between $27,000 and $74,000 annually. This compares to the national average claim specialist range of $27,000 to $67,000.

Average claim specialist salary in Carmel, IN

$45,000

$27,00010%

$45,000Median

$74,00090%

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Claim specialist jobs in Carmel, IN - 46 jobs

Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

Associate Claims Specialist - Workers Compensation - Central Region

Claims Negotiation Specialist

Bodily Injury Claims Specialist

Senior Complex Claims Specialist - PROGRAMS

Product Claims Specialist

Claims Representative - Indianapolis, IN

Medical Coding Appeals Analyst

Claims Adjuster Specialist

Independent Insurance Claims Adjuster in Lafayette, Indiana

Evansville -Claims Representative

Field Claims Adjuster

Claims Investigator - Experienced

Pre-certification Specialist

Claims Assistant / Associate

Claims Associate - Long Term Care

Associate, Wage and Hour - Disputes, Claims & Investigations

Bodily Injury Claims Specialist

Medical Coding Appeals Analyst

Independent Insurance Claims Adjuster in Marion, Indiana

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