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Claim specialist jobs in Hoover, AL - 309 jobs
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Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Stout
Claim specialist job in Huntsville, AL
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.$31k-38k yearly est. 1d agoWorkday Specialist
Interface Americas, Inc.
Claim specialist job in Birmingham, AL
Interface is a global flooring solutions company and sustainability leader, offering an integrated portfolio of carpet tile and resilient flooring products that includes Interface carpet tile and LVT, nora rubber flooring, and FLOR premium area rugs for commercial and residential spaces. Made with purpose and without compromise, Interface flooring brings more sophisticated design, more performance, more innovation, and more climate progress to interior spaces. A decades-long pioneer in sustainability, Interface remains "all in" on becoming a restorative business. Today, the company is focusing on carbon reductions, not offsets, as it works toward achieving its verified science-based targets by 2030 and its goal to become a carbon negative enterprise by 2040. The Workday Specialist will be the Workday business partner that supports our global user groups. This role provides a strong partnership to support and continuously improve the functionality, efficiency and the adoption of our global Workday HCM platform, and other systems (global payroll and timekeeping). The Workday Specialist will play a key role in delivering a high-quality service experience for our stakeholders by managing requests for changes in configuration, managing annual releases and maintenance, creating and updating reports and scoping and executing roadmap items across our expanding environment and leading global Workday project deliverables for various teams. The candidate will have proven experience in Workday environments. Experience in Workday time tracking, attendance, compensation and payroll is preferred. Candidate will also have a track record of successful problem solving, a systems mindset that can diagnose complex business challenges and the desire to work in fast-paced environments in various time zones. Responsibilities: Serve as a first point of contact and subject matter expert for business users to expand their Workday knowledge Manage the global Workday Request Ticket System from client groups for the Workday environment Troubleshoot business process gaps and propose solutions that streamline the flow of information across the company Create and update reports, dashboards, and hubs that bring HCM data to life for the business users Integrate with global business partners and leadership to ensure system alignment and adoption Collaborate with subject matter experts (SMEs) to gather business requirements and translate those requirements into well architected Workday solutions that best leverages the platform Plan, design, configure/develop, deploy, test, maintain, and troubleshoot Workday business processes and solutions in the following functional areas: HCM, Recruiting, Benefits, Time & Absence, Payroll, Advanced Compensation, Learning, Talent, Performance Management, Integrations and more Manage and configure Workday security and permissions Manage Workday annual releases including enabling relevant desired new features, and testing, and updating as needed Create and maintain documentation on business processes, configuration, and other resources as needed Skills and Experience: 3-5 years of HCM support and implementation experience in Workday Global payroll, time and absence, and compensation experience is preferred Broad-based Workday admin experience Workday reporting experience Familiarity with HR KPI's and metrics and how to report on them Ability to manage global projects, priorities and deadlines Ability to work as a team member on a highly collaborative and flexible team Excellent customer service and communication skills to work with internal customers directly to resolve issues Problem-solving focus, that centers around users experience and efficiency Experience creating and optimizing process flows across multiple functions Education Bachelor's Degree required Work Environment Hybrid work environment. 3 - Associate / Professional / Individual Contributor / Team Lead, Bachelor of ScienceWe are a VEVRAA Federal Contractor. We desire priority referrals of Protected Veterans for job openings at all locations within the State of Georgia. An Equal Opportunity Employer including Veterans and Disabled.$46k-71k yearly est. 2d agoClaims Analyst-Federal Construction
Accura Engineering & Consulting Services
Claim specialist job in Birmingham, AL
Job Title: Claims Analyst-Federal Construction ***Work Location: Panama City, FL (Tyndall AFB) *** Salary: Based on experience and will be discussed with manager in interview REQUIREMENT- Must be a US Citizen and must pass a federal background review and drug screen Responsibilities/Duties: Analyze contract terms, project schedules, and scope to identify potential claims or disputes. Prepare, evaluate, and document construction claims including Requests for Equitable Adjustment (REAs), time extensions, and cost impacts. Review subcontractor claims and coordinate analysis with project and legal teams. Maintain organized documentation related to claims, including correspondence, daily reports, meeting minutes, schedules, and cost records. Work closely with project managers, estimators, and schedulers to gather and validate data. Support negotiations and settlement of claims with clients and subcontractors. Provide recommendations for claim avoidance and risk mitigation. Ensure all claims comply with applicable contract clauses and federal regulations (FAR, DFARS, etc.). Assist in drafting position papers, presentations, and reports to support claim resolution or litigation support. Education/Experience: Bachelor's degree in Construction Management, Engineering, Business, or related field. Minimum of 5 years of experience in construction claims analysis, preferably in federal or military construction projects. Experience on U.S. Army Corps of Engineers (USACE) or NAVFAC projects. Certification in construction claims or contract management (e.g., CCP, PMP, AACE certifications). Working knowledge of construction law and dispute resolution processes. Strong understanding of federal contracting regulations and procedures (FAR, DFARS). Familiarity with scheduling techniques and tools (e.g., Primavera P6, Microsoft Project). Experience analyzing cost impacts and time delays using industry-standard methodologies. Excellent written and verbal communication skills. Highly organized with strong attention to detail. Ability to work independently and collaboratively with project teams. Proficient in Microsoft Office Suite (Excel, Word, Outlook). Benefits: Competitive salary based on experience. Comprehensive health, dental, and vision insurance. Retirement savings plan with company match. Paid time off and holidays. Professional development and career advancement opportunities. A supportive and collaborative work environment. Equal Opportunity Employer (U.S.) all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law. Accura uses E-Verify in its hiring practices to achieve a lawful workplace. *******************$56k-80k yearly est. 45d agoSenior Claim Benefit Specialist
CVS Health
Claim specialist job in Homewood, AL
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals. - Ensures all compliance requirements are satisfied and all payments are made against company practices and procedures. - Identifies and reports possible claim overpayments, underpayments and any other irregularities. - Performs claim rework calculations. - Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for claim or reconsideration. **Required Qualifications** - New York Independent Adjuster License - Experience in a production environment. - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG system knowledge **Education** **-** High School Diploma required - Preferred Associates degree or equivalent work experience. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $42.35 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 02/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.$18.5-42.4 hourly 6d agoCentral Alabama Regional Claims Adjuster
Cenco Claims
Claim specialist job in Birmingham, AL
CENCO Claims is seeking Daily Property Claims Adjusters to handle field assignments throughout Birmingham and surrounding Central Alabama communities. This field-based role offers steady claim volume, flexibility in the field, and dependable support from an organized claims team. You'll focus on inspections and documentation while our internal team helps keep assignments and files moving efficiently. What You'll Be Doing: Conduct on-site inspections to assess property damage from wind, hail, water, fire, and other covered events Document damages with clear photos, detailed notes, and accurate reports Prepare and submit estimates using Xactimate Communicate professionally with policyholders, contractors, and carrier representatives Manage assigned claims efficiently while meeting submission timelines What You'll Need: Familiarity with Xactimate Understanding of property damage assessment and repair scope Reliable transportation and standard field equipment Strong communication and organizational skills Active Alabama adjuster license or designated home state license What CENCO Offers: Consistent daily claim assignments in the Birmingham area Competitive per-claim compensation with reliable, on-time payments Flexible scheduling and independence in the field Responsive internal support and streamlined systems Opportunity for continued work If you're looking for steady daily field work with a claims partner you can rely on, CENCO Claims would be glad to connect.$42k-51k yearly est. Auto-Apply 4d agoAuto Claims Representative
Auto-Owners Insurance
Claim specialist job in Birmingham, AL
Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation, and claim resolution. This job provides service to agents, insureds, and others to ensure claims resolve accurately and timely. This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims Study insurance policies, endorsements, and forms to develop foundational knowledge on Company insurance products Learn and comply with Company claim handling procedures Develop entry-level claim negotiation and settlement skills Build skills to effectively serve the needs of agents, insureds, and others Meet and communicate with claimants, legal counsel, and third-parties Develop specialized skills including but not limited to, estimating and use of designated computer-based programs for loss adjustment Study, obtain, and maintain an adjuster's license(s), if required by statute within the timeline established by the Company or legal requirements Desired Skills & Experience Bachelor's degree or direct equivalent experience with property/casualty claims handling Ability to organize data, multi-task and make decisions independently Above average communication skills (written and verbal) Ability to write reports and compose correspondence Ability to resolve complex issues Ability to maintain confidentially and data security Ability to effectively deal with a diverse group individuals Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents) Ability to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage Continually develop product knowledge through participation in approved educational programs 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$32k-40k yearly est. Auto-Apply 44d agoField Claims Adjuster
EAC Claims Solutions
Claim specialist job in Birmingham, AL
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 1d agoIndependent Insurance Claims Adjuster in Birmingham, Alabama
Milehigh Adjusters Houston
Claim specialist job in Birmingham, AL
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-51k yearly est. Auto-Apply 60d+ agoClaims Examiner
Harriscomputer
Claim specialist job in Alabama
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.$32k-50k yearly est. Auto-Apply 33d agoRec Marine Adjuster
Sedgwick
Claim specialist job in Birmingham, AL
By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Rec Marine Adjuster **PRIMARY PURPOSE** **:** To investigate and process marine claims adjustments for clients; to handle complex losses locally unassisted up to $50,000 and assist the department on larger losses. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Investigates the cause and extent of the damages, obtains appropriate documentation, and issues settlement. + Receives and reviews new claims and maintains data integrity in the claims system. + Reviews survey reports and insurance policies to determine insurance coverage. + Prepares settlement documents and requests payment for the claim and expenses. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Appropriate state adjuster license is required. **Experience** 3 years or more of Marine Adjusting preferred. **Skills & Knowledge** + Strong oral and written communication skills + PC literate, including Microsoft Office products + Good customer service skills + Good organizational skills + Demonstrated commitment to timely reporting + Ability to work independently and in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity **Auditory/Visual** **:** Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**$50k yearly 42d agoInsurance Claims Adjuster
Alexander Shunnarah
Claim specialist job in Birmingham, AL
Why Work For Us Alexander Shunnarah Trial Attorneys is a rapidly growing personal injury law firm based in Alabama with offices across the nation. We handle complex cases and provide each attorney and staff with the support they need enabling us to best serve our clients. Our attorneys and staff pride themselves on their skill set, experience, compassion, and commitment. We are dedicated to giving our clients the utmost attention and care while fighting for them to get what they deserve. At Alexander Shunnarah Trial Attorneys, we take a real approach. We are innovative, always finding ways to be better, and have a go-getter mentality across the board. Each team member plays a critical role in our mission. We know our people are what makes us great. If you're looking for a career where you can help make a difference in the lives of others alongside a supportive team, we encourage you to apply! What We Value Client Commitment Integrity A Will to Win Teamwork Personal Accountability Passion Are you ready to make a significant impact in personal injury cases? We're on the lookout for a dedicated and detail-oriented Case Manager to join our team and support our attorneys through all phases of pre-litigation and some litigation. If you're passionate about client advocacy and have experience as a Claims Adjuster or Personal Injury Case Manager/Legal Assistant, this role is perfect for you! This is a 100% onsite role at our downtown Birmingham office on 4th Ave N. What You'll Do: Drive Success: Manage personal injury pre-litigation and some litigation cases, providing essential support to attorneys and clients. Be a Key Player: Work closely with attorneys throughout all phases of pre-litigation, ensuring smooth and efficient case progression. Engage Directly: Maintain effective communication with clients, providers, and insurance companies, handling inquiries and updates with precision. Stay Organized: Utilize your organizational skills and proactive approach to manage documents, deadlines, and case details effectively. What You Need: Experience: Minimum 3 years of Personal Injury Legal Case Manager/Legal Assistant, or Bodily Insurance Claims Negotiation experience required; 5+ years preferred Proven ability in drafting and reviewing legal documents. Experience in medical records management and understanding personal injury cases (highly preferred). Tech-Savvy: Proficiency in Microsoft Office (2 years required) and familiarity with FileVine or other case management systems (preferred). Communication Skills: Excellent verbal and written communication skills are essential for this role. What You Get: A Great Role: Full-time position with opportunities to grow and contribute to impactful cases. Comprehensive Benefits: Dental, vision, and health insurance, plus supplemental insurance and paid time off. A Supportive Environment: Join a team that values collaboration, innovation, and your professional development. A Competitive Salary: $25/hour ($52,000/year) + uncapped commission plan (~$1000-3000/month on average) Ready to advance your career and make a real difference? Apply now and become a vital part of our dedicated team! Alexander Shunnarah Trial Attorneys is committed to a diverse and inclusive workplace. Alexander Shunnarah Trial Attorneys is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status. For individuals with disabilities who would like to request an accommodation, please email ******************.$1k-3k monthly Auto-Apply 5d agoCLAIMS REPRESENTATIVE
State of Alabama
Claim specialist job in Montgomery, AL
The Claims Representative is a permanent, full-time position with the Department of Finance. Positions are located in Montgomery. This is technical work in the adjustment of claims in the Risk Management Division of the Department of Finance.$27k-33k yearly est. 60d+ agoAsset Adjuster
Max Credit Union
Claim specialist job in Montgomery, AL
At MAX Credit Union, our culture is built on simplicity, integrity, and hospitality . As an Asset Adjuster, you'll play a vital role in helping members overcome financial challenges with clarity and care. By managing delinquent accounts and guiding members toward solutions, you'll embody our commitment to making banking easy, honest, and personal-protecting the credit union's assets while preserving trust and strengthening relationships. We value our team and offer a competitive benefits package that includes: Comprehensive health and dental coverage 200% employer 401k match! Access to pharmacy and wellness programs Supportive work environment with recognition for outstanding service and more ! Role: To protect and preserve the credit union's financial assets by effectively managing delinquent loan accounts through consistent, accurate, and professional collection efforts. This role requires a high level of attention to detail, adherence to compliance standards, and expertise in analyzing member accounts and recovering funds while maintaining a member-centric approach. Essential Functions & Responsibilities: • Proactively monitors and manages a portfolio of consumer loans that are 11 to 50 days past due. • Follows structured collection processes to contact members, negotiate repayment terms, and ensure timely resolution. • Performs precise file maintenance on member accounts and ensures all teller postings, account updates, and status changes are accurately recorded in the core system. • Accepts and processes member payments with accuracy and ensures all transactions are correctly applied in accordance with internal policies. • Supports proper and timely reporting of loan statuses to credit bureaus and other financial reporting systems; ensuring adherence to Fair Credit Reporting Act (FCRA) guidelines. • Maintains comprehensive, organized records of all member communication and collection activities while ensuring all actions are documented in compliance with regulatory standards and internal procedures. • Performs in-depth skip tracing using internal systems and approved tools to locate members with outdated or inaccurate contact information. • Evaluates accounts for legal collection activity and collaborates with legal partners or attorneys to escalate cases appropriately, ensuring proper documentation and chain of custody. • Prepares, maintains, and analyzes delinquency reports, spreadsheets, and account watch lists to support decision-making and track trends or recurring issues. • Identifies potential legal or operational risks and promptly escalates concerns to management with recommendations for next steps. • Assists in responding to collection hotline calls and provides support to internal team members to ensure seamless member service and issue resolution. • Serves as backup to department adjusters and specialists when needed. • Approaches all collection activity with professionalism, empathy, and the intent to preserve member relationships while enforcing policy and protecting the credit union. • Stays current with policy and regulatory changes. • Maintains a member first mindset. • Upholds core values and builds team member and customer relationships. • Completes all training as required. • Performs other duties as assigned.$45k-57k yearly est. 14d agoNDT Examiner II
Teledyne
Claim specialist job in Huntsville, AL
**Be visionary** Teledyne Technologies Incorporated provides enabling technologies for industrial growth markets that require advanced technology and high reliability. These markets include aerospace and defense, factory automation, air and water quality environmental monitoring, electronics design and development, oceanographic research, deepwater oil and gas exploration and production, medical imaging and pharmaceutical research. We are looking for individuals who thrive on making an impact and want the excitement of being on a team that wins. **Job Description** **Job Summary:** Under limited supervision, performs product inspection and/or audits of quality control programs. Performs sampling and testing of incoming components and raw materials and packaging line and manufacturing inspections. Inspects and tests product manufactured or processed by suppliers to ensure conformance to requirements and specifications. Identifies material and processes as Conforming or Nonconforming. Writes reports of findings for review. Enters required data into system. Tasks may include complex and/or non-routine assignments. **Essential Duties and Responsibilities** include the following. Other duties may be assigned. + Analyze and interpret drawings, data, manuals, and other materials to determine specifications, inspection and testing procedures, adjustment and certification methods, formulas, and measuring instruments required. + Inspect, test, or measure materials, products, installations, or work for conformance to specifications which may include mechanical, electrical and/or chemical inspections. + Notify supervisors and other personnel of production problems, and assist in identifying and correcting these problems. + Discuss inspection results with those responsible for products, and recommend necessary corrective actions. + Record inspection or test data, such as weights, temperatures, grades, or moisture content, and quantities inspected or graded. + Mark items with details such as grade or acceptance-rejection status. + Measure dimensions of products to verify conformance to specifications, using measuring instruments such as rulers, calipers, gauges, or micrometers. + Compare colors, shapes, textures, or grades of products or materials with color charts, templates, or samples to verify conformance to standards. + Write test or inspection reports describing results, recommendations, or needed repairs. + Prepare first article reports and enter required data into computer + Document inspection findings and complete rejection reports. + Ensure raw materials, in-process and finished products meet company standards. + May apply approval or rejection labels to bulk raw materials once analytical data is evaluated. + May assess draft and final label copy, utilizing knowledge of labeling regulations + Minimize down time by reducing production rework and recalls. + Follow established process/procedures for discarding or rejecting products, materials, or equipment not meeting specifications. + Other duties as assigned. **Supervisory Responsibilities** This job has no supervisory responsibilities but may lead, guide and assign basic tasks to entry and intermediate level employees within the department. May participate in inter-departmental projects and process improvement committees. **Qualifications** To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. **Education and/or Experience:** Requires a high school diploma. a BS degree in a recognized field of engineering or a closely related field of science is preferred. Normally requires approximately fourteen (14) years of applicable professional experience or a combination of graduate study and experience. However, assignments are primarily made on the basis of demonstrated capabilities and reputation in the area of specialization. **Position may require one or more of the following (Site/CBU Specific):** **Other Essential Duties** + Follows all import/export requirements, consulting with facility import/export personnel as required. **Required Skills/Abilities:** + Minimum of 10 years of experience in AS9100, NADCAP, ASME or NQA-1 Quality Systems + Working knowledge of Lean Manufacturing/6 Sigma/Kaizen + Knowledge of specific QA Programs: ASME Section III (Nuclear) and Section VIII, NQA-1 and B31.3 fabrication, various AWS Code structures, NAVSEA structures and components, NADCAP, and Fracture Critical NASA Flight Hardware. + Understanding and experience in producing detailed NDT reports + Ability to read manufacturing drawings and basic understanding of weld symbols. **Other Qualifications** + US Citizenship with ability to attain/maintain government security clearance. + Ability to travel (domestically/internationally) approximately _+/-10__% **Certifications:** + **At a minimum, candidate must have documented hours as a Level II technician in PT, VT, and RT or UT** + NDT Level II certified in all of the following:Liquid Penetrant (PT), Radiographic (RT), Ultrasonic (UT), Visual (VT), Eddy current (ET), and Leak Testing (MSLT) to perform NDT in support of manufacturing processes (welding, machining, etc.) is preferred. \#TBE Teledyne and all of our employees are committed to conducting business with the highest ethical standards. We require all employees to comply with all applicable laws, regulations, rules and regulatory orders. Our reputation for honesty, integrity and high ethics is as important to us as our reputation for making innovative sensing solutions. Teledyne is an Equal Opportunity/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, age, or any other characteristic or non-merit based factor made unlawful by federal, state, or local laws. You may not realize it, but Teledyne enables many of the products and services you use every day **.** Teledyne provides enabling technologies to sense, transmit and analyze information for industrial growth markets, including aerospace and defense, factory automation, air and water quality environmental monitoring, electronics design and development, oceanographic research, energy, medical imaging and pharmaceutical research.$35k-49k yearly est. 60d+ agoSoldering Specialist
Nextek
Claim specialist job in Madison, AL
Nextek, Inc. is a niche market, technology-driven Electronics Manufacturing Services (EMS) company, founded in 1995. We offer precision electronic assembly and engineering services to customers with needs-driven, non-commodity products. We partner with companies who have unique product needs and who seek a high level of reliability, commitment and professional service from their manufacturing partners. EOE AA M/F/Vet/Disability Job Description Soldering Specialists needed to perform SMT touch-up and basic repair of PCB's (printed circuit boards). Final Assembly required. Candidates must have strong soldering skills, working knowledge of PCB component identification, ability to use microscope, understand/follow work instructions, able to work well within a fast-paced team environment and able to work mandatory overtime as required. Qualifications Minimum 2 years experience within Electronics Manufacturing environment Current or Recent IPC-A-610 or J-STD 0001 Certification High School Diploma or Equivalent US Citizenship required Additional Information All your information will be kept confidential according to EEO guidelines.$62k-94k yearly est. 1d agoPre-Certification Specialist
Rehabilitation and Neurological Service, LLC
Claim specialist job in Huntsville, AL
Job DescriptionBenefits: 401(k) matching Dental insurance Health insurance Vision insurance The Pre-Certification Specialist will be responsible for obtaining necessary pre-certification approvals from insurance providers to ensure that patients receive the required services and procedures. This role requires strong communication skills, attention to detail, and the ability to work efficiently in a fast-paced environment. Key Responsibilities: Pre-Certification Management: Obtain pre-certification approvals from insurance companies for medical procedures, services, and medications. Documentation: Collect and review all required documentation to ensure compliance with insurance and regulatory requirements. Communication: Serve as a liaison between healthcare providers, insurance companies, and patients to facilitate smooth pre-certification processes. Follow-Up: Track and follow up on pending pre-certification requests to ensure timely approvals. Data Entry: Accurately enter and maintain pre-certification data in the electronic health record (EHR) or other relevant systems. Problem Resolution: Address and resolve any issues or denials related to pre-certification requests. Compliance: Stay informed about changes in insurance policies, procedures, and regulatory requirements to ensure compliance. Qualifications: Education: High School Diploma or equivalent required; Associates or Bachelors degree in healthcare administration, business, or a related field preferred. Experience: Minimum of [2-3] years of experience in a healthcare or insurance setting, with a focus on pre-certification or authorization processes. Skills: Strong knowledge of insurance pre-certification and authorization procedures. Excellent communication and interpersonal skills. Proficiency in using electronic health records (EHR) systems and other relevant software. Detail-oriented with strong organizational skills. Ability to work independently and handle multiple tasks simultaneously. Certifications: [Any specific certifications required or preferred, e.g., Certified Professional Coder (CPC)] What We Offer: Competitive salary and benefits package Comprehensive health, dental, and vision insurance Retirement savings plan with company match Opportunities for professional development and career growth Supportive and collaborative work environment Don't share sensitive info.$27k-53k yearly est. 16d agoMobile Alabama Daily Claims Adjuster
Cenco Claims
Claim specialist job in Mobile, AL
CENCO Claims is a trusted leader in independent adjusting services, committed to delivering timely, accurate, and professional claims handling. We are expanding our daily claims operations and are seeking a skilled Daily Property Adjuster to service the Mobile, AL area. Position Overview: As a Daily Property Adjuster with CENCO Claims, you will be responsible for investigating, evaluating, and settling residential and commercial property claims. This is a field-based position requiring hands-on inspections and timely file reporting. Key Responsibilities: Inspect and assess property damage for residential and light commercial losses Create detailed estimates using Xactimate or Symbility Take comprehensive photo documentation and obtain supporting evidence Communicate effectively with policyholders, carriers, and internal teams Submit thorough and timely reports in accordance with company guidelines Maintain professionalism and integrity while representing CENCO Claims in the field Requirements: 2 years of property adjusting experience preferred Proficient in Xactimate estimating software Strong knowledge of construction and property damage assessment Excellent time management and communication skills Valid driver's license, reliable vehicle, and the ability to travel locally Must be licensed in the state of Alabama or hold a designated home state license Ability to manage a consistent workload with minimal oversight What We Offer: Competitive pay per completed claim Consistent workflow in a high-demand region Flexible scheduling Ongoing support from experienced claims manager Apply today!$43k-52k yearly est. Auto-Apply 60d+ agoIndependent Insurance Claims Adjuster in Tuscaloosa, Alabama
Milehigh Adjusters Houston
Claim specialist job in Tuscaloosa, AL
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-51k yearly est. Auto-Apply 60d+ agoField Claims Adjuster
EAC Claims Solutions
Claim specialist job in Tuscaloosa, AL
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 42d agoACCOUNTS EXAMINER I
State of Alabama
Claim specialist job in Montgomery, AL
The Accounts Examiner I is a permanent, full-time position with the Department of Examiners of Public Accounts. Positions are located throughout the state. This is entry-level professional auditing work involving the examination of the records and accounts of state and local government agencies, offices, and entities.$36k-45k yearly est. 60d+ ago
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How much does a claim specialist earn in Hoover, AL?
The average claim specialist in Hoover, AL earns between $24,000 and $68,000 annually. This compares to the national average claim specialist range of $27,000 to $67,000.
Average claim specialist salary in Hoover, AL
$41,000
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