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Claim specialist jobs in Topeka, KS

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  • Polysomnographic Specialist - PRN

    Saint Luke's Hospital of Kansas City 4.6company rating

    Claim specialist job in Kansas City, MO

    Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further! Day 8-10 hours per week preferred RPSGT or RRT required BLS preferred The Opportunity: The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. This position will assist with MSLT and home sleep study set-ups. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialist accountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned. Why Saint Luke's? We believe in work/life balance. We are dedicated to innovation and always looking for ways to improve. We believe in creating a collaborative environment where all voices are heard. We are here for you and will support you in achieving your goals. #LI-CK2 Job Requirements Applicable Experience: Less than 1 year Basic Life Support - American Heart Association or Red Cross, Polysomnographic Technologist - Board of Registered Polysomnographic Technologists Job Details PRN Day (United States of America) The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
    $34k-54k yearly est. 1d ago
  • 92S Shower & Laundry Specialist

    Us Army 4.5company rating

    Claim specialist job in Lawrence, KS

    As a Shower & Laundry Specialist, you'll be responsible for establishing and performing personnel laundry and shower operations. Requirements A U.S. Citizen or permanent resident with a valid Green Card 17 to 34 Years Old High School Diploma or GED Meet Tattoo Guidelines No Major Law Violations No Medical Concerns Testing & Certifications 5 Nationally Recognized Certifications Available 10 weeks of Basic Training 6 weeks of Advanced Individual Training 84 ASVAB Score: General Maintenance (GM) Skills You'll Learn Organizational Laundry Mobile Shower Operations Planning & Scheduling About Our Organization: The U.S. Army offers a wealth of possibilities for your future - whether you are looking to build a meaningful career, continue your education, or start a family, the Army is committed to helping you build the future you are looking for and improve yourself in the process. Be All You Can Be. Now Hiring Part Time Positions. ***Click apply for an Interview***
    $26k-42k yearly est. 13d ago
  • Polysomnographic Specialist - PRN

    Saint Luke's Health Systems 4.3company rating

    Claim specialist job in Kansas City, MO

    Are you looking to join a phenomenal team where patient care is at the center of everything we do? Look no further! Day 8-10 hours per week preferred RPSGT or RRT required BLS preferred The Opportunity: The Polysomnographic Specialist performs all aspects of care as outlined in national and departmental clinical standard of practice policy and procedure manual and in accordance with written verbal orders or approved protocol flow charts. This position will assist with MSLT and home sleep study set-ups. Clinical practice activities include but are not limited to the performance of diagnostic polysomnographic testing, assessment based therapeutic interventions and the analysis and scoring of polysomnographic records. The Polysomnographic Specialist accountabilities include the assessment and evaluation of histories and physicals, diagnostic, clinical and sleep related data pursuant to the development and monitoring of planned interventions in collaboration with the medical staff. The Polysomnographic Specialist supports and participates as appropriate in staff meetings, study quality, adherence to departmental protocols, continuing education, and professional growth development activities and performs other duties as assigned. Why Saint Luke's? We believe in work/life balance. We are dedicated to innovation and always looking for ways to improve. We believe in creating a collaborative environment where all voices are heard. We are here for you and will support you in achieving your goals. #LI-CK2 Job Requirements Applicable Experience: Less than 1 year Basic Life Support - American Heart Association or Red Cross, Polysomnographic Technologist - Board of Registered Polysomnographic Technologists Job Details PRN Day (United States of America) The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
    $37k-47k yearly est. 1d ago
  • PFS Remittance Specialist

    Coxhealth 4.7company rating

    Claim specialist job in Springfield, MO

    Below, you will find a complete breakdown of everything required of potential candidates, as well as how to apply Good luck. ◦ A Remittance Specialist is responsible for accurately posting payments and adjustments for all payer types into our patient accounting system and reconciling to daily deposits. Remittance Specialists are responsible for identifying variances and correcting errors to ensure daily balancing. This position requires attention to detail and good time management skills. Responsible for completing work assignments accurately and efficiently resulting in the desired reduction of outstanding accounts receivable. Communicates in a professional manner with all customers and staff. Works to reach department goals. • Job Requirements ◦ Education Required: High School diploma or equivalent ◦ Experience Preferred: 1 year business office experience ◦ Skills Strong analytical skills to recognize problems Excellent computer skills and strong aptitude to learn and maximize use of applications Proficient in Excel. ◦ Licensure/Certification/Registration xevrcyc N/AEducation: Required: High School Diploma or Equivalent Experience: Preferred: 2 years customer service or prior experience with third party payers Skills: Understanding of medical terminology Excellent verbal and written communication skills Organized and attentive to detail Licensure/Certification/Registration: N/A
    $35k-45k yearly est. 1d ago
  • Senior Claim Denial Prevention & Appeals Specialist

    Oracle 4.6company rating

    Claim specialist job in Topeka, KS

    Oracle Clinical AI Assistant (CAA) allows providers and their support staff to focus more on patient care by reducing administrative burden of clinical and reimbursement tasks such as charting, documentation, and coding by applying power of generative AI. Our diverse team of creators and inventors are building the future of conversational clinical interfaces, making real improvements in the lives of people across the world. We act with the speed and attitude of a start-up, but with the scale and customer focus of the world's leading enterprise software company. We have a big charter and a lot of creative freedom to get it done. Come join us and grow your career in this exciting arena. We are looking for a Senior Claims Denial Prevention and Appeals Specialist for providing clinical inputs to engineering for developing the Claim Denial Prevention and Appeals features of Oracle Health Clinical AI Agent (CAA). This role leverages expert clinical judgment and regulatory knowledge (e.g., medical necessity, level of care, clinical validation) to lead the appeals initiative to review denied claims, create write-ups for appeals packets, identify trends/improvement opportunities to prevent future denials, and ensure maximum appropriate reimbursement. This role is critical for financial recovery and ultimate prevention of complex, high-dollar claim denials. **Qualifications** + 3+ years hands on experience preparing appeals for claim denials in the hospital and ambulatory setting + 3+ years hands on experience in analyzing claim denials and formulating strategies for preventing future denials + Background knowledge of HIM field helpful, with focus on different reimbursement methodologies, AHA coding guidelines, and Clinical Documentation Improvement experience. + Knowledge of medical and insurance terminology, MS-DRG, APR-DRG, CPT, ICD coding structures, and billing forms (UB, 1500). + Experience with coding, clinical validation, and medical necessity for outpatient and inpatient stays. + Knowledge of third-party payor rules and regulations. + 2-3 years of Utilization Review experience in a healthcare setting preferred; 1-2 years of experience in hospital audits preferred + Associate or bachelor's degree in nursing from an accredited college and AHIMA Certified RHIT credentials preferred + Certification in Utilization Review, case management, and healthcare quality preferred **Responsibilities** + **Act as subject matter expert (SME):** Provide expertise for Claim denial prevention and appeals submission workflows, different payer requirements, and clinical/administrative use cases to identify inefficiencies and opportunities for automation. Work closely with technical teams as the knowledge lead for denial prevention and appeals creation processes. + **Denied Claims Review and Appeal Drafting:** Conduct in-depth clinical reviews of denied claims, utilize medical records, medical necessity criteria, payer reimbursement guidelines/payment policies to determine appeal viability, prepare evidence-based appeal correspondence across all levels of appeals process. + **Denial Prevention:** Analyze denial data to accurately identify trends, patterns, and root causes of recurrence, identify documentation gaps and systemic process failures related to denials, identify concrete recommendations and articulate the necessary steps required to be implemented in the pre-claim submission workflows to prevent future denials + **Cross-functional Collaboration** : Work with product, engineering, and applied science teams to ensure alignment with medical necessity guidelines, payer policies, and clinical protocols. Provide input and expertise into the automation strategy across reimbursement (revenue cycle) workflows, ensuring alignment with organizational goals and industry standards and guidelines. + **Regulatory Compliance** : Stay current with regulatory requirements related to claims processing across payers and government entities such as CMS/state Medicaid, maintain current knowledge of payer policies and medical necessity criteria, CMS national and local coverage determinations affecting billing and ensuring that workflows meet all necessary compliance. Leading contributor individually and as a team member. Work is very complex, involving the application of advanced technical/business skills in area of specialization. Ability to collect, organize, and display data in spreadsheet format. Follow-through skills necessary to get information implemented into incremental model development improvements. For this, relationship management skills strongly desired. Strong written and verbal communication skills. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $75,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
    $75k-178.1k yearly 3d ago
  • Workers' Compensation Claim Representative I

    Cannon Cochran Management 4.0company rating

    Claim specialist job in Saint Louis, MO

    Workers' Compensation Claim Representative I Work Arrangement: Hybrid after training Schedule: Monday-Friday, 8:00 AM to 4:30 PM Salary Range: $50,000-$60,000 annually At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm. Career development: CCMSI offers robust internships and internal training programs for advancement within our organization. Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. The Workers' Compensation Claim Representative I is responsible for the investigation and adjustment of assigned workers compensation claims. This position may be used as an advanced training position for future consideration for promotion to a Work Comp Claim Rep II or more senior level claim position. Accountable for the quality of claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate and adjust workers compensation claims in accordance with established claims handling procedures using CCMSI guidelines and direct supervision. Review medical, legal and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution. Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority. Negotiate settlements with claimants and attorneys in accordance with client's authorization. Assist in selection and supervision of defense attorneys. Assess and monitor subrogation claims for resolution. Prepare reports detailing claims, payments and reserves. Provide reports and monitor files, as required by excess insurers. Compliance with Service Commitments as established by team. Delivery of quality claim service to clients. Performs other duties as assigned. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Individual must be a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, initiative, and the ability to work with a minimum of direct supervision a must. Discretion and confidentiality required. Ability to work as a team member in a rapidly changing environment. Reliable, predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs. Ability to clearly communicate verbally and/or in writing both internally and externally. Education and/or Experience 3 or more years of workers compensation claim experience or other related industry experience is required. Associates degree is preferred. Computer Skills Proficient using Microsoft Office programs such as: Word, Excel, Outlook, etc. Certificates, Licenses, Registrations Adjuster's license may be required based upon jurisdiction. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires the ability to sit or stand up to 7.5 or more hours at a time. Work requires sufficient auditory and visual acuity to interact with others. CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #WorkersCompCareers #AdjusterJobs #ClaimsProfessional #HybridJobs #InsuranceCareers #GreatPlaceToWorkCertified #EmployeeOwned #CCMSICareers #NowHiring #IND123 #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.
    $50k-60k yearly Auto-Apply 34d ago
  • Claims Representative - Overland Park, KS

    Federated Mutual Insurance Company 4.2company rating

    Claim specialist job in Overland Park, KS

    Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Overland Park, KS office, located at 6130 Sprint Parkway, Ste 200 Overland Park, KS. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary Range: $61,700 - $75,400 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.
    $61.7k-75.4k yearly Auto-Apply 60d+ ago
  • Claims Examiner I

    Americo Financial Life and Annuity 4.7company rating

    Claim specialist job in Kansas City, MO

    We are currently looking for a Claims Examiner to join our team! The Claims Examiner processes the notification of death claims, ensures state regulations are being maintained in the follow up process, reviews and adjudicates claims, and provides assistance to the beneficiaries through calls and written correspondence. Job Responsibilities Review and process death claims Create payments and letters to settle claims Correspond with claimants via phone, letter, and email Follow all state regulations, being mindful of Unfair Claim Practice regulations Provide excellent, prompt customer service to beneficiaries and other callers Reconcile suspense items, returned mail, and other items in workflow according to service level agreements Job Qualifications Good understanding or ability to learn in house systems (Workflow/Imaging System, Life Insurance Policy Administration systems, Microsoft Office applications) Knowledge of life and disability insurance Well organized, detail oriented, uses time efficiently Able to work independently and think critically Excellent written and verbal communication Able to operate effectively in a fast-paced environment while maintaining a professional image and positive attitude Previous life insurance claims experience Education Qualifications Four year degree from an accredited college or university, or relevant industry experience About Us Americo: We're in this for life! The roots of the Americo family of companies date back more than 100 years. Americo is a life insurance and annuity company providing innovative products to our customers. At Americo, it's the people who make things work, so we hope you join us! What you'll love about working at Americo: Compensation: Our competitive pay and robust bonus program, offered to all associates, will make you feel valued. Learning and development: We prepare you for success with a comprehensive, paid training program. Additionally, our Talent Development team creates various development opportunities for associates at every stage of their careers. Work-life balance: We value work-life balance with our generous paid time off; you begin accruing hours every month, and they increase with tenure. All new hires earn over three weeks of paid time off annually, plus 11 paid company holidays! We also support new mothers with a maternity leave program, along with paid STD and LTD. Health and well-being: We commit to your health and well-being and are proud to offer comprehensive health and life insurance options, including FSA or HSA accounts and subsidies to support your health and fitness goals through vendor partnerships at The Y, Orange Theory, WW, and more. Future planning: Americo offers a 401(k) with a company match. We also have tuition reimbursement programs to further your education. Giving back: We support several local organizations, such as Ronald McDonald House, Hope Lodge, the American Red Cross, Harvesters, and many more. Our associates volunteer their time and donate money alongside the company to make a difference in our community. The fun stuff: Americo participates in the Kansas City Corporate Challenge, a great way to connect with coworkers. Additionally, we host events like a Royals Party at the K, a legendary Holiday Party, and in-office events with local vendors to allow associates to step away from work and enjoy each other's company. Bustling environment: Our newly renovated offices are conveniently located in downtown Kansas City, within walking distance of your favorite restaurants and attractions. Plus, you'll receive complimentary paid parking near our Americo offices - downtown parking is a premium, but we've got you covered. #AMERICO
    $36k-61k yearly est. 29d ago
  • Product Liability Litigation Adjuster

    CVS Health 4.6company rating

    Claim specialist job in Topeka, KS

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** As a Product Liability Litigation Adjuster, Risk Management, you will be responsible for managing lawsuits and overseeing outside counsel defending CVS in high exposure, product liability mass tort litigations and general liability cases filed throughout the United States. Responsibilities include: + Developing relationships with internal colleagues for fact-finding and key litigation activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through resolution. + Managing all aspects of product liability mass tort litigations and complex general liability cases. + Working with outside national counsel and sr. management to develop consistent litigation strategies applicable to mass tort cases filed across the country. + Providing reporting to key internal stake holders on case developments and litigation trends for product liability mass torts and other cases. + Managing large scale discovery investigations by working with internal custodians, outside counsel and vendors to develop comprehensive procedures for identifying, locating, preserving and producing corporate records. + Analyzing case and internal materials and utilizing resources across CVS to discern key issues and identify the litigation strategy in every case assigned. + Creating a plan for claim evaluation to most efficiently resolve or defend cases against CVS while working with and overseeing outside counsel. + Participating in meetings and attending mediation and trial as necessary to oversee and assist in the defense or resolution of cases. **Required Qualifications** + 2+ years of legal experience, ideally with a law firm or as a litigation adjuster with a large self-insured company or insurance carrier. + Juris Doctor degree from an ABA accredited university. + Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. **Preferred Qualifications** + Experience overseeing or defending product liability claims and litigation. + Familiarity or experience with insurance and coverage issues related to litigated claims. + Strong attention to detail and project management skills. + Experience overseeing and answering written discovery. + Ability to work independently and in an environment requiring teamwork and collaboration. + Strong written and verbal communication skills. + Demonstrated negotiation skills and ability. + Ability to articulate and summarize cases with management in a concise, cogent manner. + Litigation experience at a law firm, and/or significant experience overseeing litigated claims for an insurance carrier or corporation, including mediation experience and trial exposure. + 3-5 years of legal or claims experience. + Familiarity with the rules and procedures applicable to mass tort litigations, class actions, and/or multidistrict litigations. + Knowledge and experience navigating attorney-client privilege issues, corporate litigation holds, corporate witness depositions, and e-discovery. + Ability to influence and work collaboratively with senior leaders, CVS' in-house legal counsel and outside counsel. + Proficient in Microsoft applications (Word, Excel, PowerPoint, Outlook) with a proven ability to learn new software programs and systems. + Ability to positively and aggressively represent the company at mediation, arbitration and trial. + Ability to navigate difficult situations and communicate effectively with both internal and external groups. + Excellent organizational and time management skills and ability to handle a high volume of litigated claims. + Experience with and understanding of legal documents (pleadings, discovery, motions and briefs). **Education** + Verifiable Juris Doctor degree **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $122,400.00 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: 01/03/2026 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.
    $47k-122.4k yearly 30d ago
  • Healthcare Claims Denials Specialist

    Centerwell Home Health

    Claim specialist job in Springfield, MO

    Become a part of our caring community and help us put health first As an Accounts Receivable Specialist/Healthcare Claims Denials Specialist, you will: * Ensure the coordination of claim activities and designated agencies, and the timely reimbursement of receivables. * Research, resolve, and prepare claims that have not passed the payer edits daily. * Determine and initiate action to resolve rejected invoices. * Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances. * Clear payment variances, resolving differences, and initiating corrective action. * Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing. * Prepare input data forms to update computer system. * Review and communicate with agencies to educate them about expectations for clean claims. Use your skills to make an impact Required Qualifications * High School Diploma or the equivalent * Minimum of two years medical claims processing experience * Knowledge of healthcare collection procedures and microcomputer software/hardware * Effective analytical and communication skills Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $37,200 - $51,200 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $37.2k-51.2k yearly 60d+ ago
  • Insurance Claims/Restoration Specialists

    Classic Contracting

    Claim specialist job in Missouri

    Rapidly growing Insurance Restoration Company seeking qualified candidates for the position of Sales Representative. The Sales Representative will sell roofing product lines / systems and generate new growth and profitability through business networking, contacts, telephoning, door knocking, and the like to obtain inspections for potential weather related structural property damage and consultations for cosmetic/structural replacements, upgrades and remodels. You will also be provided with occasional company generated leads. Our ideal candidates will have in-home sales experience or come from the residential real estate, window/siding/roofing, home inspection, or home improvement industries. You MUST have verifiable and STABLE sales experience. Construction experience and knowledge is a definite plus. The ideal candidate must also have strong listening, follow-up, and closing skills. You must be proficient working with computer software and be detail oriented, focused, and a team player. Most importantly, you MUST have strong ethics and high integrity and be committed to ALWAYS putting the customer first. We also ask that you are outgoing, with a positive personality, have a professional and respectable demeanor, clean cut and professional appearance, are self-motivated, eager to succeed, possess excellent communication skills, have the ability to multitask and manage time effectively, are positive and energetic, have the ability & willingness to learn and implement today's top marketing and selling techniques, and be willing to work some weekends to go above and beyond. Team Players will thrive in our environment. We build our jobs promptly! Requires ability to climb on roofs and transport a ladder. W2 & 1099 Positions. If interested please call ************ to schedule your interview today! Qualifications Would prefer prior sales experience Additional Information All your information will be kept confidential according to EEO guidelines.
    $31k-51k yearly est. 14h ago
  • Claims Representative (IAP) - Workers Compensation Training Program

    Sedgwick 4.4company rating

    Claim specialist job in Topeka, KS

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? + A stable and consistent work environment in an office setting. + A training program to learn how to help employees and customers from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional growth opportunities through increasing responsibilities. + A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL CANDIDATE?** We are seeking enthusiastic individuals for an entry-level trainee position. This role begins with a comprehensive 6-week classroom-based professional training program designed to equip you with the foundational skills needed for a successful career in claims adjusting. Over the course of a few years, you'll have the opportunity to grow and advance within the field. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Attendance and completion of designated classroom claims professional training program. + Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. + Participates in rotational assignments to provide temporary support for office needs. **QUALIFICATIONS** Bachelor's or Associate's degree from an accredited college or university preferred. **EXPERIENCE** Prior education, experience, or knowledge of: - Customer Service - Data Entry - Medical Terminology (preferred) - Computer Recordkeeping programs (preferred) - Prior claims experience (preferred) Additional helpful experience: - State license if required (SIP, Property and Liability, Disability, etc.) - WCCA/WCCP or similar designations - For internal colleagues, completion of the Sedgwick Claims Progression Program **TAKING CARE OF YOU** + Entry-level colleagues are offered a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career development and promotional growth opportunities + A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 25.65/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claims #claimsexaminer #entrylevel #remote #LI-Remote_ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $35k-43k yearly est. 3d ago
  • Claims Processor Analyst

    Stefanini 4.6company rating

    Claim specialist job in Overland Park, KS

    Stefanini is a global IT services company with over 88 offices in 39 countries across the Americas, Europe, Africa, Australia, and Asia in 35 languages. Since 1987, Stefanini has been providing offshore, onshore, and nearshore IT services, including application development, IT infrastructure outsourcing, systems integration, consulting and strategic staffing to Fortune 1000 enterprises around the world. Job Description Educates patients, their families and health care professionals in the use of the organization's products and services. Organizes and conducts classes and individual meetings to demonstrate how the organization's products and services contribute to the maintenance and improvement of health and/or the management of specific diseases and physical conditions. Prepares and distributes educational and instructional material (e.g., booklets, promotional kits). May expand patient pool through participation in referral and screening programs. Provides information and suggestions to sales and/or medical representatives and management on the results of educational programs, including comments and questions from patients and health care professionals. Has developed specialized skills or is multi-skilled through job-related training and considerable on-the-job experience. Completes work with a limited degree of supervision Likely to act as an informal resource for colleagues with less experience Identifies key issues and patterns from partial/conflicting data Post-secondary certifi./Assoc. degree in applicable discipline and 3-5 Yrs of related Exp. Qualifications Previous Medical Claims Experience Strong Problem-Solving Skills Previous Experience Calling Plans & figuring out patient's out of pocket costs for both Medical & Pharmacy Plans Additional Information All your information will be kept confidential according to EEO guidelines.
    $29k-47k yearly est. 15h ago
  • Independent Insurance Claims Adjuster in Lawrence, Kansas

    Milehigh Adjusters Houston

    Claim specialist job in Lawrence, KS

    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.
    $45k-55k yearly est. Auto-Apply 60d+ ago
  • Field Claims Adjuster

    EAC Claims Solutions 4.6company rating

    Claim specialist job in Lawrence, KS

    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.
    $46k-54k yearly est. 60d+ ago
  • Public Adjuster

    The Misch Group

    Claim specialist job in Kansas City, KS

    Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Location: Primary Locations: KS City, Des Moines IA, State of CO, State of CA, St. Louis, State of IL with emphasis on ChicagoCompensation: $75,000 - $100,000 compensation + Performance-based bonuses QUICK FACTS: Must have Public Adjuster License Must have experience with Xactimate Must have network of Condo, Apartment, Property Management partners Must be able to physically examine all buildings top to bottom (roofs as well) About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth. Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment. Key ResponsibilitiesKey Responsibilities: Identify and pursue new business opportunities with homeowners, contractors, and referral partners. Educate prospective clients on our services and guide them through the insurance claims process. Develop and maintain a pipeline of leads through prospecting and networking efforts. Conduct presentations and training sessions to build brand awareness and establish partnerships. Provide exceptional customer service to existing clients, ensuring their satisfaction and retention. Work closely with internal teams to optimize the sales process and improve closing rates. Maintain accurate records of sales activities and client interactions. Skills, Knowledge and ExpertiseQualifications & Experience: 3+ years of proven sales experience as a licensed Public Adjuster Strong ability to generate leads, manage relationships, and close deals. Bachelor's degree in Business, Marketing, Communications, or equivalent experience. Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms. Highly organized with strong follow-through skills in a fast-paced environment. Public Adjuster license BenefitsWhat We Offer: Extensive training and support to help you succeed. Flexible work environment with opportunities for growth and career advancement. A team-oriented culture with strong leadership and professional development opportunities. If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!
    $75k-100k yearly 8d ago
  • Associate Claims Examiner - Equine

    Markel Corporation 4.8company rating

    Claim specialist job in Omaha, NE

    What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of low complexity and low exposure claims and provide support to other team members as directed. This position will work closely with their manager to train and develop fundamental claims handling skills. Job Responsibilities * Confirms coverage of claims by reviewing policies and documents submitted in support of claims. * Conducts, coordinates and directs investigation into loss facts and extent of damages. * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure. * Strong emphasis on customer service to both internal and external customers is a major focus for the ACE as this role will handle small commercial claims that require excellent customer service to insureds and agents. * Set reserves within authority (up to $25,000) and resolve claims within a prompt timeframe avoiding expense relating to independent adjusting. Required Qualifications * This role will is responsible for Equine claims; equine knowledge or hands-on experience working with horses is strongly preferred. * Must have or be eligible to receive claims adjuster license. * Successful completion of basic insurance courses or achievement of industry designations. * Ability to be trained in insurance adjusting up to two years of claims experience. * 2-4 years of experience in general liability, construction defect, or related liability lines preferred. * Bachelor's degree preferred * Excellent written and oral communication skills. * Strong organizational and time management skills. #LI-Hybrid US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.
    $34k-47k yearly est. Auto-Apply 11d ago
  • Claims Analyst

    Panasonic North America 4.5company rating

    Claim specialist job in De Soto, KS

    Do you want to join a team that's changing the world? Do you have a strong background as a Claims Analyst? Then we're looking for you! Check out the job description and apply now! Put your skills to meaningful use, gain unique experience, and work with world-class team members with diverse backgrounds and expertise who share the same vision. Join the PECNA team today! **Responsibilities** **Meet the Recruiter: (*************************************** Anh Martin** **Summary:** Join us at Panasonic Energy as we expand to De Soto, Kansas, where we're building the world's largest lithium-ion battery factory. This is an exciting opportunity to grow your career while contributing to the future of electric vehicles. As part of our team, you'll help push the limits of battery technology, enhancing performance and efficiency in sustainable transportation. Our state-of-the-art facility, just outside the Kansas City Metro, will be a hub for innovation in green energy solutions. If you're passionate about sustainability and eager to contribute to the electric vehicle revolution, we invite you to be part of our dynamic team. Join us and make a meaningful impact on the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in the insurance claims lifecycle at a high-volume, 24/7 lithium-ion battery manufacturing facility. This position serves as a bridge between the administrative functions of the Claims Coordinator and the strategic oversight of the Claims Manager. The Analyst supports complex claims analysis, documentation, investigation coordination, and regulatory compliance, while identifying trends to improve loss control. Strong technical knowledge of claims processes, OSHA recordkeeping, and data analysis is critical to success in this role. **Essential Duties:** **Claims Administration & Reporting:** + Support timely and accurate reporting of all claims to insurance carriers in compliance with policy and regulatory standards + Maintain and update claim files in the Claims Management System (CMS) with documentation, notes, and supporting evidence + Review claims for completeness, accuracy, and compliance prior to submission; flag discrepancies for correction + Prepare internal reports summarizing claim activity and status for management review + Assist with OCIP enrollments and claims tracking related to contractor claims as needed **Incident Investigation & Regulatory Compliance:** + Collaborate with EHS, HR, Legal, and Operations teams to ensure thorough investigation documentation + Assist in collecting evidence such as witness statements, photos, and reports following incidents + Monitor OSHA 1904 Recordkeeping compliance, reviewing reportable vs. recordable classifications + Enter and audit injury and illness records and assist with annual OSHA log preparation and submittal **Claims Analysis & Loss Prevention:** + Track and analyze claims data to identify patterns, trends, and areas of high exposure + Generate loss run reports, root cause summaries, and trend dashboards for internal use + Participate in risk assessments and offer recommendations for claim prevention strategies + Assist in evaluating TPA performance through claims cycle metrics and communication reviews **Stakeholder Communication & Support:** + Act as a liaison between internal stakeholders and external parties (e.g., insurance carriers, TPAs, attorneys, medical providers) + Provide technical support and clarification to Claims Coordinators, Supervisors, and Managers on complex cases + Coordinate claim review meetings and ensure preparation of all related materials + Provides mentorship or guidance to Claims Coordinators as needed **Personal Protective Equipment (PPE) Requirements:** + To ensure health and safety in the workplace and for employee protection, wearing PPE is a possibility and includes equipment such as a full Tyvek suit, safety shoes, gloves, safety glasses, face mask, and a full hazmat suit that includes a respirator. A respirator fit test will be required based on functional area. **_The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job._** **Qualifications** **Qualifications:** **Education:** + **Required:** Bachelor's degree in Risk Management, Insurance, Business Administration, Occupational Safety, or a related field + **Preferred:** Master's Degree in Business Administration, Occupational Safety, or Risk Management **Essential Qualifications:** + 4-6 years of experience in insurance claims handling, investigation coordination, or risk administration + Working knowledge of general liability, workers' compensation, property, or pollution/environmental claims + Familiarity with OSHA regulations, especially 1904 Recordkeeping Standards + Proficient in Microsoft Office Suite (Excel, Word, Outlook); experience with RMIS and digital claims platforms + Strong analytical skills and ability to interpret loss data and performance metrics + Excellent written and verbal communication and professional presentation skills + Detail-oriented with strong judgment and decision-making capabilities + Ability to multitask and manage competing priorities in a fast-paced environment + Must have working-level knowledge of the English language, including reading, writing, and speaking English + Alignment to Panasonic's seven (7) core principles (contribution to society, fairness and honesty, cooperation and team spirit, untiring effort for improvement, courtesy and humility, adaptability, gratitude) **Preferred Qualifications:** + Experience in an industrial, construction, or manufacturing claims setting + Knowledge of OCIP or CCIP programs and related claims processes + Experience supporting insurance audits, renewals, or risk financing strategies + Experience guiding or mentoring junior claims staff, or serving as a technical resource + Familiarity with loss control or claims prevention initiatives in a manufacturing setting **Preferred Certification(s):** + AIC - Associate in Claims - strongly recommended + INS - Certificate in General Insurance + ARM - Associate in Risk Management + OSHA 1904 Recordkeeping Standard Training - strongly recommended + CRIS - Construction Risk and Insurance Specialist **Physical Demands:** **Physical Activities:** Percentage of time (equaling 100%) during the normal workday the employee is required to: + Sit: 40% + Walk: 30% + Stand: 20% + Lift: 10% **Required Lifting and Carrying:** _Not required (0%), Occasional (1-33%), Frequent (34-66%), Continuous (67-100%)_ For this position, the required frequency is: + Up to 10 lbs.: Occasional + Up to 20 lbs.: Not Required + Up to 35 lbs.: Not Required + Team-lift only (over 35 lbs.): Not Required **Who We Are:** Meet Panasonic Energy (*************************************************** ! At Panasonic Energy, you'll do work that matters as we are dedicated to transforming the world through the acceleration of sustainable energy. By producing safe, high-quality lithium-ion batteries, you become part of a team that plays a crucial role in creating technologies that move us (********************************************* . This is an exciting time to join us as we expand our operations to De Soto, Kansas and build the world's largest lithium-ion battery factory. We will provide you with the opportunity to experience career growth in more ways than one. As an innovative thinker, you'll thrive here, as we continually push the boundaries of lithium-ion battery technology and production capabilities to enhance efficiency and performance in EVs. Being part of Panasonic Energy means positively contributing to society, aligning with our commitment to building a better world through sustainable energy solutions. We care about what you care about, fostering an environment where your contributions make a meaningful impact on the future of energy and transportation. Join us and be part of a team that values your work, encourages innovation, and actively contributes to a positive societal impact. In addition to an environment that is as innovative as our products, we offer competitive salaries and benefits. **We Take Opportunity Seriously:** At Panasonic Energy, we are committed to a workplace that genuinely fosters inclusion and belonging. Fairness and Honesty have been part of our core values for more than 100 years and we are proud of our diverse culture as an equal opportunity employer. We understand that your career search may look different than others and embrace the professional, personal, educational, and volunteer opportunities through which people gain experience. If you are actively looking or starting to explore new opportunities, submit your application! **Where You'll Be:** For our onsite roles, Panasonic Energy is committed to fostering an ideal working environment that goes beyond the conventional. We understand the significance of moments that matter in your onsite experience, and we prioritize creating a workspace that not only promotes productivity but also ensures a fulfilling and positive work atmosphere. Join us at Panasonic Energy, where your onsite presence is valued, and we strive to make each moment count in your professional journey. **Benefits & Perks - What's In It For You:** Panasonic Energy prioritizes total well-being and offers comprehensive benefits options to support physical, emotional, financial, social, and environmental health: + Highly inclusive and class-leading healthcare options to include family planning, mental health, and pet insurance + Employee assistance programs that support total well-being with complimentary session offered each and every month + Company-matched and fully vested 401K retirement program that starts immediately from date of enrollment + Annual bonus program, High5 employee recognition and awards platform, quarterly and annual employee recognition + Simplified access to self-guided and representative-supported short and long-term financial wellness and retirement planning + Educational Assistance & Reimbursement Program + Inclusion programs and associated employee resource groups that promote representation and belonging + Leadership, career, and mentorship development programs opportunities at all levels across the organization + Collaborative and motivating culture routed in continuous personal and professional growth and much more. **Supplemental Information:** Pre-employment drug testing is required. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by law. All qualified individuals are required to perform the essential functions of the job with or without reasonable accommodation. _Due to the high volume of responses, we will only be able to respond to candidates of interest. All candidates must have valid authorization to work in the U.S. without restriction._ **Thank you for your interest in Panasonic Energy Corporation of North America.** **\#LI-AM1** R-103296
    $39k-58k yearly est. 8d ago
  • 92S Shower & Laundry Specialist - Hiring Immediately

    Us Army 4.5company rating

    Claim specialist job in McPherson, KS

    92S Shower & Laundry Specialist As a Shower & Laundry Specialist, you'll be responsible for establishing and performing personnel laundry and shower operations. Requirements A U.S. Citizen or permanent resident with a valid Green Card 17 to 34 Years Old High School Diploma or GED Meet Tattoo Guidelines No Major Law Violations No Medical Concerns Testing & Certifications 5 Nationally Recognized Certifications Available 10 weeks of Basic Training 6 weeks of Advanced Individual Training 84 ASVAB Score: General Maintenance (GM) Skills You'll Learn Organizational Laundry Mobile Shower Operations Planning & Scheduling About Our Organization: The U.S. Army offers a wealth of possibilities for your future - whether you are looking to build a meaningful career, continue your education, or start a family, the Army is committed to helping you build the future you are looking for and improve yourself in the process. Be All You Can Be. Now Hiring Part Time Positions. ***Click apply for an Interview***
    $27k-42k yearly est. 13d ago
  • Public Adjuster

    The Misch Group

    Claim specialist job in Kansas City, MO

    Department Insurance & Financial Services Employment Type Full Time Location Missouri Workplace type Hybrid Compensation $90,000 - $120,000 / year Key Responsibilities Skills, Knowledge and Expertise Benefits About The Misch Group Stone Hendricks Group is a direct-hire search firm that brings together years of experience and a diverse range of talent to connect businesses with exceptional job candidates. With a focus on timely and effective recruitment, we understand the power of a well-formed employee base in helping businesses achieve their goals. We offer our services to businesses of all sizes, providing qualified candidates for blue- and grey-collar roles, as well as white-collar and executive positions. The success of our direct-hire search process is driven by our advanced training, proprietary technology, and extensive network across industries. At Stone Hendricks Group, we value integrity and prioritize connectedness, commitment, and candor in our interactions with both employers and job seekers. Our clients consider us trusted advisors, relying on the highly personalized service we provide and our ability to find candidates that are an ideal fit for their unique needs. Choose Stone Hendricks Group for unsurpassed direct-hire search services that match successful organizations with talented job candidates.
    $38k-51k yearly est. 60d+ ago

Learn more about claim specialist jobs

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

The average claim specialist in Topeka, KS earns between $29,000 and $73,000 annually. This compares to the national average claim specialist range of $27,000 to $67,000.

Average claim specialist salary in Topeka, KS

$46,000
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