Top 1559 Claims Jobs in Louisiana

Director of Claims
Stonetrust Commercial Insurance Company —Baton Rouge, LA
- $69,657.41 - $83,888.49 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- 5 years
- Health savings account
- Health insurance
Quick Apply
Field Auto Claims Adjuster - Louisana
National General —Lafayette, LA
- $26.20 - $38.50 an hour
- Online Application
- Mid-level
- Analysis skills
- US work authorization
SIU Field Investigator
National General —Shreveport, LA
- Online Application
- Analysis skills
- US work authorization
- Fair chance
9d
Senior Claim Benefit Specialist - Remote
CVS Health —Louisiana
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
Medical Claim Analyst
CVS Health —Louisiana
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
8d
Claims Analyst - REMOTE
Ryder System —Baton Rouge, LA
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Customer Service / Healthcare Claims Rep (Remote)
Concentrix —Louisiana
- $15 - $18 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
1d
Plan Testing Analyst
CVS Health —Louisiana
- $21.10 - $49.08 an hour
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
8d
Fraud and Abuse Investigator / CPC - Remote
Sentara Workforce Solutions, LLC —Denham Springs, LA
- $25.60 - $42.67 an hour
- Overtime
- Remote
- Mid-level
- Bachelor's degree
- 2 years
- 403(b) matching
- Paid parental leave
Quick Apply
1d
Senior Program Manager / Project Manager - Medicaid Claims
CVS Health —Louisiana
- $106,605 - $284,280 a year
- Full-time
- Remote
- Bachelor's degree
- Mentoring
- Fair chance
- Health insurance
- Dental insurance
Senior Claims Representative - REMOTE
Ryder System —Baton Rouge, LA
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
Field Auto Claims Adjuster - Louisana - National General
National General —Lafayette, LA
- $26.20 - $38.50 an hour
- Online Application
- Mid-level
- Analysis skills
- US work authorization
Senior Investigator
UnitedHealthcare —New Orleans, LA
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Travel
- AD&D insurance
- Employee stock purchase plan
9d
Personal Insurance Associate General Adjuster / General Adjuster - CA/AZ
The Hartford —Metairie, LA
- $85,200 - $162,000 a year
- Full-time
- Remote
- Mid-level
- Residential
- Microsoft Office
10d
Business Analyst, Regulatory Reporting Solutions (Remote)
CVS Health —Louisiana
- $43,888 - $102,081 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Data entry
- Health insurance
- Dental insurance
Healthcare Encounter Senior Analyst
CVS Health —Louisiana
- $46,988 - $122,400 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
Claims Specialist- Liab
Broadspire Services, Inc. —New Orleans, LA
- Full-time
- Writing skills
- Mid-level
- Driver's License
- Paid parental leave
- Health savings account
Quick Apply
1099 Field Adjuster - New Orleans, LA
CCMS & Associates —New Orleans, LA
- Microsoft Word
- Background check
- Customer service
Quick Apply
Manager, Payment Integrity-COB/TPL /Subrogation
Centene —Louisiana
- $87,700 - $157,800 a year
- Full-time
- Remote
- Management
- Mid-level
- Supervising experience
- Paid holidays
- Health insurance
1d
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Baton Rouge, LA
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance

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Director of Claims

Stonetrust Commercial Insurance Company -
Baton Rouge, LA

Quick Apply

Job Details

Full-time
$69,657.41 - $83,888.49 a year

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Vision insurance
401(k) matching
Professional development assistance
Life insurance

Qualifications

Staff supervision
Team supervision
Workers' compensation insurance knowledge
Managing insurance claims teams

Full Job Description

At Stonetrust, it is our goal to be the “First Choice” workers’ compensation carrier in all of the markets we serve, and we are dedicated to being a professional and reliable partner to our policyholders and agents by working with them to increase workplace safety, minimize accidents, and reduce claim costs.

Our headquarters are in Baton Rouge, Louisiana, and we provide workers’ compensation coverage to businesses in Louisiana and thirteen other states in the southern mid-western region.

We have seen many changes since our start as a self-insurance fund in 1993, and we are proud to have grown to be an A rated carrier. How did we get here? It's simple – we are a relationship-focused company that cares about people.

To learn more about Stonetrust, please visit www.stonetrustinsurance.com.

We are seeking an experienced Director of Claims.

The ideal candidate is a proactive, goal-oriented, and highly organized workers compensation claims professional who has a passion for leadership, learning, and innovation and a commitment to excellence. Primarily responsible for the day-to-day oversight of claim-handling and all related functions. Will be a key operational partner working closely with executive leadership to drive strategic initiatives, manage projects, and ensure that claims are handled appropriately according to applicable legal and industry best practice standards. Plays a pivotal role in delivering excellent results by modeling high performance and motivating staff while building strong relationships across teams throughout the organization.

Responsibilities:

Leadership and Team Management

Provide day to day operational leadership for the claims team in alignment with department goals and executive guidance.
Lead and develop a highly performing team through staff development, mentoring, and coaching.
Foster staff growth and accountability, both individually and collectively.
Develop staff knowledge and expertise by serving as a resource for claim-related questions and technical guidance.
Assist departmental planning efforts by working with staff to set annual performance goals and monitor results regularly to ensure targets are met.
Assure the delivery of superior customer service internally and externally.

Operations and Oversight

Oversee all claim-handling activities and functions and ensure that all functions are executed in compliance with applicable laws, regulations, industry best practices, and department policies.
Develop and execute effective strategies for managing claims and claims related functions, processes, and workflows.
Analyze, report, and present data on trends, costs, and KPIs.
Administer the internal claim review process and provide reports to staff members and executive leadership.
Manage the timely, adequate, and appropriate setting of reserves through continuous review and analysis, as well as oversight of reserves within reserve authority levels.
Review settlement evaluations and provide authority within authority levels.
Provide proactive communication on case activity, department performance, and operational needs.
Develop and implement operational policies, procedures, workflows, and advocacy initiatives to reduce complaints, disputes, and litigation.
Monitor reports of suspected fraud and issues of coverage and compensability that may lead to denial of claim to determine if executive review and/or outside counsel is required.

Compliance and Technical Expertise

Monitor and ensure departmental compliance with all state workers’ compensation commission rules, as well as NCCI, Medicare, and other federal rules and regulations .
Maintain up to date knowledge of relevant laws and regulations, stays abreast of legislative activity and industry and market trends.
Timely communicate all developments to staff.

Cross-Functional Collaboration

Work with Information Systems to develop, test, and implement claims systems enhancements.
Participate in leadership meetings to provide insights and updates on claims activities.
Provide technical support and training to internal teams and external stakeholders.

Knowledge, Skills, and Abilities:

Advanced/specialized knowledge of workers compensation insurance, laws, and regulations.
Proven ability in staff leadership, coaching, and development.
Strong expertise in workers’ compensation claim handling.
Demonstrated fluency of claims processes, controls, and regulatory standards.
Familiarity with claims management software and data analysis tools.
Strategic mindset with ability to drive process improvements and customer satisfaction.
Elevated level of analytical and critical thinking abilities.
Excellent verbal and written communication skills, including the ability to effectively communicate with internal and external customers.
Strong leadership and negotiation skills.
Excellent computer proficiency (MS Office – Word, Excel and Outlook).
Must be licensed in all relevant jurisdictions or have the ability to obtain licensure as required.
Must be organized, detail oriented, able to effectively manage time under pressure and meet deadlines while maintaining a positive attitude and providing exemplary customer service.
Must have the ability to learn new tasks, remember processes, maintain focus, complete tasks independently, make timely decisions in the context of department workflows, and complete tasks in situations that have a productivity quota and/or are time sensitive.

Training and Experience/Minimum Qualifications:

Bachelor’s Degree preferred.
Prior experience in the handling and supervision of workers’ compensation claim required.
10+ years related experience, including 5+ years of supervisory experience required.
AIC, CPCU, or ARM designation preferred.
Experience with multi-jurisdictional claims programs preferred.

Working Conditions:

Office environment.
Sedentary work – must be able to remain in a stationary position 90% of the time.
Occasional travel required.
Ability to operate standard office equipment and keyboards, walk short distances, exert negligible amounts of force infrequently to lift, carry, push, pull, or otherwise move objects, and/or drive a vehicle infrequently to deliver or pick up materials.
Must have close visual acuity to perform activities such as: preparing and analyzing data and figures; transcribing; viewing and computer terminal; extensive reading.
Ability to safely and successfully perform the essential job functions consistent with all federal, state, and local standards.
Ability to meet qualitative and/or quantitative productivity standards.
Ability to maintain regular, punctual attendance.

Pay: $69,657.41 - $83,888.49 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Health savings account
Life insurance
Paid time off
Parental leave
Professional development assistance
Vision insurance

Work Location: Hybrid remote in Baton Rouge, LA 70808

Quick Apply

Refine Your Search

claims jobs in louisiana

Director of Claims

Field Auto Claims Adjuster - Louisana

SIU Field Investigator

Senior Claim Benefit Specialist - Remote

Medical Claim Analyst

Claims Analyst - REMOTE

Customer Service / Healthcare Claims Rep (Remote)

Plan Testing Analyst

Fraud and Abuse Investigator / CPC - Remote

Senior Program Manager / Project Manager - Medicaid Claims

Senior Claims Representative - REMOTE

Field Auto Claims Adjuster - Louisana - National General

Senior Investigator

Personal Insurance Associate General Adjuster / General Adjuster - CA/AZ

Business Analyst, Regulatory Reporting Solutions (Remote)

Healthcare Encounter Senior Analyst

Claims Specialist- Liab

1099 Field Adjuster - New Orleans, LA

Manager, Payment Integrity-COB/TPL /Subrogation

Investigator, Special Investigations Unit (Meritain Health)

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