Top 9454 Claims Representative Jobs

Workers Compensation Claims Specialist, West
CNA Insurance —Brea, CA
- $54,000 - $103,000 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Analysis skills
Authorization Representative
Therapeutic Associates Physical Therapy —Remote
- $17 - $20 an hour
- Full-time
- Remote
- Customer service
- Medical office experience
- Physical & Rehabilitation Medicine
- Profit sharing
- Wellness program
Quick Apply
Claims Customer Service Representative II (Remote)
American Medical Association —Chicago, IL
- $23.63 - $30.83 an hour
- Remote
- Microsoft Excel
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
12d
Long Term Care Benefit Claim Specialist
Mutual of Omaha —Remote
- $24 - $28 an hour
- Email
- Remote
- Customer service
- Mid-level
- Experience equivalent to degree accepted
- Paid holidays
- 401(k)
Billing Specialist
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- 5 years
- Writing skills
- English
- Health savings account
- Paid holidays
Quick Apply
Pharmacy Claims Representative (remote)
Dragonfly Health —Arlington, TX
- From $22 an hour
- 12 hour shift
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Authorization Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- Writing skills
- English
- Mid-level
- Health savings account
- Paid holidays
Quick Apply
Claims Representative
Mercury Insurance Services, LLC —Los Angeles, CA
- $18.26 - $20.19 an hour
- Microsoft Outlook
- High school diploma or GED
- Conflict management
- Paid training
- Paid holidays
12d
Auto Claims Specialist
Revecore —Remote
- $15 an hour
- Remote
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Paid holidays
14d
Associate Claims Representative (Remote)
MEM —Kansas City, MO
- Full-time
- Remote
- No high school diploma
- Mid-level
- High school diploma or GED
- Profit sharing
- Paid jury duty
Billing Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- 5 years
- Writing skills
- English
- Health savings account
- Paid holidays
Quick Apply
Temporary, Billing Reimbursement Specialist II
NeoGenomics Laboratories —Remote
- Temporary
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
Collections Specialist - RCM
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- 5 years
- Writing skills
- English
- Health savings account
- Paid holidays
Quick Apply
Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | Remote
Sedgwick —North Carolina
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health savings account
- Disability insurance
CLAIMS REPRESENTATIVE
Dollar General —Goodlettsville, TN
- $60,000 - $67,000 a year
- Full-time
- Remote
- Customer service
- Mid-level
- Organizational skills
10d
Locate Claims Specialist
CLAIMS MANAGEMENT RESOURCES INC —Remote
- $12.00 - $13.50 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
Managed Care Follow Up Specialist
Elevate Patient Financial Solutions —Remote
- $22.50 - $28.38 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
13d
Long Term Care Claims Representative – Payment Servicing
Genworth —Richmond, VA
- $56,900 - $83,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Loan repayment program
5d
Collections Specialist - Revenue Cycle Management
Vital Care Infusion Services —Remote
- $18.92 - $23.46 an hour
- Full-time
- Remote
- 5 years
- Writing skills
- English
- Health savings account
- Paid holidays
Quick Apply
Work from Home: Customer Service Representative (Healthcare)
Sagility —Remote
- $14 - $15 an hour
- Weekends as needed
- Remote
- 18 years or older
- Research
- High school diploma or GED
- Paid training
- Disability insurance

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Workers Compensation Claims Specialist, West

CNA Insurance -
Brea, CA

Apply Now

Job Details

Full-time
$54,000 - $103,000 a year

Qualifications

Mid-level
3 years
Analysis skills
Communication skills

Full Job Description

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.

Under technical direction, investigates and maintains Long Term Care claims. Works within specific limits of authority on assignments of significant technical complexity and coordination. Utilizing claims policies and guidelines, reviews coverages, determines liability and compensability, secures information, and negotiates and settles claims.

JOB DESCRIPTION:

Essential Duties & Responsibilities

Performs a combination of duties in accordance with departmental guidelines:

Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.
Sets activities, reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing loss costs and expenses.
Coordinates and performs investigations and evaluates claims and suits through contact with insureds, claimants, business partners, witnesses and experts. Seeks early resolution opportunities. Identifies files that have potential fraud and refers to SIU.
Utilizes negotiation skills to develop complex settlement packages.
Identifies claims with third party recovery potential and coordinates with subrogation/salvage unit.
Partners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims.
Analyzes claims activities. Prepares and presents reports for management. May be responsible for special projects and presentations.
Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.
May provide guidance and assistance to other claims staff and functional areas.
Keeps current on state/territory regulations and issues as well as industry activity and trends.

May perform additional duties as assigned.

Reporting Relationship

Typically Manager or above

Skills, Knowledge & Abilities

1. Solid knowledge of claims and insurance industry theory and practices.
2. Demonstrated technical expertise and product specific knowledge.
3. Strong interpersonal, communication and negotiation skills. Ability to effectively interact with all levels of CNA's internal and external business partners.
4. Ability to work independently, managing time and resources to accomplish multiple tasks and meet deadlines.
5. Strong analytical and problem solving skills enabling viable alternative solutions.
6. Ability to exercise independent judgement and make critical business decisions effectively assessing the merits of claims as well as evaluating claims based on a cost benefit analysis.
7. Solid knowledge of Microsoft Office Suite as well as other business-related software.
8. Ability to adapt to change and value diverse opinions and ideas.
9. Ability to fully comprehend claim information; and to further articulate analyses of claims in internal reports.
10. Ability to handle claims with a proactive long-term view of business goals and objectives.

Education & Experience

1. Bachelor's degree or equivalent experience. Professional designations preferred.
2. Typically a minimum three to five years claims experience.

#LI-AR1

#LI-Hybrid

In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees – and their family members – achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA’s benefits, please visit cnabenefits.com.

CNA utilizes AI-enabled technology during the recruiting process. For more information, please visit our careers page.

CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact [email protected]

Apply Now

Refine Your Search

Claims Representative jobs

Workers Compensation Claims Specialist, West

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Claims Customer Service Representative II (Remote)

Long Term Care Benefit Claim Specialist

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Pharmacy Claims Representative (remote)

Authorization Specialist - Revenue Cycle Management

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Associate Claims Representative (Remote)

Billing Specialist - Revenue Cycle Management

Temporary, Billing Reimbursement Specialist II

Collections Specialist - RCM

Liability Claims Representative | GL, BI, Auto & Premise Liability Experience | Nationwide jurisdictions | Home State Licensing | Remote

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Locate Claims Specialist

Managed Care Follow Up Specialist

Long Term Care Claims Representative – Payment Servicing

Collections Specialist - Revenue Cycle Management

Work from Home: Customer Service Representative (Healthcare)

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