• Harbor Health Services, Inc. (Mattapan, MA)
    …and much more! Role: Reporting to the Senior Director of Health Plan Operations , the Director of Utilization Management and Quality Programs is responsible for the ... activities to improve patient care and ensure efficient and cost-effective operations . The Director of Utilization Management and Quality Programs develops systems,… more
    job goal (12/10/25)
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  • Senior Claims Specialist

    Falvey Insurance Group (Phoenix, AZ)
    …through best-in-class claims operations . Position Functions The Senior Claims Specialist duties will include: + Manage complex transportation and ... Summary of Position At Falvey Insurance Group, the Senior Claims Specialist plays a critical part in supporting our Transportation & Logistics solution; a… more
    Falvey Insurance Group (11/26/25)
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  • Specialist , Fraud Operations

    Santander US (Quincy, MA)
    …the possibilities **We Want to Talk to You!** **The Difference You Make** : The Specialist , Claims & Fraud Operations performs routine, analytical review of ... Specialist , Fraud Operations Country: United States of America **Your Journey Starts Here:** Santander is a global leader and innovator in the financial services… more
    Santander US (12/06/25)
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  • RCIS Crop Claims Specialist (West…

    Zurich NA (St. Paul, MN)
    RCIS Crop Claims Specialist (West or Central MN)... in the facilitation of general day to day operations and claims management. In addition, the ... is currently looking for a or an experienced Crop Claims Specialist to join our Rural Community...Management Agency initiated reviews and referrals for sake of operations integrity and quality assurance. + Protect Zurich's reputation… more
    Zurich NA (10/11/25)
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  • Claims , Quality Assurance…

    AIG (Atlanta, GA)
    Claims , Quality Assurance Specialist - Worker's...an exciting time to join us - across our operations , we are thinking in new and innovative ways ... Compensation Join us as a Claims QA Specialist to make more of your specialist ...specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven… more
    AIG (10/01/25)
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  • Senior Claims Specialist

    BrightView (Blue Bell, PA)
    …team where you can grow to be your brightest. We're looking for a Senior Claims Specialist . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in ... At This Time **Here's what you'd do:** The Senior Claims Specialist is a key member of...coverage, and contractual risk transfer. + Coordinate with field operations to ensure timely incident reporting and appropriate documentation… more
    BrightView (11/15/25)
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  • Claims Specialist II

    ENFRA (Metairie, LA)
    …than just values-they are the pillars of our continued success. **Overview** The Claims Specialist II is responsible for the overall administration of property ... Liability, and Worker's Compensation). Works closely within the Risk Management team ( Claims , Legal, and Operations Senior Leadership) to mitigate losses and… more
    ENFRA (10/10/25)
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  • Casualty Claims Specialist III,…

    AIG (Lenexa, KS)
    …reimagining the way we help customers to manage risk. Join us as a Casualty Claims Specialist III to play your part in that transformation. It's an opportunity ... and efficiency. How you will create an impact The Claims Specialist III will handle auto and...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
    AIG (12/10/25)
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  • Workers' Compensation Litigated Claims

    Zurich NA (Schaumburg, IL)
    Workers' Compensation Litigated Claims Specialist (IN/IL) 129136 Zurich North America is seeking a sharp, solutions-driven Workers' Compensation Litigated ... Claims Specialist II to join our high-performing...multi-state experience is essential to effectively support our regional claims operations and drive strong outcomes. In… more
    Zurich NA (12/04/25)
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  • Claims Specialist - Aviation

    AIG (Atlanta, GA)
    …we are reimagining the way we help customers to manage risk. Join us as a Claims Specialist - Aviation to play your part in that transformation. It's an ... and efficiency. How you will create an impact As Claims Specialist for Aviation Claims ...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more
    AIG (12/04/25)
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  • Claims Specialist III, Auto…

    AIG (Atlanta, GA)
    Claims Specialist III, Auto & General Liability Join...is an exciting time to join us - across our operations , we are thinking in new and innovative ways to ... us as a Claims Specialist III to take on key responsibilities within a world-class claims function. Make your mark in Auto/General Liability Our Claims more
    AIG (11/15/25)
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  • Claims Specialist - Auto/GL

    Pike Corporation (Mount Airy, NC)
    Position Overview: The primary purposed of Claims Specialist is to manage various claims made related to auto, general liability, property damage and ... worker's compensation. This Specialist will be responsible to successfully process and/ or...knowledge base. + Handles multiple functions related to business operations , claims processing, and office workflows. +… more
    Pike Corporation (10/04/25)
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  • WC Claims Specialist

    Arrow Exterminators, Inc. (Atlanta, GA)
    …Full Time Arrow Exterminators is currently seeking a highly skilled and proactive WC Claims Specialist to lead and oversee the day-to-day management of our ... Workers' Compensation (WC) claims . The ideal candidate will be responsible for collaborating...with HR, the SVP of Risk Management, Safety, and Operations teams to support return-to-work initiatives and ensure modified… more
    Arrow Exterminators, Inc. (12/11/25)
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  • Workers Compensation Claims

    NJM Insurance (NJ)
    NJM's WC Claims Department is seeking an experienced Claims Specialist , Sr. who lives in Western or Central PA to provide on-site service to our ... in the growth and success of our policyholders' business operations . To meet these expectations, WC Claims ...business operations . To meet these expectations, WC Claims Specialists are supported by a dedicated call center… more
    NJM Insurance (12/03/25)
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  • Insurance Claims Specialist

    DoorDash (Tempe, AZ)
    …the company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations , and Risk Management & Mitigation. We are looking for ... partners at DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's Corporate Risk & Insurance… more
    DoorDash (12/10/25)
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  • RCIS Crop Claims Specialist

    Zurich NA (Springfield, IL)
    RCIS Crop Claims Specialist 128694 Zurich is currently looking for Crop Claims Specialist to join our Rural Community Insurance Services (RCIS) team. ... determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage. +… more
    Zurich NA (11/13/25)
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  • FLEX Claims Support Specialist

    Marriott (Bethesda, MD)
    …The Claims Support Specialist will provide administrative support for Claims Operations , including daily assignment of international claims , document ... handling, mail routing and check processing. The Claims Support Specialist reports to the Sr. Director, Global Claims and interacts with our customers and… more
    Marriott (10/06/25)
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  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    …will not be considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst ... and Medicare Advantage programs. Under the direction of the Director of Claims Operations and Quality Assurance, this role is responsible for the end-to-end… more
    Commonwealth Care Alliance (11/30/25)
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  • Medicare/Medicaid Claims Editing…

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not ... the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr....on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into… more
    Commonwealth Care Alliance (11/25/25)
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  • Claims Adjudication Specialist

    Mass Markets (Killeen, TX)
    …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have strong critical… more
    Mass Markets (11/26/25)
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