• Claim Specialist I

    AIG (Charleston, WV)
    Claim Specialist I, Charleston, WV Dedicated Office Estimated...we help customers to manage risk. Join us as a Claims Specialist I to play your part in ... WV account. How you will create an impact The Claims Specialist I will handle auto and...and gathering information to determine the exposure on the claim ; ensure proactive claims handling aimed at… more
    AIG (01/05/25)
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  • Environmental Claims Specialist

    Sedgwick (Charleston, WV)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Environmental Claims Specialist **Job Description Summary** To analyze complex or ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
    Sedgwick (10/29/24)
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  • Sr. Claims Specialist , Professional…

    Sedgwick (Charleston, WV)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Claims Specialist , Professional Liability (Cyber) **PRIMARY PURPOSE** **:** To ... guidance to less experienced team members on complex cyber claims Reporting and Analytics: + Prepare detailed claim... claims Reporting and Analytics: + Prepare detailed claim reports and analyses for insurance company + Calculates… more
    Sedgwick (01/01/25)
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  • LTD Claims Specialist

    Lincoln Financial Group (Charleston, WV)
    …for this opportunity. **Requisition #:** 74082 **The Role at a Glance** As an **LTD Claims Specialist ** , you will manage a workload of Long-Term Disability ... claims independently in accordance with established procedures and guidelines....and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training program to… more
    Lincoln Financial Group (01/11/25)
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  • Stat / PFL Claims Specialist

    Lincoln Financial Group (Charleston, WV)
    …to staff our ever-growing claims organization. As a STAT / PFL Claims Specialist , you will be responsible for conducting initial and ongoing interviews ... and reviewing medical records and making timely and ethical claim determinations. You'll complete a thorough training to develop...diploma or GED + 1-2 years of experience in claims , leaves or customer service + Strong written and… more
    Lincoln Financial Group (01/22/25)
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  • Claims Investigator - Part-Time

    Allied Universal (Charleston, WV)
    …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Claims Investigator. Claim Investigators validate the facts of loss for ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....Fraud Claim Law Associate (FCLA) + Fraud Claim Law Specialist (FCLS) + Certified Protection… more
    Allied Universal (01/15/25)
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  • Business Torts Life Sciences Major Case…

    Travelers Insurance Company (Charleston, WV)
    claims , as well as General Liability Coverage B claims and E&O claims involving Life Sciences insureds. Provides quality claim handling throughout the ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...Science medical products, clinical trial and pharmaceutical bodily injury claims , as well as General Liability Coverage B … more
    Travelers Insurance Company (01/16/25)
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  • Major Case Specialist - Equipment Breakdown

    Travelers Insurance Company (Charleston, WV)
    …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... in adjusting large, complex Boiler and Machinery first party claims both in the United States and on occasion,...cases, their large customers. **What Will You Do?** + CLAIM HANDLING: + Directly handles selected losses which generally… more
    Travelers Insurance Company (11/19/24)
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  • Service Center Specialist - Background…

    Sedgwick (Charleston, WV)
    …information and claim status either by phone, written correspondence and/or claims system. + Participates in and maintains a quality service culture within the ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Service Center Specialist - Background in Auto Insurance Required **PRIMARY PURPOSE** : To assist… more
    Sedgwick (01/07/25)
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  • FEMA - Program Delivery Specialist

    CDM Smith (Charleston, WV)
    …40509BR **Business Unit:** FSU **Job Description:** The Disaster Program Delivery Specialist : * Collects, coordinates and/or reviews applicant data to determine ... needed throughout the program delivery process. * Supports the claims process by reviewing and validating damage details, scopes...and make recommendations to FEMA as to whether the claim is eligible. Assists with the development of the… more
    CDM Smith (01/18/25)
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  • FEMA - Construction Specialist

    CDM Smith (Charleston, WV)
    …applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates in and assists with the development of the final ... **Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs… more
    CDM Smith (01/15/25)
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  • Senior Risk Control Property Specialist

    Travelers Insurance Company (Charleston, WV)
    …growth in our National Property business for a Sr. Risk Control Property Specialist . The position is available in multiple locations and will support our field ... and helping identify needs for Technical Training of Regional Specialist Consultants (RSCs), and Staff. This job serves as...assigned to business units, with the broker/agent community, with Claim , with other Risk Control staff, and with clients.… more
    Travelers Insurance Company (01/09/25)
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  • FEMA - Architectural Specialist

    CDM Smith (Charleston, WV)
    …ID:** 40506BR **Business Unit:** FSU **Job Description:** The FEMA Architectural Specialist : * Conducts site inspections to validate and record infrastructure ... and engineering reports, designs, and as-built plans. Makes recommendations regarding claim eligibility. * Develops or evaluates hazard mitigation proposals and… more
    CDM Smith (01/18/25)
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  • FEMA - Planning Specialist

    CDM Smith (Charleston, WV)
    …ID:** 40483BR **Business Unit:** FSU **Job Description:** The Disaster Planning Specialist : * Provides technical recommendations and assists with the development of ... field, reviews FEMA Public Assistance applicant data, and makes recommendations regarding claim eligibility. * Documents damages, scopes of work and estimated costs… more
    CDM Smith (01/17/25)
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  • Inventory Specialist

    Walgreens (Charleston, WV)
    …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
    Walgreens (01/09/25)
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  • Patient Registration Specialist - Specialty…

    Option Care Health (Charleston, WV)
    …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...+ Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork… more
    Option Care Health (01/22/25)
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  • National Livestock Specialist

    Zurich NA (Charleston, WV)
    National Livestock Specialist 119945 We are currently looking for a National Livestock Specialist to sell, service and train Livestock products nationwide for ... in all aspects of Zurich Crop livestock software (quoting, processing and claims ) to provide agent training and support. + Has excellent virtual communications… more
    Zurich NA (01/14/25)
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  • Prior Authorization Specialist RN PRN

    Intermountain Health (Charleston, WV)
    …payment denials related to no authorization + General coding, billing, and claims processing knowledge **Physical Requirements:** Ongoing need for employee to see ... and read information, labels, assess patient needs, operate monitors, identify equipment and supplies.- and -Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand… more
    Intermountain Health (01/18/25)
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  • Senior Payment Integrity Analyst

    HealthEdge Software Inc (Charleston, WV)
    **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for...responsible for taking a senior level role in analyzing claims data, as well as translating contract terms, policies,… more
    HealthEdge Software Inc (01/15/25)
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  • Sr. Manager , Digital Product - Fraud, Waste…

    CVS Health (Charleston, WV)
    …and knowing the roadmap and overall product strategy, serving as product and market specialist + Prioritizing which new features in the backlog will be added to the ... API experience + Agile, Lean and/or Six Sigma Project Management skills + Claims processing experience or End-to-End claims knowledge + Vendor management… more
    CVS Health (01/06/25)
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