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APPEALS ANALYST

Highmark Health
Saint Paul, MN
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
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Summary
About the job:
reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes to all parties involved in the case the investigation results.**ESSENTIAL RESPONSIBILITIES**+ Review...
Location:
Saint Paul, MN
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

APPEALS ANALYST

Highmark Health
Columbus, OH
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**Company :**Highmark Inc.**Job Description :****JOB SUMMARY**This job ...
Details
Summary
About the job:
reviews inquiries to determine if they meet the definition of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals; initiates a case file for each grievance and appeal; ensures compliance with organizational and regulatory requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes to all parties involved in the case the investigation results.**ESSENTIAL RESPONSIBILITIES**+ Review...
Location:
Columbus, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Client Service Specialist

Marsh McLennan
Located in Ohio
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Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture ...
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About the job:
doesn't happen overnight. It's a result of hard work by extraordinary people. The industry's brightest talent drives our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can make your mark as a Client Service Specialist at McGriff, a division of Marsh McLennan Agency (MMA) . Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
mygwork
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claim Specialist - Property Field Inspection

State Farm Mutual Automobile Insurance Company
Auburn, NY
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Job Description Overview Being good neighbors – helping people, investing in ...
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About the job:
our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good! Grow Your Skills, Grow Your Potential Responsibilities Join our team as a Property Field Inspection Claim Specialist and showcase your expertise in handling accident and weather-related claims for homeowners, commercial properties, and large losses. We are looking for an experienced and highly skilled professional to contribute to...
Location:
Auburn, NY
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
State Farm Mutual Automobile Insurance Company
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Examiner - Workers Compensation (OH exp required)

Sedgwick
Dublin, OH
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By joining Sedgwick, you'll be part of something truly meaningful. It's what ...
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About the job:
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 CompaniesCertified as a Great Place to Work®Fortune Best Workplaces in Financial Services & InsuranceClaims Examiner - Workers Compensation (OH exp required)Are you looking for an opportunity to join a...
Location:
Dublin, OH
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
US.jobs
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Auto Adjuster

Usaa
Phoenix, AZ
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Job Description: Why USAA? At USAA, our mission is to empower our members to ...
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About the job:
achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Auto Adjuster you will proactively handle the complete end to end claims process. Taking statements, policy...
Location:
Phoenix, AZ
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
eFinancialCareers
Certifications / Licenses:
Adjuster License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Senior Auto Adjuster

Usaa
Phoenix, AZ
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Why USAA? At USAA, our mission is to empower our members to achieve ...
Details
Summary
About the job:
financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Sr Auto Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to include the...
Location:
Phoenix, AZ
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Career Circle
Certifications / Licenses:
Adjuster License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Insurance Claims Counsel

DPR Construction
Dallas, TX
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Job Description The Insurance Claims Counsel will be responsible for ...
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About the job:
assisting the Insured Claims Group Leader with implementing and overseeing the Insured Claims Group’s processes and procedures related to DPR and DPR-related entity insured claims, in an effort to maintain consistency of process, flow of information and to promote early resolution of claims aiming for the best outcomes for DPR. The Insurance Claims Counsel will also be responsible for assisting with claim strategy on large complex claims (including convening strategy discussions with stakeholders), as well as managing...
Location:
Dallas, TX
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Attorney Jobs in USA
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Columbus - 3 Workers' Compensation Claims Specialists - PN: 20069075, 20069378 & 20069886

State of Ohio
Columbus, OH
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Columbus - 3 Workers' Compensation Claims Specialists - PN: 20069075, ...
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About the job:
20069378 & 20069886 ( 2500051G ) Organization : Workers' Compensation Agency Contact Name and Information : Mia Truss-Davis - HCM Sr. Analyst: Mia.T.1@bwc.ohio.gov Unposting Date : Jul 9, 2025, 11:59:00 PM Work Location : William Green Building 30 West Spring Street Columbus 43215-2256 Primary Location : United States of America-OHIO-Franklin County-Columbus Compensation : $24.66/Hr. Schedule : Full-time Work Hours : 8:00am to 5:00pm Classified Indicator : Classified Union : OCSEA Primary Job Skill : Claims Examination...
Location:
Columbus, OH
Job Type:
Part-Time
Full-Time
Permanent
Temporary
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
State of Ohio
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

ADMINISTRATIVE COORDINATOR 4

City of Wichita
Baton Rouge, LA
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The City of Wichita is NOT an E-Verify Employer. Distinguishing Features of ...
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About the job:
Work Recruit Pay: $31.04 Pay and after successfully completing and graduation from the recruit training program: $33.45 The application must be filled out completely and to the best of your knowledge. Before you fill out the application you need to make sure you have the following information, if you do not, you will not be able to move forward to the next question/section; - Complete work history. Phone numbers and email addresses for each are required. If you do not remember the supervisor you worked for, and/or...
Location:
Baton Rouge, LA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
GovernmentJobs.com
Certifications / Licenses:
First Aid certification
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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Job Type: Permanent
Salary: High Income Jobs ($80K-$99K)
Occupation: Claims Adjusters, Examiners, and Investigators
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