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Claims assistant • portland or

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Supervisor Medical Claims

Supervisor Medical Claims

Moda HealthMilwaukie, OR, US
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Let’s do great things, together!.Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Construction Defect Claims Adjuster - Senior Level

Construction Defect Claims Adjuster - Senior Level

North American Risk Services, Inc. (NARS)Portland, OR, US
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Construction Defect Claims Adjuster.Ready to take the next step in your career? Let’s talk about why NARS could be the best opportunity you've been waiting for. Enjoy the convenience and w...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Field Property Claims Adjuster

Field Property Claims Adjuster

Easley Resource GroupPortland, OR, US
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Field Property Claims Adjuster (Remote - Oregon).Senior Field Property Claims Adjuster.In this remote role, you'll play a crucial part in providing a consistent, positive, and satisfying claims exp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Specialist

Claims Specialist

CorVel Enterprise Claims, Inc.Portland, OR, US
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The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outco...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Contract Attorney

Claims Contract Attorney

Paradigm Information Services, Inc.Beaverton, OR, US
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Paradigm is seeking a Claims Contract Attorney to support our client, a global leader in the legal industry.We are seeking attorneys to join a project team with an immediate focus on product liabil...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Property Claims Associate (Entry Level)

Property Claims Associate (Entry Level)

SedgwickPortland, OR, US
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Property Claims Associate (Entry Level).By joining Sedgwick, you'll be part of something truly meaningful.It's what our 33,000 colleagues do every day for people around the world who are facing the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Assistant

Claims Assistant

CorVel CorporationPortland, OR, USA
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The Claims Assistant will assist and support the claims staff in the set-up and administration of workers’ compensation claims / case management and other tasks depending on the specific needs of the...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Claims Specialist

Claims Specialist

U Trust Insurance Agency LLCVancouver, WA, US
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U Trust Insurance Agency LLC is a trusted name in trucking insurance, dedicated to providing exceptional service and comprehensive coverage solutions across 28 states. We pride ourselves on maintain...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Director Claims Operations

Director Claims Operations

Cambia Health SolutionsPortland, OR
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Oregon, Washington, Idaho or Utah.Every day, Cambia’s dedicated team is living our mission to make health care easier and lives better. As a member of the Customer Experience and Operations team, ou...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Field Claims Adjuster

Field Claims Adjuster

EAC Claims Solutions LLCPortland, Oregon, United States
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At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency.Join us in delivering exceptional service while upholding the highest standards of professionalism and co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Field Property Claims Adjuster

Field Property Claims Adjuster

Advisory and Consulting ServicesPortland, OR
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Field Property Claims Adjuster (Remote - Oregon).Senior Field Property Claims Adjuster.In this remote role, you'll play a crucial part in providing a consistent, positive, and satisfying claims exp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Adjuster - Workers Compensation

Claims Adjuster - Workers Compensation

Synectics IncPortland, OR, US
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To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identif...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
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Claims Adjuster - Workers Compensation

Claims Adjuster - Workers Compensation

BCForwardPortland, OR, US
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BCForward is currently looking for Claims Adjuster - Workers Compensation.Job Title : Claims Adjuster - Workers Compensation. Location : Remote in Portland, OR.Duration : 03+ months of contract.Ex...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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Lead Analyst, Claims / Regulatory Compliance

Lead Analyst, Claims / Regulatory Compliance

Molina HealthcareVancouver, WA, United States
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Responsible for accurate and timely implementation and maintenance of critical information on claims databases.Maintains critical information on claims databases. Synchronizes data among operational...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Specialist

Claims Specialist

CorVelPortland, OR, US
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The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Claims Administration Manager

Claims Administration Manager

CorSourceBeaverton, Oregon
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The Claims Administration Manager reports to the Chief Performance Officer and is responsible for oversight and management of all aspects of the Claims Administration Department to ensure operation...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Examiner

Claims Examiner

VirtualVocationsVancouver, Washington, United States
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A company is looking for a Claims Examiner I.Key Responsibilities Process and adjudicate healthcare claims, including medical, dental, vision, and mental health claims Conduct claims research, i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Specialist - Rideshare Commercial Claims Injury Adjuster

Claims Specialist - Rideshare Commercial Claims Injury Adjuster

Liberty Mutual InsuranceLake Oswego, Oregon, United States
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Schedule : Full-Time Salary Range : USD $60000.Job Category : Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Claims Specialist - Portland, OR (97223)

Claims Specialist - Portland, OR (97223)

CorvelPortland, OR
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The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, un...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Supervisor Medical Claims

Supervisor Medical Claims

Moda HealthMilwaukie, OR, US
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Job Description

Job Description

Let’s do great things, together!

About Moda

Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let’s be better together.

Position Summary

Provides supervision, coaching and support to Claims Processors. Organizes staff, sets goals, establishes procedures, and continues to ensure claims are processed promptly and accurately. Measures and evaluates performance and results. Coaches and trains as required to achieve goals of quality and efficiency. This is a FT WFH role.

Pay Range

58,747.10 - $73,433.88 annually, DOE.

  • This role may be classified as hourly (non-exempt) depending on the applicant's location. Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

Please fill out an application on our company page, linked below, to be considered for this position.

https : / / j.brt.mv / jb.do?reqGK=27761701 &refresh=true

Benefits :

  • Medical, Dental, Vision, Pharmacy, Life, & Disability
  • 401K- Matching
  • Employee Assistance Program
  • PTO and Company Paid Holidays
  • Required Skills, Experience & Education :

  • College degree or equivalent work experience.
  • 2 – 4 years medical claims processing experience, including 1 year as Senior / Lead processor.
  • Computer proficiency in company’s systems and Word and Excel.
  • Strong verbal, written and interpersonal communication skills.
  • Strong analytical, problem solving and decision-making skills.
  • Ability to work well under pressure with frequent interruptions and shifting priorities.
  • Ability to come in to work on time and daily.
  • Maintain confidentiality and project a professional business image.
  • Primary Functions :

  • Supervises staff giving daily work direction, vacation scheduling, monitoring attendance, conducting performance reviews, and hiring and training new employees.
  • Facilitates problem solving for employees and Manager by answering claims related questions dealing with contract interpretation of benefits, procedures and claims systems.
  • Controls workflow and quality by checking date and amount of work in processors queues, assigns work to ensure time service goals, tracks processors production and quality.
  • Assists with planning by analyzing amount of work and type of work, assigns and sets priorities and decides on retraining needs.
  • Motivates and coaches the processors by reviewing results with them, conveys to them what is expected of them, asks for suggestions, and fulfills the needs of training.
  • Use and manipulate excel files.
  • Other duties as assigned
  • Working Conditions & Contact with Others :

  • Office environment with extensive close PC and keyboard work, constant sitting, and phone work. Must be able to navigate multiple screens. Work in excess of 40 hours per week, including evenings and occasional weekends, to meet business need.
  • Internally with staff, Underwriting, Professional Relation, Claims Support, Accounting, and IT. Externally with providers, policyholders, insureds, and brokers.
  • Together, we can be more. We can be better.

    Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

    For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.