Healthcare, Senior Claims Adjudicator - Seattle, WA

The Department of Labor & Industries' Claims Administration Program plays a vital role in the economic well-being of Washington state. We ensure that over 2,330,000 employees receive accurate and timely medical and wage replacement benefits for over 163,000 employers. · ...

We ensure that over 2,330,000 employees receive sure and certain relief through accurate and timely medical and wage replacement benefits for over 163,000 employers. · The Claims Administration Program plays a vital role in the economic well-being of the state.Caseloads can inclu ...

This is a full-time role for a Self-Insured Certified Claim Adjudicator based in Everett, WA. The adjudicator will manage and process self-insured claims, analyze documentation, · and ensure compliance with relevant regulations.Investigating claimsHandling appealsPreparing medica ...

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The Department of Labor & Industries (L&I) is seeking a Workers' Compensation Adjudicator 4/Claim Lead to perform quality review of adjudicative actions and provide ongoing training and coaching. · The ideal candidate will have experience in workers' compensation adjudication, ex ...

We are seeking a Workers' Compensation Adjudicator Claim Lead to perform quality review of adjudicative actions to ensure actions are based on laws rules policies established work standards provide ongoing training coaching. · ...

The Claim Specialist II is an individual contributor role responsible for successfully and compliantly adjudicating claims. · ...

+ Claims Specialist II: The Claim Specialist II is an individual contributor role responsible for successfully adjudicating claims meeting claim execution targets delivering a WoW experience to our Pet Parents everyday. · + Responsibilities: Adjudicating claims · Meeting or excee ...

The Department of Labor & Industries' Self-Insurance Program is seeking a Workers' Compensation Adjudicator 5 (WCA5) to join our team.You'll support the agency's mission by assessing and enforcing compliance of the RCWs and WACs governing Self Insured Employers and Third-Party Ad ...

The Department of Labor & Industries (L&I) is a diverse state agency dedicated to the safety, health, and security of Washington's workers. · We help employers meet safety and health standards and inspect workplaces when alerted to hazards. As administrators of the state's worker ...

Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. · ...

Are you passionate about training internal team members? Do you enjoy presenting information? · This is an opportunity to train adjudicators. · ...

This position involves adjudicating claims submitted by outside purchased services for PMC's enrolled capitated population and communicating those actions. · ...

The Department of Labor & Industries (L&I) is seeking a L&I Worker's Compensation Adjudicator Trainer who will provide initial and ongoing training to adjudicators, clerical staff, · and external customers. · ...

The Department of Labor & Industries (L&I) is looking for a Workers' Compensation Adjudicator 3/Pension State Funded to manage caseloads involving permanent disability or fatality benefits. · ...

The Pension Benefit section of Insurance Services Claims Administration is looking for a Workers' Compensation Adjudicator to manage a caseload of claims involving permanent disability or fatality benefits. · We offer flexible custom work schedules and telework options. State emp ...

Supervises a team of Claims Consultants and Claims Support Specialists while maintaining responsibility for specific key accounts. Serves as a subject matter expert on Workers' Compensation Claims management. · ...

This role is responsible for sustaining processes and executing process improvement and quality monitoring within Claims Operations and the business processes impacted by Operations data and systems. · Responsible for State and CMS claims benefit interpretation and application. · ...

Supervises a team of Claims Consultants and Claims Support Specialists while maintaining responsibility for specific key accounts. · Demonstrate Archbright GIFTED Values (Grit, Inclusion, Fun, Transform, Engage, and Deliver) · ...

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. · The Senior Claims Resolution & Finance Team Lead is a key leadership role responsible for overseeing end?to?end claims management o ...