5 claims adjudicator jobs found

Are you passionate about being part of a team at a Fortune 100 company with nearly $70 billion in annual sales that delivers extraordinary care to help individuals and businesses prepare for and protect their future? If so, then Nationwide Financial could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Medical Director, Life Underwriting Location: Remote (U.S.) Job Type: Full-time, Exempt About the Role We are seeking a Medical Director to join our Life Underwriting team, applying your clinical expertise to improve mortality and morbidity risk assessment. In this role, you will support life underwriting through medical case consultation, guideline development, and education, while partnering with underwriting leadership, claims, product, actuarial, and other stakeholders to deliver...

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 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 Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workforce Absence Team Lead PRIMARY PURPOSE :  To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the teams including frequent diaries on complex or high exposure claims. ESSENTIAL...

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 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 Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | OH jurisdiction | Dedicated Client | Capped Claims Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world’s best brands?  Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.  Deliver innovative customer-facing solutions to clients who represent virtually every industry and...

We are hiring a Life Claims Examiner to play a critical role in delivering accurate and compliant claim outcomes while supporting beneficiaries and internal stakeholders throughout the claims process. This position is responsible for the preparation, review, and adjudication of life insurance claims and distributions in accordance with policy provisions, plan parameters, regulatory requirements, and state interest rules. The role ensures timely, compliant, and customer focused resolution through effective coordination with internal teams, external partners, agents, and beneficiaries, while adhering to company and carrier standards. Your Impact: Validate claimant, beneficiary, and claim-specific data for accuracy and completeness; enter and maintain detailed claim information in administrative and claim tracking systems. Review incoming life insurance claims to assess completeness and required documentation, including death certificates, claim forms, and legal documents....

As we continue to scale, we are seeking a  Life Claims Support Professional  to join our growing team. In this role, you will provide essential administrative support for the adjudication of  l ife, terminal illness, long-term care, and waiver of premium claims, ensuring an efficient and accurate claims process. Your Impact: Apply knowledge of various insurance carriers’ standards and guidelines when processing claims. Print, prepare, and send requests for claims forms, medical recordsand other correspondence. Accurately enter new claims into the claims database. Monitor the progress of open claims, performing timely follow-ups on outstanding documents. Carefully review documents to confirm completeness and distinguish between original and copy submissions. Research and resolve return mail issues promptly. Navigate and  work efficiently across multiple computer system Successful Candidates Will Have:  High school diploma or equivalent required....