4 claims examiner associate jobs found

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 OSS Coordinator PRIMARY PURPOSE : To support and maintain the claims management system for a local office or multiple office locations; and to ensure security access meets established policies within assigned group. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Completes examiner update reports, claim adjustments, provider requests and operational expense check requests. Queues claims for Managed Care; transfers payment allocations; and runs manual pre-pay and balances...

Working as a Claims Technician, you’ll provide critical support to the claims team, assisting with tasks that range from moderate to advance in complexity. Your responsibilities will include maintaining accurate records, processing claim payments, scheduling medical appointments, and preparing various forms and documents for mailing or electronic submission. You will also manage incoming and outgoing mail, assist with tasks within the claims system, and monitor shared mailboxes to ensure timely follow-up. In this role, you’ll collaborate with customers, vendors, attorneys, and internal claims associates to help resolve issues and support the efficient progression of claims toward resolution. This position will be located at our Nashville, TN office following the hybrid work model and is NOT available for remote work. What You'll Do As a Claims Technician, you will: Analyze and process complex bills, checks, and invoices for proper coding and payment,...

About Avant Supermarket Group Avant Supermarket Group is a specialty insurance program dedicated exclusively to the grocery and retail industries. We provide tailored property and casualty insurance solutions through a select network of independent agency partners nationwide, covering supermarkets, food stores, boutique grocery stores, travel stops, grocery supply warehouses, rural lifestyle & farm supply stores, and lessor's risk only properties. Our coverage is backed by multiple highly rated insurance markets, bringing credibility and security to a sector that demands niche expertise. We offer comprehensive property and liability protection — including General Liability, Business Auto, Crime, Umbrella, Workers' Compensation, EPLI, Cyber Liability, and more — paired with in-house loss control and safety education services, giving clients a seamless experience from application to claim. Avant Supermarket Group is a division of Specialty Program Group LLC.  Job...

Job Description Job Description The Senior Casualty/Property Liability Adjuster manages all aspects of liability claims in a variety of business classes, effectively determining and communicating the extent of liability or damage associated with each claim. The adjuster assists the client in fulfilling its obligation to policyholders and maintaining the client’s claims processing functions including; evaluating potential coverage issues, liability and damages, risk transfer opportunities, litigation and settlement matters within the limits of assigned authority levels and in compliance with applicable legal and regulatory requirements. The claims assigned are based on the adjuster’s experience and demonstrated aptitude for handling large or complex matters with minimal supervision. This is a field position in the Nashville, TN market. This is not a desk adjusting role. Your EMpact: Determine appropriate methods and extent of needed investigation for all assigned...