15 provider relations specialist jobs found

Job Description: Join our growing team as a Sr. Liability Claims Specialist, Supervisor , at Creative Risk Solutions, where you’ll lead a high-performing group of adjusters and ensure exceptional claims handling from start to finish. This role offers the opportunity to drive operational excellence while supporting clients with complex liability exposures. Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. Essential Responsibilities: Adjudicate claims as needed, investigate, negotiate settlements, and maintain accurate documentation. Monitor claims, especially in litigation, ensuring timely responses and adherence to "Best Practices for Claims." Research and respond to...

Job Description: Join our growing team as a Sr. Liability Claims Specialist, Supervisor , at Creative Risk Solutions, where you’ll lead a high-performing group of adjusters and ensure exceptional claims handling from start to finish. This role offers the opportunity to drive operational excellence while supporting clients with complex liability exposures. Creative Risk Solutions (CRS), a proud line of business under the Holmes Murphy umbrella, is a leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things differently—empowering our team to deliver exceptional service, embrace creativity, and make a real impact for our clients. Essential Responsibilities: Adjudicate claims as needed, investigate, negotiate settlements, and maintain accurate documentation. Monitor claims, especially in litigation, ensuring timely responses and adherence to "Best Practices for Claims." Research and respond to...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team 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. This role reports to the assigned line of business Product Director   Our Product Management team is focused on delivering and maintaining best in class insurance products for our business partners that are compliant with state regulations, support strategic goals of the planning units, and are approved by state departments of insurance with the fewest objections as possible. This role is critical to the success in achieving excellence in the management of...

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 Advocacy Coordination Team Specialist PRIMARY PURPOSE :   Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims. Provides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional...

Join a growing team of Medicare specialists and healthcare professionals dedicated to delivering high-quality Medicare compliance solutions. The Medicare Medical Coordinator plays a key role in supporting Medicare lien resolution, medical cost projections, and Medicare Set-Aside services. This position works closely with Certified Nurse Medicare Specialists and Nurse Life Care Planners to ensure accuracy, quality, and exceptional client service. This is an excellent opportunity for an organized and detail-oriented professional with medical terminology knowledge who enjoys working in a collaborative, fast-paced environment where their contributions directly impact client outcomes.   Essential Functions & Responsibilities Proofread, format, and quality-review medical reports, cost projections, and client correspondence for accuracy and consistency. Assist in the preparation of Medicare-related documentation, including lien and medical cost projection support...

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 Advocacy Coordination Team Specialist PRIMARY PURPOSE :   Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims. Provides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional requirements...

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 Advocacy Coordination Team Specialist PRIMARY PURPOSE :   Actively researches, resolves, and administers escalated inquires for all lines of business, including but not limited to Family Medical Leave (FMLA), complex paid and unpaid state, military, and company-specific leaves, accommodations, disability and statutory claims. Provides excellent customer service displaying care and empathy to callers regarding claims and executes technical and jurisdictional requirements...

Job Description: We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement.   Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.” Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed. Research and respond to questions...

Job Description: We are looking to add a Sr. Workers’ Compensation Claims Specialist, Supervisor to join our Creative Risk Solutions team. The ideal candidate will have jurisdictional experience in multiple states . This team member will provide high quality claims handling oversight and expertise for all CRS customers on litigated and complex claim situations. This includes assisting staff supervised with investigating, communicating, evaluating, and resolving claims utilizing the CRS Best Practice of Claim Handling. Assisting claim staff with goals, career pathing, and ensuring engagement.   Essential Responsibilities: Claims Management: Adjudicate claims during staffing shortages, investigate, and negotiate settlements per “Best Practices for Claims.” Monitor and document claim files, focusing on Coverage, Investigation, Reserves, Plan of Action, Legal, and Medical Management. Recommend adjustments as needed. Research and respond to questions...

Company Details   "Our Company provides a state of predictability which allows brokers and agents to act with confidence." Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States. Along the way, we’ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion. Today the Berkley brand comprises more than 50 businesses worldwide and is divided into two segments:  Insurance and Reinsurance and Monoline Excess.     The Company is an equal employment opportunity employer. Responsibilities The SIU Manager is responsible for assisting with leading our anti-fraud efforts to include both commercial and personal lines of business. This role is critical in safeguarding the integrity of our claims process,...

Company Details   Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted.   As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions.  W. R. Berkley Corporation , and all member insurance companies, are rated A+ (Superior) by A.M. Best Company and carry Standard & Poor’s Financial Rating of A+ (Strong).    This role would ideally be based in one of our two offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so.   Urbandale, IA Lincoln, NE Alternatively,...

The Quality Assurance Specialist participates in all assigned activities to assist the Medicare Services team to ensure team compliance. The QA Specialist will work closely with all other team members completing activities such as file audits, training manual updates, document formatting, and work flow management assistance. This position is temporarily remote during pandemic. This is an onsite position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Responsible for team file reviews Responsible for updating team training modules in SharePoint Responsible for team outcome tracking in Excel Responsible for tracking unit Medicare pricing in Excel May assist Medicare Services VP with daily work flow May assist Medicare Services VP with daily invoicing May assist Medicare Service VP with marketing documents and customer outreach Requires punctual and consistent attendance Maintain HIPAA compliance in all aspects of communications Comply with all safety rules...

Employee Relations Specialist We’re looking for a proactive, detail‑oriented Employee Relations Specialist who’s ready to jump in and make an impact. In this role, you’ll support our Human Resources - Operations team by handling employee relations, managing HRIS systems, and driving the core HR processes that keep our organization running smoothly. Essential Functions: Employee Relations Serve as the first point of contact for employee concerns, conducting initial investigations and escalating when appropriate. Coach supervisors on performance and policy matters while supporting training on respectful workplace practices. Identify trends, recommend proactive solutions, and maintain accurate, confidential documentation. HRIS & Data Management Act as the HRIS expert for configuration, reporting, and data integrity. Lead audits, reconciliations, and compliance‑driven reporting. Troubleshoot issues and partner with IT and vendors on improvements....

At EMC, we’re all about working together to make an impact. As part of our team, you’ll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts—always supporting each other to do our best work. Join us, and let’s improve lives together.     Location Requirement:  Des Moines, Iowa Shift Avaliability: 1st Shift: Wednesday - Saturday, 6:00 AM - 4:30 PM With guidance, monitors security cameras and operates electronic protection systems to identify threats and safety concerns. With the support of experienced Security Specialists, manages facility access of all EMC properties for team members, contractors, and visitors. With guidance, assists with foot patrols of building, parking lots, parking ramps, and outside areas of the corporate campus checking for security, safety, or maintenance issues. Shadows experienced Security Specialist to learn and understand company policies....

Company Details   "Our Company provides a state of predictability which allows brokers and agents to act with confidence."   Founded in 1967, W. R. Berkley Corporation has grown from a small investment management firm into one of the largest commercial lines property and casualty insurers in the United States.   Along the way, we’ve been listed on the New York Stock Exchange, become a Fortune 500 Company, joined the S&P 500, and seen our gross written premiums exceed $10 billion.   Today the Berkley brand comprises more than 60+ businesses worldwide and is divided into two segments:  Insurance and Reinsurance and Monoline Excess.  Led by our Executive Chairman, founder and largest shareholder, William. R. Berkley and our President and Chief Executive Officer, W. Robert Berkley, Jr., W.R. Berkley Corporation is well-positioned to respond to opportunities for future growth.   The Company is an equal employment opportunity employer....