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Claims examiner Jobs in Durham, NC

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Claims examiner • durham nc

Last updated: 1 day ago

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorDurham, North Carolina, US
Remote
Full-time

Role Overview** - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts.The workflows are calibra... Show more

Associate Manager, Product Line

IMPLUSDurham, NC, United States
Full-time

Associate Product Line Manager.Implus Footcare, LLC is an industry-leading global consumer packaged goods company with 16 brands in fitness and athletic performance, movement and flexibility, lifes... Show more

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorDurham, North Carolina, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more

Operations Associate

Piper CompaniesDurham, North Carolina
$20.00 hourly
Full-time

The ideal Operations Associate will be.Responsibilities for the Operations Associate include: .Provide exceptional customer service to clients and stakeholders.Process and manage insurance policies... Show more

Investigator

Ethos Risk ServicesDurham, NC, USA
$30.00–$40.00 hourly
Full-time
Quick Apply

ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection.At the forefront, we provide accurate data... Show more

Customer Service Representative - State Farm Agent Team Member

Antonio Vela - State Farm Agentdurham, NC, US
$40,000.00 yearly
Full-time

As a Customer Service Representative - State Farm Agent Team Member with Antonio Vela - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of... Show more

Trainer, Patient Support Services (Per Diem)

Avery Healthcare Group Ltd.Durham, NC, United States
Full-time

Trainer, Patient Support Services (Per Diem).This per diem Trainer role is aligned with IQVIA's Centralized Outsourcing Operations Hub (COOH) team supporting Patient Support Services in a call cent... Show more

Remote Medical Support Assistant (Medical Receptionist)

Ansible Government SolutionsDurham, NC, US
Remote
Full-time
Quick Apply

Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Remote Medical Support Assistants (MSA) to support the Durham VA Medical Center located at 508 Fulton St.Weekend coverag... Show more

Solutions Engineer

Keebler HealthDurham, North Carolina, United States, 27705
Full-time
Quick Apply

Keebler Health is building the operating system for value-based care.Our mission is to help risk-bearing healthcare organizations thrive in value-based arrangements by unlocking the full power of t... Show more

Remote Medical Billing Manager - AI Trainer ($80-$80 per hour)

MercorDurham, North Carolina, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Billing and Claims Managers to support the evaluation of AI too... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Durham, North Carolina, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

 • Promoted

Field RV/Specialty Adjuster

AllstateDurham, NC, United States
$35.82–$50.24 hourly
Full-time

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs.We offer home, auto and accident an... Show more

Property Damage Liaison

FarrinDurham, NC, United States
Full-time

The first few weeks after a wreck are the most stressful part of the process for our clients and most of that stress is about the car.Where is it, who's paying to fix it, why won't the adjuster cal... Show more

HR Support Specialist

BioFire DiagnosticsDurham, NC, United States
Full-time

This position can be located in Salt Lake City, UT, Durham, NC or St Louis, MO.The HR Support Specialist will contribute to the day-to-day operations that align our culture and teams with the strat... Show more

Locum Physician (MD/DO) - Pathology - $1,600 to $1,700 per day in Greenville, NC

LocumJobsOnlineDurham, North Carolina, US
Full-time +1

Doctor of Medicine | Pathology.LocumJobsOnline is working with Provider Healthcare to find a qualified Pathology MD in Greenville, North Carolina, 27833!.Locum Tenens Opportunity – Forensic Patholo... Show more

 • Promoted

Financial Operations Recovery Specialist I/II/III

Elevance HealthDurham, NC, United States
$23.08–$28.85 hourly
Full-time

Financial Operations Recovery Specialist I/II/III.Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility ... Show more

Claims Director

DANDurham, NC, United States
Full-time

Responsible for the strategic leadership, operational management, and oversight of the organization's claims department.This role ensures timely, accurate, and compliant claims handling while promo... Show more

Commercial Auto Claims Adjuster - REMOTE

Work At Home Vintage ExpertsDurham, NC, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Senior Manager, Operations

Blue Cross NCDurham, NC, United States
Full-time

The Senior Manager, Operations roles is a pivotal in overseeing multiple functions which may include membership, enrollment, system support, customer service, claims, and fulfillment processes.This... Show more

Employment Litigation Associate (Hybrid) #ESF3196

ExpertHiringDurham, NC, us
Full-time

Top Reasons to work with our client:.Work with a prestigious law firm known for high standards!.Opportunities for professional development and advancement!.Attractive salary and benefits package!.E... Show more

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Remote Insurance Experts - AI Trainer ($50-$60 per hour)

Remote Insurance Experts - AI Trainer ($50-$60 per hour)

MercorDurham, North Carolina, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description
  • Role Overview - Mercor is seeking senior insurance professionals to build evaluation tasks for AI systems operating in Fortune 500 enterprise insurance and risk contexts. - The workflows are calibrated to the underwriting complexity, regulatory stakes, and claims scale of Fortune 500 and large public insurance carriers. - Contributors design enterprise insurance scenarios, draft reference outputs, and write rubrics that capture how senior F500 insurance operators think. Key Responsibilities - Construct enterprise insurance scenarios spanning complex commercial underwriting, multi-stakeholder claims adjudication, and regulatory filing or compliance review cycles at F500 carriers. - Build insurance tasks across F500 underwriting and risk assessment, claims management, actuarial pricing and reserving, reinsurance strategy, and regulatory / compliance affairs. - Develop insurance operations scenarios involving tools such as Guidewire, Duck Creek, actuarial modeling platforms (SAS, R), and enterprise claims / policy administration systems in F500 stacks. - Apply enterprise insurance methodologies (actuarial risk modeling, loss reserving, ERM frameworks, NAIC compliance standards) and produce reference underwriting guidelines, claims strategies, and executive-level risk narratives. - Author rubrics that distinguish authentic enterprise insurance judgment from generic textbook or licensing-exam recall. Ideal Qualifications - 5+ years working in underwriting, claims, actuarial, or risk management at a Fortune 500 insurance carrier or reinsurer (State Farm, Allstate, Chubb, AIG, Berkshire Hathaway) or inside an F500 enterprise risk / insurance organization. - Direct ownership of F500-scale underwriting portfolios, claims operations, or actuarial pricing models. - Fluency in enterprise insurance tooling and methodologies, plus understanding of how F500 regulatory compliance, reinsurance treaties, and reserving practices actually work. - Prior rubric, actuarial / underwriting training curriculum, or claims documentation authorship is a plus.