Claims investigator Jobs in Raleigh, NC
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Claims investigator • raleigh nc
Last updated: 1 hour ago
This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location...Show moreLast updated: 23 days ago
A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.Auto-Owners I...Show moreLast updated: 17 hours ago
Position Information Posting Number PG191347PD Position Number 00111090 Position Type Post Doc FLSA Exempt Departmental Information Department ID 195001 - Dept of Clinical Sciences Department 19500...Show moreLast updated: 30+ days ago
This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location...Show moreLast updated: 25 days ago
A company is looking for a SIU Investigator to investigate and identify questionable and suspicious claims.Key Responsibilities Conduct timely investigations, including recorded statements and in...Show moreLast updated: 1 day ago
Supporting the Payment Integrity line of business.Location : This position will work a hybrid model (remote and office).The ideal candidate will live within 50 miles of one the posted Elevance Healt...Show moreLast updated: 30+ days ago
The Financial Crimes Investigator supports and / or performs the day-to-day execution of regulatory processes, particularly those designed to identify and mitigate Money.
Laundering / Terrorist Fina...Show moreLast updated: 30+ days ago
M3 Wake Research, an M3USA Company, is an integrated network of premier investigational sites meeting the clinical research needs of global biopharmaceutical, biotechnology, medical device, pharmac...Show moreLast updated: 30+ days ago
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE / COE, Auto, and Homeowners.
SIU experience is highly desired, but not require...Show moreLast updated: 30+ days ago
Ethos Risk Services is continuing to expand our team of.Experienced Licensed Investigators.Ethos Risk is one of the largest and most respected fraud investigations businesses in the US.Join us in u...Show moreLast updated: 30+ days ago
The Medical Claims Specialist is responsible for daily follow-up of Accounts Receivable, denials and appeals.Works with patients and insurance carriers to resolve billing and claims issues per indi...Show moreLast updated: 1 day ago
Ethos Risk Services is continuing to expand our team of.Experienced Licensed Investigators.Ethos Risk is one of the largest and most respected fraud investigations businesses in the US.Join us in u...Show moreLast updated: 30+ days ago
Claims Investigator (Part-Time).Immediate need for a PT Claims Investigator within the largest worldwide investigative solutions company.
Join CoventBridge Group as it continues its expansion into a...Show moreLast updated: 19 days ago
Claims Analyst / Lead Claims Analyst / Senior Claims Analyst (Full-Time).US-NC-Raleigh | US-FL-Tampa | US-VA-Vienna | US-VA-Richmond | US-VA-Chesapeake.
Project Controls / Risk Management.MBP is looking f...Show moreLast updated: 30+ days ago
Not sure you meet all listed requirements Let our team take a look.Research shows that women and members of other underrepresented groups tend to not apply to jobs when they think they may not meet...Show moreLast updated: 1 day ago
Accentuate Staffing is currently recruiting for a Claims Processor for an established commercial insurance company in Raleigh.
The Claims Processor will receive cross-functional training in various ...Show moreLast updated: 1 hour ago
Piper Companies is searching for an experienced.Monday through Friday, 8am-5pm.Responsibilities of the Principal Investigator : .
Provide clinical expertise in the conduct of gastroenterology clinical...Show moreLast updated: 1 day ago
This position is responsible for the investigation of complaints and other inquiries made to the North Carolina Medical Board that will ensure the proper regulation of the practice of medicine in N...Show moreLast updated: 30+ days ago
- Promoted
Claims Supervisor
Erie InsuranceCary, NC, USFull-time
- Promoted
- New!
Auto Claims Representative
Auto-Owners InsuranceRaleigh, NC, USFull-time
Clinician Investigator
North Carolina State UniversityRaleigh, NCFull-time
Claims Supervisor
Erie Insurance GroupRaleigh, NC, United StatesFull-time
- Promoted
SIU Investigator
VirtualVocationsRaleigh, North Carolina, United StatesFull-time
Investigator II
Elevance HealthWeston Parkway,Cary,North CarolinaFull-time
AML Investigator
Royal Bank of Canada>Raleigh, United States of AmericaFull-time
- Promoted
Clinical Research Physician / Principal Investigator
Wake ResearchRaleigh, NC, USPermanent
- Promoted
Claims Investigator - Experienced
Command InvestigationsRaleigh, NC, USFull-time
Investigator
Ethos RiskRaleigh, NC, USAPart-time
- Promoted
Medical Claims Specialist
Raleigh Orthopaedic ClinicRaleigh, NC, USFull-time
Investigator
Ethos Risk ServicesRaleigh, NC, USAFull-time
Quick Apply
- Promoted
Claims Investigator - Part Time
CoventBridge GroupRaleigh, NC, USFull-time +1
- Promoted
Claims Analyst / Lead Claims Analyst / Senior Claims Analyst (Full-Time)
MBPRaleigh, NC, United StatesFull-time
Criminal Justice Specialist / Investigator III ()
State of North CarolinaWake County, North Carolina, USAFull-time
- Promoted
- New!
Claims Processor
Accentuate StaffingCary, NC, USFull-time
Principal Investigator - Hepatology (Part-Time)
Piper CompaniesRaleigh, NCPart-time
Investigator - Eastern Region
North Carolina Medical BoardNorth Carolina, USFull-time
Claims Supervisor
Erie InsuranceCary, NC, US23 days ago
Job type
- Full-time
Job descriptionPremier health, prescription, dental, and vision benefits for you and your dependents. Coverage begins your first day of work. Low contributions to medical and prescription premiums. We currently pay up to 97% of employees' monthly premium costs. Pension. We are one of only 13 Fortune 500 companies to offer a traditional pension plan. Full-time employees are vested after five years of service. 401(k) with up to 4% contribution match. The 401(k) is offered in addition to the pension. Paid time off. Paid vacation, personal days, sick days, bereavement days and parental leave. Career development. Including a tuition reimbursement program for higher education and industry designations. This is an in office position with hybrid flexibility This position will be managing Liability Adjusters & Liability Specialist Ideal candidate will live in close proximity to the Raleigh Branch Office Manages overall operations of designated area of authority. Interviews, hires, trains, and directs personnel. Prepares and conducts performance assessments, coordinates discipline and oversees Employee development as required. Reviews claims on a regular basis in accordance with company policy. When appropriate, set up files of adjusters, checking for coverage, adequate reserves and acts as a resource for answering claims questions. Provides additional services as required. Takes action as necessary. Reviews claim correspondence and provides counsel on further action. Resolves coverage or unusual questions within designated authority. Conducts related research as necessary. Maintains and applies a working knowledge of adjuster's files. Maintains knowledge of statutory laws. Makes recommendations to and participates with Claims Manager in developing and evaluating claims procedures. Handles claim complaints and inquiries. Assists Claim Manager and may act on his / her behalf as necessary. Where applicable receives and directs processing of legal papers served upon ERIE involving claims action. Also directs activities of outside legal counsel as required. Where applicable, assists in preparation for trial procedures where applicable. Attends pre-trial functions and trials as necessary. Where applicable, directs salvage disposal, reviews reports, payments and buyers. Negotiates with salvage action and salvage yards on behalf of the company. Collaborates (Leader) Cultivates Innovation (Leader) Customer Focus (Leader) Decision Quality (Leader) Develops Talent (Leader) Drives vision and purpose (Leader) Ensures Accountability (Leader) Instills Trust (Leader) Nimble Learning (Leader) Persuades (Leader) Plans and Aligns (Leader) Values Diversity (Leader) Self-development (Leader) Optimizes Work Processes (Leader) High school diploma or GED required. Bachelor's degree preferred. Six years of discipline specific claims adjusting experience, or equivalent estimating experience in a Claims leadership role required. In depth knowledge of estimating software preferred. Where applicable, the position requires the incumbent to serve on the Catastrophe Team, which may include travel on short notice to other locations for periods in excess of two consecutive weeks. Completion of Associate in Claims (AIC) designation preferred. Obtain appropriate licenses as required by state within 45 days of employment in the role for external applicants and 90 days of employment in the role for internal applicants. Valid driver's license where required. Use of Personal Protective Equipment (PPE) is required for this role. Ability to move over 50 lbs using lifting aide equipment; Rarely Climbing / accessing heights; Rarely Driving; Occasional ( Lifting / Moving 0-20 lbs; Rarely Lifting / Moving 20-50 lbs; Rarely Manual Keying / Data Entry / inputting information / computer use; Often (20-50%) Pushing / Pulling / moving objects, equipment with wheels; Rarely
Division or Field Office :
Raleigh Branch Office
Department of Position : Claims Department
Work from :
Erie Branch Office Salary Range :
86,954.00 - $138,899.00
salary range is for this level and may vary based on actual level of role hired for
- This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.
At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia.
Benefits That Go Beyond The Basics
We strive to be Above all in Service® to our customers-and to our employees. That's why Erie Insurance offers you an exceptional benefits package, including :
Additional benefits that include company-paid basic life insurance; short-and long-term disability insurance; orthodontic coverage for children and adults; adoption assistance; fertility and infertility coverage; well-being programs; paid volunteer hours for service to your community; and dollar-for-dollar matching of your charitable gifts each year.
Position Summary
Supervises, trains, and monitors the activities of assigned claims adjusters and other claims personnel. Assists the Claims Manager or VP, Field Claims in the overseeing and handling of claims.
Duties and Responsibilities
Duties and Responsibilities (cont'd if applicable)
The first five duties listed are functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.
This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job -related instruction and to perform any other duties as required by their supervisor or as becomes evident.
Capabilities
Qualifications
Minimum Educational
Additional Experience
Designations and / or Licenses
Physical Requirements