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Claims Jobs in Indianapolis, IN

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Last updated: 19 hours ago

Claims Analyst

W.R. BerkleyIndianapolis, IN, United States
$70,000.00 yearly
Full-time

As a Stop Loss Claims Analyst (aka Auditor), you'll perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount request... Show more

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Disability Claims Adjudicator

State of IndianaIndianapolis, IN, United States
$47,320.00 yearly
Full-time

Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies.At the state, you'll find competitive... Show more

Senior Claims Representative

Liberty Mutual Insurance GroupIndianapolis, IN, United States
Full-time

Commercial Insurance Claims Representative.Are you looking for an opportunity to join a claims team with a fast growing company that has consistently outpaced the industry in year over year growth?... Show more

Claims Advocate

Gregory & AppelIndianapolis, IN, United States
Full-time

The Claims Advocate (CA) at Gregory & Appel works closely with our clients, insurance company representatives, producers, and commercial operations department to assist with claims at the time of l... Show more

Casualty Claims Specialist

First Chicago Insurance Company (FCIC)Indianapolis, IN, USA
Full-time
Quick Apply

At First Chicago Insurance Company, our employees are our biggest asset! It is our mission to attract and retain intelligent, motivated, ethical employees who strive for excellence and growth, and ... Show more

Commercial Claims Advocate

SquaremouthIndianapolis, IN, United States
Full-time

Working within the Claims Department in a client-facing role, the successful candidate will apply their experience in providing interpretation of policy language, coverage analysis, advocacy, cover... Show more

Senior Auto Physical Damage Claims Representative

AmerisureIndianapolis, IN, United States
Full-time

Senior Auto Physical Damage Claims Representative.Amerisure creates exceptional value for its partners, policyholders, and employees.As a property and casualty insurance company, Amerisure's promis... Show more

Claims EDI Helpdesk Support

RADcube - A NLogix CompanyIndianapolis, IN, us
Full-time
Quick Apply

EDI Helpdesk Representative– Indiana Medicaid (Remote).Our client is seeking a dedicated and customer-focused professional to join our.EDI Helpdesk team supporting the Indiana Medica... Show more

Supplemental Health Claims Consultant

Employment OpportunitiesIndianapolis, IN, United States
$66,000.00 yearly
Full-time

Supplemental Health Claims Consultant.At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day.Our commitment is to advance stabili... Show more

Claims Analyst - REMOTE

RyderIndianapolis, IN, United States
$90,000.00 yearly
Full-time

The Claims Analyst handles complex and high exposure bodily injury and property damage claims under Ryder's self-administered liability program.This position investigates and adjusts claims, as wel... Show more

Regional Claims Prevention Manager

SaiaIndianapolis, IN, United States
Full-time

Saia is a different kind of logistics and transportation company.You'll see it in our commitment to our people, customers, and community.You'll feel it in the support you get on day one from leade... Show more

Claims Manager - Indianapolis, IN - Hybrid

Gainwell Technologies LLCIndianapolis, IN, US
Full-time

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges.Join us and put your expertise to work in ways you never imagined possible.We know ... Show more

2027 Claims College Internship - Indianapolis, IN

Federated Mutual InsuranceIndianapolis, IN, United States
$25.00 hourly
Full-time +2

Federated Insurance Internship.At Federated Insurance, we do life-changing work, focused on our clients' success.For our employees, we provide tremendous opportunities for growth.Over 95% of them b... Show more

Claims Administrator / Project Manager

Eskenazi HealthIndianapolis
$28.80 hourly
Full-time

This position is responsible for managing payor enrollment, electronic claims submission, electronic remittance advice, electronic payments new sites, site conversions for all divisions, creates da... Show more

Multi-Line Claims Adjuster Litigation & Liability

CCMSIIndianapolis, IN, United States
Full-time

The Multi-Line Claim Consultant is responsible for the investigation and adjustment of assigned multi-line claims across multiple accounts and jurisdictions nationwide.This role manages claims from... Show more

Claims Specialist

Odyssey GroupIndianapolis, IN, United States
$75,000.00 yearly
Full-time

Headquartered in New York City with offices throughout the U.Vancouver, Canada, Hudson is a market-leading specialty insurer that offers a wide range of property and casualty insurance products to ... Show more

Commercial Claims Advocate

HUB InternationalIndianapolis, IN, United States
Full-time

Working within the Claims Department in a client-facing role, the successful candidate will apply their experience in providing interpretation of policy language, coverage analysis, advocacy, cover... Show more

Field Claims Representative

Auto-Owners InsuranceIndianapolis, IN, United States
Full-time

Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated and experienced field claims professional to join our team.This job handles insurance claims in the field under general ... Show more

Commercial Claims Advocate

5H2 Hub International Midwest LimitedIndianapolis, IN
Full-time

At HUB International, we are a team of entrepreneurs.We believe in empowering our clients, and we do so by protecting businesses and individuals in our local communities.We help businesses evaluate... Show more

Property Field Claims Adjuster (Northwest Indiana)

American Family InsuranceIndianapolis, IN, United States
$57,000.00 yearly
Full-time

You will investigate and maintain property claims, secure information, review coverages, complete field inspections, and settle claims.You will handle moderately complex homeowner property field cl... Show more

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Claims Analyst

Claims Analyst

W.R. BerkleyIndianapolis, IN, United States
19 hours ago
Salary
$70,000.00 yearly
Job type
  • Full-time
Job description

Stop Loss Claims Analyst

As a Stop Loss Claims Analyst (aka Auditor), you'll perform quality review and evaluation of all claim submissions received and logged into our claims system to determine whether the amount requested is eligible for reimbursement.

This position can either be fully remote (if not within a commutable distance to the office) or based in one of our offices:

  • Hamilton Square, NJ
  • West Hartford, CT
  • Marlborough, MA
  • Kulpsville, PA

We offer hybrid work schedule with 4 days in the office; and 1 day remote where it makes sense to do so.

What you can expect:

  • Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent
  • Internal mobility opportunities
  • Visibility to senior leaders and partnership with cross functional teams
  • Opportunity to impact change
  • Benefits competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education

We'll count on you to:

  • Process an average of 5 to 7 claims per day
  • Maintain a processing accuracy of 99% or better
  • Determine, on a timely basis, the eligibility of assigned claim by applying the appropriate contractual provisions to the medical facts and specifications of the claim
  • Review and adjudicate claims within approved authority limits
  • Maintain assigned claim block and assist other team members while meeting departmental guidelines
  • Document rationale of claim decisions based on review of the contractual provisions, plan specifications and the analysis of medical records, etc.
  • Elevate issues to next level of supervision, as appropriate

What you need to have:

  • 3-5+ years stop loss claims experience
  • Prior experience handling first dollar payer insurance (medical healthcare claims)
  • Experience with medical billing practices, CPT codes, revenue codes, and/or universal billing
  • Ability to use mathematics to adjudicate claims
  • Detail oriented with a high degree of accuracy and ability to multitask
  • Strong problem solving, decision-making, reporting and analytical skills
  • Must possess good judgment and work effectively with internal business areas, peers and co-workers
  • Demonstrated proficiency in Microsoft Office software

What makes you stand out:

  • Prior experience handling stop loss claims at the reinsurance level (medical healthcare claims)
  • Ability to work independently, prioritize, organize and assign own work to meet deadlines
  • Ability to accept changing priorities with a minimum of disruption

Additional Company Details:

We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: Base Salary Range: $70,000 - $90,000 Benefits include: Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and generous profit-sharing plan The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details: Sponsorship not Offered for this Role