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Claims Processor jobs

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    • You will serve as the primary point of contact throughout the claims process while gathering facts, evaluating documentation, and making sound decisions based…
    • Experience handling Auto Litigation claims.
    • Two years in claims handling and a bachelor’s degree OR.
    • Five years of relevant work experience with two years in…
    • This role requires deep expertise in medical claims processing, with a strong emphasis on accurately reviewing and adjudicating claims using standard billing…
    • Must have prior private passenger automotive liability claims experience.
    • Adjust reserves adequately on all new and existing claims.
    • Follow up on unpaid claims and manage medical collections as necessary.
    • Prepare and submit claims to insurance companies, ensuring compliance with all…
    • You will serve as the primary point of contact throughout the claims process while gathering facts, evaluating documentation, and making sound decisions based…
    • Two years in claims handling and a bachelor’s degree OR.
    • Five years of relevant work experience with two years in claims handling OR.
    • This job handles insurance claims in the field under general supervision through the life-cycle of a claim including but not limited to: investigation,…
  • Insurance administration positions

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      Chicago, IL 60661
      • $104,600 - $127,600 a year
      • Full-time
      • Health insurance
    • Underwriting Associate I (Trainee Program)

      Easily apply
      Often replies in 2 days
      Western National Group & Umialik Insurance
      Anchorage, AK 99503
      • $27 an hour
      • Full-time
      • Tuition reimbursement
      • Paid parental leave
      • Parental leave
      • Health insurance
      • 401(k) matching
      • Paid time off
    • Commercial Underwriter

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      New
      Wayne Mutual Insurance Company
      Hybrid work in Wooster, OH 44691
      • Full-time
      • Referral program
      • Professional development assistance
      • 401(k)
      • Health insurance
      • 401(k) matching
      • Paid time off
    • Experience handling Auto Litigation claims.
    • Two years in claims handling and a bachelor’s degree OR.
    • Five years of relevant work experience with two years in…
    • This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation, evaluation,…
  • Customer service roles in insurance

    • Implementing technology innovations to enhance claims operations.
    • As a Property & Casualty Insurance Claims Operations Consultant, Sr.
    • Confirms coverage of claims by reviewing policies and documents submitted in support of claims.
    • Negotiates and settles claims directly with claimant.
  • Healthcare reimbursement positions

    • Ensemble RCM LLC
      Columbus, OH 43214
      • $18.65 - $20.50 an hour
      • Full-time
      • Tuition reimbursement
    • Skilled Wound Care
      Los Angeles, CA
      • $21 - $26 an hour
      • 401(k)
      • Health insurance
      • Paid time off
      • Vision insurance
      • Dental insurance
      • Life insurance
    • LI Script Pharmacy
      Woodbury, NY 11797
      • $21 - $24 an hour
      • Full-time
      • Monday to Friday +8
      • 401(k)
      • Health insurance
      • 401(k) matching
      • Paid time off
      • Vision insurance
      • Dental insurance
    • Analyzes claim data and prepares claim reports as needed by manager.
    • Confirms coverage of claims by reviewing policies and documents submitted in support of…
    • Prepare and distribute claim reports.
    • Understanding of insurance industry and claims a plus.
    • Travel to other claim offices and conferences as needed.
    • Calculates benefits for manually processed claims, attachment claims, complaint/appeals, and special project claims.
    • Meets production and quality standards.
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Job Post Details

Maddox Industrial Transformer logo

Claims Specialist - job post

Maddox Industrial Transformer
4.9 out of 5 stars
Moscow, ID
$88,000 - $96,000 a year - Full-time

Job details

Pay

  • $88,000 - $96,000 a year

Job type

  • Full-time

Full job description

About Maddox

Maddox is the nation's leading provider of electrical transformers to the commercial and industrial market, with primary locations in South Carolina, Washington State, Texas, Idaho, and Ohio. We have been recognized by Inc. Magazine as one of the fastest-growing companies in America for the past 8 years and counting.

Maddox was founded on Christian values, and we are serious about investing in the people, processes, and culture that make this a great place to work. We build real things, solve real problems, and expect professionalism, competence, and integrity from our team.

Discover more at:
https://www.youtube.com/@MaddoxTransformer
https://www.maddox.com/

About Maddox:

We are the nation's leading provider of electrical transformers to the commercial and industrial market. We have primary locations in South Carolina, Washington State, Texas, Idaho, and Ohio. Maddox has been recognized by Inc. Magazine as one of the largest, fastest-growing companies in America.

Maddox was founded on Christian values and we are passionate about investing in the people, processes, and culture that have made this a great place to work.

Discover more at: https://www.youtube.com/@MaddoxTransformer or https://www.maddox.com/


About Maddox + You:

Your primary responsibility will be investigating and resolving warranty claims and return requests. You will serve as the primary point of contact throughout the claims process while gathering facts, evaluating documentation, and making sound decisions based on warranty coverage, company policy, and other available information to substantiate or deny customer claims.

This role requires clearly understanding the facts, evaluating the situation, and determining the best resolution for everyone involved. Some claims will be approved, some will require creativity, and others will need to be denied. Your ability to make fair, defensible decisions and communicate them professionally is critical to success.

You will work cross-functionally with internal teams and external vendors to investigate issues, identify root causes, and drive timely resolutions. Success in this role requires strong judgment, attention to detail, and the ability to navigate difficult conversations while maintaining positive customer relationships.


More about You:

  • You enjoy solving complex problems and uncovering the facts needed to make sound decisions.
  • You are comfortable making decisions in situations where information may be incomplete or conflicting.
  • You can remain calm, professional, and confident during difficult conversations.
  • You understand that great customer service does not always mean saying "yes." You are comfortable making decisions that customers may not agree with when those decisions are fair, justified, and in the best interests of Maddox.
  • You exercise good judgment and can independently evaluate situations, weigh competing factors, and determine appropriate resolutions.
  • You are resourceful and creative when developing solutions that balance customer satisfaction with business objectives.
  • You maintain composure under pressure and do not shy away from conflict when it needs to be addressed.
  • You can confidently explain and defend your decisions while maintaining positive working relationships.
  • You are highly organized and able to manage multiple active claims without losing attention to detail.
  • You take ownership of problems and follow them through to resolution.
  • You have strong attention to detail and can identify inconsistencies, missing information, or potential risks.
  • You know when to make decisions independently and when to seek additional input or escalation.

Experience:

This is not an entry level position, so prior relevant and demonstrated experience is required.

  • Experience in claims processing, investigations, dispute resolution, military service, law enforcement, account/project management, team leadership, or similar roles requiring independent judgment and decision-making.
  • Experience handling escalated customer situations, complaints, disputes, or conflict resolution.
  • Experience evaluating facts, policies, procedures, or evidence to make recommendations or decisions.
  • Excellent written communication skills. You will manage a high volume of email communication and must be able to clearly explain decisions, expectations, and next steps.
  • Proficient with basic computer software (G-Suite, Email, CRM's, ERP's, etc.)

Basics

  • Full-time. The schedule is generally 7:00 AM - 4:00 PM.
  • Drug-free workplace.
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