claims analyst

Kforce Inc

<div>
 
 Responsibilities
 
 
 
 Kforce is partnering with a leading organization in Saint Louis, MO to identify a Lead Claims Analyst to join their team. This hybrid opportunity offers the chance to work with a well-established company known for its strong leadership and collaborative culture. Duties Include:
 
 
 <ul>
 <li>
 Oversee complex third-party claims through resolution, including monitoring administrators, reviewing reserve levels, and ensuring proper reporting to carriers
 </li>
 <li>
 Analyze claims data and trends to identify risk exposures and recommend process improvements or mitigation strategies
 </li>
 <li>
 Serve as a liaison with legal counsel, insurance partners, and internal teams to assess potential liability and support claim resolution
 </li>
 <li>
 Conduct detailed claims analysis and reporting, using internal and external data sources to evaluate outcomes and recommend actions to leadership
 </li>
 <li>
 Operate independently as a subject matter expert, providing guidance to colleagues and reviewing work while supporting overall claims management processes
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
 <li>
 Bachelor's degree in Business or a related field (or equivalent experience)
 </li>
 <li>
 Certifications in Property &amp; Casualty Claims Handling and Liability Investigation
 </li>
 <li>
 15+ years of experience handling Property &amp; Casualty claims and working as a Liability Claims Representative
 
 
 </li>
 </ul>
 The pay range is the lowest to highest compensation we reasonably in good faith believe we would pay at posting for this role. We may ultimately pay more or less than this range. Employee pay is based on factors like relevant education, qualifications, certifications, experience, skills, seniority, location, performance, union contract and business needs. This range may be modified in the future.
 
 
 We offer comprehensive benefits including medical/dental/vision insurance, HSA, FSA, 401(k), and life, disability &amp; ADD insurance to eligible employees. Salaried personnel receive paid time off. Hourly employees are not eligible for paid time off unless required by law. Hourly employees on a Service Contract Act project are eligible for paid sick leave.
 
 
 Note: Pay is not considered compensation until it is earned, vested and determinable. The amount and availability of any compensation remains in Kforce's sole discretion unless and until paid and may be modified in its discretion consistent with the law.
 
 
 This job is not eligible for bonuses, incentives or commissions.
 
 
 Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
 
 
 By clicking &ldquo;Apply Today&rdquo; you agree to receive calls, AI-generated calls, text messages or emails from Kforce and its affiliates, and service providers. Note that if you choose to communicate with Kforce via text messaging the frequency may vary, and message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You will always have the right to cease communicating via text by using key words such as STOP.
</div>

Claims Analyst

Salem Township Hospital

Join the Salem Township Hospital business services department as a claims analyst. This position assists with patient registration and billing tasks as needed, accepts patient payments, and performs clerical duties such as filing, typing, and scanning documents. Responsible for providing excellent customer service.Schedule<ul><li>Full-time</li><li>Monday &ndash; Friday</li><li>8:00 am &ndash; 4:30 pm</li></ul>Hourly Pay Range<ul><li>$19.00&ndash;$22.80</li><li>Actual hourly pay rate depends on experience (DOE).</li></ul>Qualifications<ul><li>High School graduate or equivalent, with courses in accounting, business, coding or medical billing, and English.</li><li>A general understanding of accounting principles is desired.</li><li>Must be efficient, productive, and fast-moving.</li><li>Able to make impactful decisions efficiently based on insurance and revenue cycle guidelines.</li><li>Outstanding organization and computer skills.</li><li>Proficient in Microsoft software products including Word, Excel, and Outlook.</li><li>Ability to handle multiple tasks simultaneously, meet time-sensitive deadlines, and organize workload with general supervision.</li></ul>Responsibilities<ul><li>Maintains and keeps current with relevant hospital rules and regulations, as well as all insurance billing requirements.</li><li>Must have independent judgment and decision-making abilities, as well as analytical skills.</li><li>Demonstrates competency in working with computer software such as Epic, demonstrates competency in working conflicting claims, identifying system issues, and managing claim workload.</li><li>Claim submission; claim re-submission when necessary due to edits and/or rejected claims; and completing the necessary research to correct rejected claims.</li><li>Works to ensure that claims are billed efficiently and accurately to promote timely reimbursement and management of Salem Township Hospital&rsquo;s accounts receivable.</li></ul>View benefits offered to employees of Salem Township Hospital: https://salemtownhosp.com/employee-benefits/ Salem Township Hospital is an Equal Opportunity Employer. Salem Township Hospital is committed to provide excellence in health care and promote wellness for our community through compassionate care, personalized service, and teamwork.Job Type: Full-timePay: $19.00 - $22.80 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Employee discount</li><li>Flexible spending account</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Tuition reimbursement</li><li>Vision insurance</li></ul>Education:<ul><li>High school or equivalent (Required)</li></ul>Work Location: In person

Acrisure LLC

<div><h2 class="jobSectionHeader">Job Description</h2>
About Acrisure 
A global fintech leader, Acrisure empowers millions of ambitious businesses and individuals with the right solutions to grow boldly forward. Bringing cutting-edge technology and top-tier human support together, we connect clients with customized solutions across a range of insurance, reinsurance, payroll, benefits, cybersecurity, mortgage services, and more.
In the last twelve years, Acrisure has grown in revenue from $38 million to almost $5 billion and employs over 19,000 colleagues in more than 20 countries. Acrisure was built on entrepreneurial spirit. Prioritizing leadership, accountability, and collaboration, we equip our teams to work at the highest levels possible.
JOB SUMMARY
Acrisure is seeking a Claims Analyst II to manage multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures. This role is responsible for independently handling claims from assignment through resolution, ensuring timely, accurate, and compliant claim outcomes.
The Claims Analyst II will evaluate coverage, determine compensability, manage litigation, and coordinate all aspects of the claims process. This position is well suited for an experienced claims professional who is comfortable working in a fast paced environment and managing multiple files with a high level of autonomy.
Responsibilities<ul><li>
Manage a caseload of multi-state workers&rsquo; compensation claims, including indemnity, employer&rsquo;s liability, and subrogation exposures</li><li>
Conduct initial claim investigation, including coverage verification, compensability determination, and timely contact with involved parties</li><li>
Communicate with injured workers, employers, medical providers, attorneys, and other stakeholders to support claim resolution</li><li>
Set and manage reserves to ultimate probable cost within established authority levels</li><li>
Ensure timely delivery of benefits and required notices in accordance with jurisdictional requirements</li><li>
Coordinate return to work efforts in alignment with medical guidance and employer programs</li><li>
Manage litigation, including directing defense counsel and attending hearings or depositions as needed</li><li>
Negotiate settlements with injured workers, attorneys, and other parties</li><li>
Identify and pursue subrogation opportunities and manage third party recoveries</li><li>
Review medical and expense bills for accuracy, causation, and appropriateness</li><li>
Maintain accurate and timely documentation within the claims system</li><li>
Prepare claim status reports and participate in claim review meetings</li><li>
Assign and coordinate nurse case management resources when appropriate</li><li>
Collaborate with leadership on complex claims requiring additional support or escalation</li></ul>
Requirements<ul><li>
Experience handling workers&rsquo; compensation claims required</li><li>
2 to 5 years of relevant claims experience or equivalent experience required</li><li>
Strong understanding of workers&rsquo; compensation laws, claims processes, and jurisdictional requirements</li><li>
Experience managing indemnity claims, litigation, and claim resolution strategies</li><li>
Strong analytical skills, decision making ability, and attention to detail</li><li>
Strong communication and negotiation skills</li><li>
Ability to manage multiple claims in a fast paced environment</li><li>
Strong organizational and time management skills</li><li>
Proficiency with Microsoft Office and claims management systems</li><li>
Ability to work independently with limited supervision</li><li>
Litigation experience beneficial</li></ul>
Education and Licenses<ul><li>
High school diploma required, bachelor&rsquo;s degree beneficial</li><li>
Relevant state licensing beneficial or ability to obtain as required</li></ul>
Pay Details:
The base compensation range for this position is $60,000 - $71,050. This range reflects Acrisure's good faith estimate at the time of this posting. Placement within the range will be based on a variety of factors, including but not limited to skills, experience, qualifications, location, and internal equity.
Candidates should be comfortable with an on-site presence to support collaboration, team leadership, and cross-functional partnership. 
Why Join Us:
At Acrisure, we&rsquo;re building more than a business, we&rsquo;re building a community where people can grow, thrive, and make an impact. Our benefits are designed to support every dimension of your life, from your health and finances to your family and future.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. 
Employee Benefits
We also offer our employees a comprehensive suite of benefits and perks, including:<ul><li>
Physical Wellness: Comprehensive medical insurance, dental insurance, and vision insurance; life and disability insurance; fertility benefits; wellness resources; and paid sick time.</li><li>
Mental Wellness: Generous paid time off and holidays; Employee Assistance Program (EAP); and a complimentary Calm app subscription.</li><li>
Financial Wellness: Immediate vesting in a 401(k) plan; Health Savings Account (HSA) and Flexible Spending Account (FSA) options; commuter benefits; and employee discount programs.</li><li>
Family Care: Paid maternity leave and paid paternity leave (including for adoptive parents); legal plan options; and pet insurance coverage.</li><li>
&hellip; and so much more!</li></ul>
This list is not exhaustive of all available benefits. Eligibility and waiting periods may apply to certain offerings. Benefits may vary based on subsidiary entity and geographic location. 
Acrisure is an Equal Opportunity Employer. We consider qualified applicants without regard to race, color, religion, sex, national origin, disability, or protected veteran status. Applicants may request reasonable accommodation by contacting leaves@acrisure.com.
Final candidates will be required to complete post-offer verification processes related to the role and in accordance with applicable laws. 
California Residents: Learn more about our privacy practices for applicants by visiting the Acrisure California Applicant Privacy Policy. 
Recruitment Fraud: Please visit here to learn more about our Recruitment Fraud Notice. 
Welcome, your new opportunity awaits you.</div>

Claims Analyst II

M & M Fibers

PRIMARY RESPONSIBILITIESThe Claims Manager is responsible for resolving all quality related claims fairly, professionally, providing outstanding service to all customers.ESSENTIAL DUTIES AND RESPONSIBILITIES1. Responsible for investigating and collecting all data related to claims. including invoices, samples, commissioning of independent inspectors, cleaners and lab testing.2. Responsible for negotiating fair, accurate, and timely resolution of claims with lowest possible cost to the company.3. Involve management and seek approval for claims exceeding the company authorized limit.4. Coordinate the sale of goods that have been refused by dealers (reconsignment sales) to avoid return costs.5. Responsible for filing, negotiating and tracking of charge backs to vendors for defective or damaged products.6. Responsible for entering all mail, faxes and other communication daily into the claims system as received.7. Other duties/special projects assigned by the Business Operations Manager.8. Conduct communication with all customers, internal employees, vendors, and financial institutions in a professional manner, with integrity and a positive attitude.9. Follow all published company policies and procedures.Pay: $18.00 - $20.00 per hourBenefits:<ul><li>401(k) 3% Match</li><li>Health insurance</li><li>Health savings account</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Fifth Third Bank

<div>Make banking a Fifth Third better&reg; 
We connect great people to great opportunities. Are you ready to take the next step? Discover a career in banking at Fifth Third Bank.
GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's investment in the property, may include loan principal, accrued interest, and corporate or escrow advances, as well asbank incentives for timely filing, made during the life of the loan to properly protect the investors collateral interest in the property. The residential mortgage portfolio is currently at 325,000 loans, 75% of which are investor owned and/or insuredthat require the completion of a claim upon completion of the default cycle. This results in approximately 200 claims being filed on a monthly basis and $30.0 million being recouped and applied annually. This position also includes the filing of LossMitigation claims with the investors/insurers.
Responsible and accountable for risk by openly exchanging ideas and opinions, elevating concerns, and personally following policies and procedures as defined. Accountable for always doing the right thing for customers and colleagues, and ensures that actions and behaviors drive a positive customer experience. While operating within the Bank&rsquo;s risk appetite, achieves results by consistently identifying, assessing, managing, monitoring, and reporting risks of all types.
DUTIES &amp; RESPONSIBILITIES:<ul><li>
All Claims started within five business days of receipt from loss mitigation or foreclosure.</li><li>
Filing of all investor/insurer claims within required guidelines to reduce exposure to curtailments and/or fines. In 2005, claims paid to Fifth Third totaled approximately $30.0 million.</li><li>
Track all claims monthly for status update and/or proceeds.</li><li>
All claims proceeds posted per investor/insurer requirements within 48 hours of receipt includes posting principal, interest, escrow, other advances, buydown funds, unapplied funds, up to $1 million per week.</li><li>
Close out accounts to ensure all balances equal to zero through chargeoff and correct the appropriate MortgageServ system settings.</li><li>
Work with attorney network to ensure evictions, redemption, title issues, mobile home issues, conveyances and reconveyances are handled with due diligence to reduce exposure to curtailments and/or fines.</li><li>
Work with property preservation vendor, hazard claim vendor, claims outsourcing vendor, city officials, etc. to ensure that the properties are being maintained to investor/insurer requirements.</li></ul>
SUPERVISORY RESPONSIBILITIES: None
MIMIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:<ul><li>
High school diploma.</li><li>
Good organization skills.</li><li>
Math skills.</li><li>
0-2 years mortgage default or mortgage servicing related experience.</li><li>
Prior PC experience to include advanced Excel, Word and Access.</li></ul>
Claims Analyst I
At Fifth Third, we understand the importance of recognizing our employees for the role they play in improving the lives of our customers, communities and each other. Our Total Rewards include comprehensive benefits and differentiated compensation offerings to give each employee the opportunity to be their best every day.
The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.
Our extensive benefits programs are designed to support the individual needs of our employees and their families, encompassing physical, financial, emotional and social well-being. You can learn more about those programs on our 53.com Careers page at: https://www.53.com/content/fifth-third/en/careers/benefits.html or by consulting with your talent acquisition partner.
LOCATION - Cincinnati, Ohio 45227
Attention search firms and staffing agencies: do not submit unsolicited resumes for this posting. Fifth Third does not accept resumes from any agency that does not have an active agreement with Fifth Third. Any unsolicited resumes &ndash; no matter how they are submitted &ndash; will be considered the property of Fifth Third and Fifth Third will not be responsible for any associated fee.
Fifth Third Bank, National Association is proud to have an engaged and inclusive culture and to promote and ensure equal employment opportunity in all employment decisions regardless of race, color, gender, national origin, religion, age, disability, sexual orientation, gender identity, military status, veteran status or any other legally protected status.</div>

Claims Analyst I

Elevance Health

<div>JR188434 Senior Claims Analyst 
CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through home-care and community based services. 
CareBridge is seeking a Senior Claims Analyst professional to support reporting, analytics, and process improvements across the claim&rsquo;s lifecycle. In this role, you&rsquo;ll use your claims expertise and SQL/data skills to turn complex data into actionable insights, support claim corrections, and improve workflows.
You&rsquo;ll build reporting solutions, enhance submission performance, and partner with Product, Engineering, Finance, and Operations to improve and scale end-to-end claims processes.
Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. 
How you will make an impact: 
Claims &amp; Encounter Reporting<ul><li>
Build and maintain reporting to track the full claims lifecycle from submission to payer response.</li><li>
Create self-service tools for Operations, Finance, and Client Success.</li><li>
Reconcile data across systems to ensure accurate claim status tracking.</li></ul>
Claims Subject Matter Expertise<ul><li>
Act as an SME on claims structure, clearinghouse workflows, and payer responses.</li><li>
Support complex claim issues and partner with Product and Engineering to resolve data/workflow gaps and validate fixes.</li></ul>
Payer Configuration &amp; Onboarding<ul><li>
Support new payer implementations, including workflow setup and validation.</li><li>
Develop standardized monitoring for go-lives and streamline payer-specific processes.</li></ul>
Process Improvement &amp; Operations<ul><li>
Identify and resolve recurring submission issues.</li><li>
Partner cross-functionally to improve workflows, tools, and documentation.</li><li>
Support audits and quality reviews.</li></ul>
Minimum Requirements:<ul><li>
Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and experience, which would provide an equivalent background.</li></ul>
Preferred Skills, Capabilities and Experiences:<ul><li>
5+ years of experience in provider-side claims, revenue cycle, or data management.</li><li>
Strong understanding of professional claim formats (837P), remittance advice (835), and clearinghouse workflows.</li><li>
Advanced SQL skills with experience querying complex healthcare production or analytics databases.</li><li>
Hands-on experience within a claims platform, including claim correction, resubmission, and configuration validation.</li><li>
Experience developing reports and dashboards using BI tools (e.g., Tableau, Power BI, Metabase)</li><li>
Ability to translate complex data into clear, actionable insights for business stakeholders.</li><li>
Strong cross-functional communication skills with experience partnering across Product, Engineering, Finance, and Operations.</li><li>
Experience working in value-based care environments.</li></ul> 

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities &ndash; and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.</div>

Senior Claims Analyst

Proficient Auto Logistics

<div><h1 class="jobSectionHeader">About Proficient Auto Logistics</h1>
<div>Proficient Auto Logistics (PAL) is a leading specialized freight company focused on providing auto transportation and logistics services. Formed via IPO in May 2024, PAL combined five industry-leading operating companies and has since acquired a sixth. As a combined entity, we operate one of the largest auto transportation fleets in North America with over 1200 trucks, 50 terminal locations and 700 employees, a majority of whom are drivers.</div>
<div></div><div>We offer a broad range of auto transportation and logistics services, primarily focused on transporting finished vehicles from automotive production facilities, marine ports of entry, or regional rail yards to auto dealerships around the country. We have developed a differentiated business model due to our scale, breadth of geographic coverage, and embedded customer relationships with leading auto original equipment manufacturing companies (OEMs).
</div><div></div><div>While this is a remote position, the candidate needs to be able to work the hours of 8:00 AM-5:00 PM Eastern time.
</div><h1 class="jobSectionHeader">Job Summary</h1>
<div>Responsible for working with internal and external stakeholders to effectively resolve cargo claims submissions and disputes.</div>
<h1 class="jobSectionHeader">Essential Duties and Responsibilities</h1>
<ul><li>Receives, reviews and acknowledges cargo claims damage notifications and FNOL in a timely manner</li>
<li>Monitors claims management software and activities to identify and implement quality improvement initiatives</li>
<li>Evaluates claims experience based upon driver category to assess damage type, severity, and costs</li>
<li>Investigates, negotiates, and processes cargo claims in accordance with various customer&rsquo;s policies and procedures within industry standards</li>
<li>Follows standard operating procedures to appropriately review, handle, and settle large volumes of claims in a timely manner</li>
<li>Requests claims documentation from dealers, customers, claimants, and insurers</li>
<li>Reviews, updates, and reports cargo claims data to support process improvement and operating performance measures</li>
<li>Works with Claims Management team members to determine cargo claims damage liability</li>
<li>Collaborate with drivers, dealers, customers, and insurers to collect and communicate cargo claim information</li>
<li>Communicates outcomes of cargo claim acceptance or denial decisions to owner-operators and/or customers</li>
<li>Submits approved claims to accounting for payment processing</li>
<li>Additional duties assigned as needed</li>
</ul><h1 class="jobSectionHeader">Requirements</h1>
<ul><li>High school education or GED required.</li>
<li>Two years of prior claims processing experience preferred.</li>
<li>Auto hauling or transportation industry experience preferred.</li>
</ul><h1 class="jobSectionHeader">Skills and Abilities</h1>
<ul><li>Exceptional written and oral communication skills</li>
<li>Exceptional time management and organizational skills</li>
<li>Exceptional analytical and critical thinking skills</li>
<li>Knowledge of DOT/FMCSA regulations</li>
<li>Knowledge of MS Office software, including Word, Excel, and Outlook</li>
<li>Ability to resolve and de-escalate conflict</li>
<li>Ability to drive change and improve processes</li>
<li>Ability to build and nurture relationships</li>
<li>Ability to work in a fast-paced environment and make time-sensitive deadlines</li>
<li>Ability to prioritize and manage multiple tasks</li>
<li>Willingness to travel up to 10%</li>
</ul>
<div></div><div>EEO Statement</div>
<div>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.</div></div>

Claims Analyst (Auto)

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