claims specialist

Claims Specialist

Hudson Insurance Group

<div>
 <strong>
  About Us
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 Headquartered in New York City with offices throughout the U.S. and in Vancouver, Canada, Hudson is a market-leading specialty insurer that offers a wide range of property and casualty insurance products to corporations, professional firms and individuals through retailers, wholesalers and program administrators.
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 <br/>
 Hudson underwrites specialty primary and excess insurance on an admitted basis through Hudson Insurance Company and on a non-admitted basis through Hudson Specialty Insurance Company and Hudson Excess Insurance Company. Hudson Insurance Company is admitted in all U.S. jurisdictions. Hudson has surplus lines eligibility in all U.S. jurisdictions through Hudson Specialty Insurance Company and Hudson Excess Insurance Company.
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 Collectively known as Hudson Insurance Group, its companies are rated A (Excellent) by A.M. Best, Financial Size Category XV. Hudson Insurance Group is the U.S. Insurance Division of Odyssey Group, a leading worldwide underwriter of reinsurance and specialty insurance and wholly owned by Fairfax Financial Holdings Limited.
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 <strong>
  Position Description:
 </strong>
 The Claims Specialist is responsible for the coverage analysis, investigation, negotiation and settlement of financial lines claims, including cyber, D&amp;O and/or E&amp;O.
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  Skills, Knowledge And Abilities
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 </strong>
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  <li>
   5 years of claims or litigation experience handling cyber liability claims, both primary and excess required. Additional experience handling D&amp;O, E&amp;O (medical, employers, architects, engineers, insurance agents and/or lawyers) and/or other financial lines claims preferred.
  </li>
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   Experience with determining coverage on insurance policies with multiple coverage types.
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   Experience handling claims on a nationwide basis.
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   Ability to travel to mediations, as required.
  </li>
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   Must possess good writing and presentation skills for internal and external reporting and projects.
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   Must be able to partner with our Program administrators to support program growth.
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 </ul>
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  Education/Experience
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 </strong>
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  <li>
   Bachelor&rsquo;s degree required, JD preferred.
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   <br/>
  </li>
 </ul>
 The pay range for this role is $75,000 - 150,000. The specific offer will depend on an applicant&rsquo;s skills and other factors.
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 <br/>
 We are an E-Verify employer - all hired positions require successfully passing an E-Verify Check.
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 <br/>
 Navigate the links below to learn more about careers at OdysseyRe.
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 <br/>
 Workplace Initiatives
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 <br/>
 Career Areas for Professionals
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 A Rewarding Workplace
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 Follow us on LinkedIn for company highlights
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 <br/>
 #Hudson
</div>


GEICO

<div>
 <strong>
  Why Join GEICO?
  <br/>
  <br/>
 </strong>
 At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities.
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 <br/>
 Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide.
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 <br/>
 Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. When you join our company, we want you to feel valued, supported, and proud to work here. That's why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers.
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 <br/>
 <strong>
  Your Impact at GEICO
 </strong>
 <strong>
  <br/>
  <br/>
 </strong>
 As an Auto Claims Specialist, you&rsquo;ll reassure customers and offer solutions when they need us the most with empathy and care. You will guide policyholders through their coverage and the steps to get back on the road safely.
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 <strong>
  What Makes This Opportunity Exciting?
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  <li>
   Compensation &amp; Incentives:
  </li>
  <ul>
   <li>
    Starting Salary: $28.29 - $34.24/hour ($57,000 - $69,000 annually).
   </li>
   <li>
    Differentials: +10% for evening shifts; +20% for weekends.
   </li>
  </ul>
  <li>
   Benefits:
  </li>
  <ul>
   <li>
    Health and wellness benefits starting Day 1 (medical, dental, vision, flexible spending accounts and more).
   </li>
   <li>
    Accrue Paid Time Off immediately, plus 13 paid holidays annually (8 fixed, 5 floating).
   </li>
   <li>
    401(k) with up to 6% match, vested immediately.
   </li>
   <li>
    GEICO Strive, upfront tuition assistance program (up to $5,250 annually).
   </li>
  </ul>
  <li>
   Professional Growth:
  </li>
  <ul>
   <li>
    Licensing and continuing education at no cost, including hundreds of eLearning courses to enhance your skills.
   </li>
  </ul>
  <li>
   Workplace Flexibility:
  </li>
  <ul>
   <li>
    Complete in-office training, then opportunity to work 80% on-site and 20% off-site.
   </li>
   <li>
    Enjoy GEICO Flex, additional weeks annually to work off-site, meeting location and work guidelines.
   </li>
   <li>
    Office Location: 5445 West Cypress Street, Tampa, Florida 33607
    <br/>
   </li>
  </ul>
 </ul>
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  How
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 </strong>
 <strong>
  You
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  &rsquo;ll
 </strong>
 <strong>
 </strong>
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  Make a Difference
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 <ul>
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   Customer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road.
  </li>
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   Problem Resolution: Resolve customer concerns, ensuring a positive experience.
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   Meaningful Impact: Drive customer satisfaction through meaningful interactions.
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  </li>
 </ul>
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 <strong>
  What
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 </strong>
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  We
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  &rsquo;re
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 <strong>
 </strong>
 <strong>
  Looking For
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 <ul>
  <li>
   Experience &amp; Qualifications:
  </li>
  <ul>
   <li>
    Customer-facing Claims experience preferred.
   </li>
   <li>
    Experience in high-volume call centers with KPIs (Key Performance Indicators) and measurable goals preferred.
   </li>
   <li>
    Active Adjusters license preferred (training and exam fees provided).
   </li>
   <li>
    High School Diploma or GED required; College degree preferred.
   </li>
  </ul>
  <li>
   Core Skills:
  </li>
  <ul>
   <li>
    Strong customer service, interpersonal, problem-solving, and empathy skills.
   </li>
   <li>
    Adaptable, detail-oriented, and able to prioritize and multitask across platforms.
   </li>
  </ul>
  <li>
   Availability:
  </li>
  <ul>
   <li>
    Available to work evenings, weekends, and holidays.
    <br/>
   </li>
  </ul>
 </ul>
 <strong>
  The GEICO Pledge
  <br/>
  <br/>
 </strong>
 <strong>
  Great Company:
 </strong>
 Protecting customers through life&rsquo;s twists and turns with innovation and integrity.
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 <strong>
  Great Careers:
 </strong>
 Personalized development programs, mentorship, and certification assistance.
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 <strong>
  Great Culture:
 </strong>
 Inclusive and collaborative culture rooted in shared success.
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 <strong>
  Great Rewards:
 </strong>
 Competitive pay, benefits, and flexibility to support your well-being and future.
 <br/>
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 The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled.
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 GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
</div>


Foundation Laboratory

<p>We are seeking Full-Time Billers/Claims Collections Specialist to join our team!</p><p><b>Qualifications:</b></p><ul><li>Minimum two years of experience as a Biller is preferred.</li><li>Laboratory Billing Experience Preferred.</li><li>Correct, appeal and resubmit denied claims or charges.</li><li>Audit patient accounts for proper billing and status.</li><li>Verify, update/edit and approve charges for billing.</li><li>Contact clients or patients regarding account information, diagnosis or verification of payer information.</li><li>Provide customer service to clients or patients in regards to their account balance, statement, pricing and collection of payment.</li><li>Knowledge of ICD-10, NCD/LCD and NCCI guidelines.</li><li>Regular, reliable and predictable attendance required.</li><li>Related experience in a laboratory setting is a plus.</li><li>Bilingual - Spanish is a plus.</li></ul><p><b>Desired Attributes:</b></p><ul><li>Ability to multitask</li><li>Strong interpersonal skills</li><li>Ability to function with the highest level of quality and care</li><li>Strong organizational skills</li></ul><p>Job Type: Full-time</p><p>Pay: $19.00 - $22.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Biller/Claims Specialist

Kings Community Action Organization

<div><p><b>Employment Type: 12 months</b></p><p><b>
Type: Full-Time</b></p><p><b>
FLSA Status: Non-Exempt</b></p><p><b>
Compensation: Min. $20.91/hr. - Max. $26.77/hr. in 6 steps</b></p><p><b>
Application Deadline: Open Until Filled</b></p><p></p><p><b><br>
MISSION STATEMENT:</b></p><p>
Join Kings Community Action Organization (KCAO) and make a difference in Kings County, CA as a H&amp;E Billing and Claims Specialist. KCAO envisions a future where all people in Kings County are able to live with dignity, have access to available resources and have the opportunity, motivation and ability to live economically productive and satisfying lives.</p><p>
Our Mission: <i>Working as a team, KCAO will seek and provide programs that develop self-sufficiency in individuals, families, and communities within Kings County.</i></p><p>
Our Vision: <i>Kings County residents and communities will achieve self-sufficiency through the high quality and client-focused programs of KCAO.</i></p><p>
We are a private nonprofit helping people and changing lives in Kings County since 1965. Do you see yourself as part of our team of passionate, committed, and caring people?</p><p><b>
JOB SUMMARY:</b></p><p></p><p><br>
The H&amp;E Billing and Claims Specialist is responsible for supporting the H&amp;E Department in the execution and timely delivery of information, payment processing, data collection, data entry and reporting. This role ensures compliance with payer requirements, resolves claim denials, and works closely with managed care plans and funders.</p><p></p><p><b><br>
DUTIES AND RESPONSIBILITIES:</b></p><ul><li>
Prepare, review, and submit claims accurately and in a timely manner.</li><li>
Monitor claim status and follow up on unpaid, denied, or underpaid claims.</li><li>
Analyze and resolve claim denials, rejections, and payment discrepancies.</li><li>
Prepare and route check requests and purchase requisitions to ensure prompt payment of financial obligations.</li><li>
Complete monthly data and invoice reports in accordance with program requirements.</li><li>
Reconcile invoices to statements and purchase orders, ensuring accuracy and completeness.</li><li>
Ensure all documents are properly completed, signed, and distributed in accordance with established procedures.</li><li>
Allocate payments in accordance with established policies and procedures.</li><li>
Communicate effectively with vendors, staff, and clients regarding billing and payment matters.</li><li>
Maintain accurate and organized billing files and documentation.</li><li>
Support program operations by ensuring compliance with programmatic and reporting requirements.</li><li>
Maintain compliance with HIPAA, payer guidelines, and organizational policies.</li><li>
Stay current on billing regulations, payer policies, and reimbursement changes.</li><li>
Attend and participate in department, agency, and community meetings, as required.</li><li>
Work collaboratively with internal staff and external partners to support program and financial operations.</li><li>
Support departmental operations by assisting with tracking check requests, invoices, and program-related documentation, as needed.</li><li>
Assist with data entry, file maintenance, and preparation of reports to support program and compliance requirements.</li><li>
Assist with coordinating meetings, trainings, outreach activities, and related logistics to support program operations.</li><li>
Provide administrative support to the Home &amp; Energy program, including scheduling, document preparation, and coordination efforts, as needed.</li><li>
Perform general clerical support functions, such as answering phones, scanning documents, and maintaining organized records, as needed to support departmental workflow.</li><li>
Perform other duties as assigned.</li></ul><p><b>
EDUCATION/EXPERIENCE REQUIREMENTS:
</b></p><p>Associate's degree in business administration or related field from an accredited institution <b><i>AND</i></b></p><ul><li>
Two years of progressively responsible clerical or administrative experience.</li></ul><p>
OR</p><ul><li>
High school diploma (or equivalent) <b><i>AND</i></b></li><li>
Five years of progressively responsible clerical or administrative experience.</li></ul><p></p><p><b><br>
PREFERENCES:
</b></p><ul><li>Familiarity with California communities and Medi-Cal populations</li><li>
Experience working in a community-based organization</li><li>
Experience in Medi-Cal billing</li></ul><p><b>
OTHER REQUIREMENTS:</b></p><ul><li>
Attend local and out of area meetings and conferences as required per the funding source(s) or as directed.</li><li>
Meet and maintain KCAO hiring requirements which include:
</li><li>Criminal Record Clearance including California DOJ, FBI, Child Abuse Centralized Index (CACI), National Sex Offender Public Website (NSOPW), and the California Sex and Arson Registry (CSAR) (Megan's Law). Health examination with tuberculin clearance.</li><li>
Ability to be contacted outside of regularly scheduled work hours in case of emergency.</li></ul><p><b><i>
KCAO is an Equal Opportunity Employer and a Drug Free Workplace</i></b>
</p><p><b><i>KCAO participates in the E-Verify program that electronically confirms an employee's authorization to work in the United States that complies with the I-9 form.</i></b></p></div>

Billing and Claims Specialist

Maine Public Employees Retirement System

<div><div><div><div><div><div><div><p>Maine Public Employees Retirement System (MainePERS) is seeking a detail-oriented and analytical Disability Specialist to oversee disability retirement and rehabilitation programs. In this role, you will evaluate disability retirement applications, review ongoing eligibility for benefits, and coordinate rehabilitation services. You will work closely with members, employers, healthcare providers, and medical review professionals to ensure fair, timely, and accurate determinations.</p><p><b>
What You'll Do</b></p><ul><li>
Evaluate disability retirement applications and continuing eligibility for benefits.</li><li>
Gather, review, and analyze medical, vocational, and employment information.</li><li>
Assess individuals' ability to perform essential job functions and evaluate reasonable accommodations.</li><li>
Issue eligibility determinations in consultation with the Medical Review Service Provider.</li><li>
Coordinate rehabilitation services and monitor program compliance.</li><li>
Communicate effectively with members, employers, healthcare providers, and other stakeholders.</li><li>
Assist with appeals and provide technical guidance on disability and rehabilitation matters.</li><li>
Represent the organization at meetings, presentations, and public outreach events.</li></ul><p><b>
What We're Looking For</b></p><ul><li>
Strong analytical and problem-solving skills.</li><li>
Excellent written and verbal communication abilities.</li><li>
Sound judgment and the ability to make timely decisions.</li><li>
A commitment to accuracy, accountability, and exceptional customer service.</li><li>
The ability to build trust and work collaboratively with diverse audiences.</li></ul><p><b>
Minimum Qualifications</b></p><ul><li>
Bachelor's degree in a related field and two years of progressively responsible administrative experience; OR</li><li>
Associate's degree in a related field and five years of complex administrative or technical experience; OR</li><li>
An equivalent combination of education and experience.</li><li>
At least one year of experience applying complex laws, regulations, policies, or procedures.</li><li>
Proficiency with Microsoft Office applications.</li></ul><p><b>
Preferred Qualifications</b></p><ul><li>
Experience evaluating medical evidence and determining eligibility for benefits or services.</li><li>
Experience in disability determination, vocational rehabilitation, insurance claims, or a related field.</li></ul><p><b>
Salary</b>: Begins at $67,787 (if annualized).</p><p><b>
Benefits:</b> We offer an outstanding benefit package including: <b>13 Paid Holidays</b>, Health Insurance, Dental Insurance (<b>fully paid</b>), Vision Care, Life Insurance, Defined Benefit Pension Plan, Deferred Compensation Plan, substantial Tuition Reimbursement, Parental leave, Generous Vacation and Sick Leave. <b>Eligible for a hybrid work schedule</b> after a successful probationary period.</p></div></div></div></div></div></div><br>
<p></p>
7:30am-4:00pm, Monday through Friday<br>
40 hours per week, 80 hours per 2-week pay period</div>

Disability Claims Specialist

Gainwell Technologies LLC

<div><div><div><div><div><p>Claims Specialist- Anchorage, AK (Hybrid)
</p></div></div></div></div><div><div><div><div><b>Date: </b>Jun 8, 2026
</div></div></div></div><div><div><div><div><b>Location:
</b>Any city, AK, US, 99999
</div></div></div></div><div><div><div><div><b>Req ID: </b>36193
</div></div></div></div><div><div><div><div><b>Work Mode: </b>Virtual (Exception only)
</div></div></div></div><div></div><div><div><div><div><div>Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You&rsquo;ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.</div><div></div><div><div><div><div><b><br>
Summary</b></div>
</div><div><div>
As <b>Claims Specialist- Anchorage, AK (Hybrid)</b>, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve &mdash; a community&rsquo;s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare&rsquo;s biggest challenges. Here are the details on this position. HMS is hiring Claims Specialists to support our Alaska account. These positions processes moderately complex claims for our Alaska Medicaid client. They will make decisions on payment of medical claims using the existing policy and rules to ensure accurate and timely completion.</div></div></div><div></div><div><div><div><b><br>
Your role in our mission</b></div>
</div><div><ul><li>Review and research suspended medical claims and adjudicate them per DHS policy.</li>
<li>Refer claims to Utilization Review and Provider Services units.</li>
<li>Maintain necessary documentation.</li>
<li>Participate in meetings as necessary.</li>
<li>Participate in process improvement sessions.</li>
<li>Train as a back-up for other areas, such as document control, courier, and customer service desk.</li>
<li>Other duties as assigned</li>
</ul></div></div><div><div><div><b>What we're looking for</b></div>
</div><div><ul><li>Ability to work both independently and as part of a team.</li>
<li>Strong communication skills with the ability to communicate clearly and effectively in writing and verbally.</li>
<li>Ability to access and retrieve information using a PC.</li>
<li>Intermediate understanding of Microsoft Office products.</li>
<li>Organizational skills to balance and prioritize work, and analytical and problem-solving skills.</li>
</ul></div></div><div><div><div><b>What you should expect in this role</b></div>
</div><div><ul><li>Hybrid role with ability to work in the Anchorage, AK office preferred, with the possibility of working remotely from another state for the right candidate. The person will need to work Alaska Time hours.</li></ul><br>
<div></div>
<div>
#LI-LS2</div>
<div>
#LI-HYBRID</div></div></div></div><br>
<div></div>
<div>
The pay range for this position is $37,500.00 - $53,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You&rsquo;ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</div><br>
<div></div>
<div>
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You&rsquo;ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.</div><br>
<div></div>
<div><i>
Gainwell Technologies </i><i>is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. </i><i>Gainwell Technologies defines &ldquo;wages&rdquo; and &ldquo;wage rates&rdquo; to include &ldquo;all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.</i></div></div></div></div></div></div><p></p>

Claims Specialist- Anchorage, AK (Hybrid)

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Claims Specialist- Anchorage, AK (Hybrid)