Do you enjoy helping others? Can you see yourself being the face of State Farm helping our customers in their time of need? This position is for a Fire Team Manager, overseeing Claim Specialists who handle one or a combination of the following accidental and weather related homeowners, commercial, and large loss claims. Team Managers are committed to leading and developin

Drive implementation and consistent utilization of loss mitigation initiatives and practices. Review and investigate claims, assess losses and damages, and determine liability. Negotiate and process settlements and denials within assigned authority limits and in accordance with applicable policies, tariffs, contracts, bills of lading, and local regulations and conventions

This position focuses on all CMS submission related operations in support of Prominence Health Plan's Medicare Advantage business. Activities include creating submission files related to chart retrievals per vendor proprietary format, perform data analysis in support of optimizing risk adjusted revenue, maintain compliance with all CMS standards related to health plan sub

The Claims Examiner is detail oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, including but limited to Medicare, Self Funded, Fully Insured, ensuring accuracy compliance with policies and regulations and timely settlements. This role involves assessing claims, verifying information, and co