Claims Systems Jobs

Experienced Workers' Compensation Claims Examiner needed in Baltimore (hybrid) to manage lost-time claims, negotiate settlements, and deliver client-focused adjudication for a leading global claims services firm.

Machinify seeks a Software Engineer specializing in GenAI/ML to build production AI systems that automate and scale healthcare claims and payment workflows.

Experienced business systems analyst needed to own requirements, testing, reporting, and stakeholder engagement for internal applications supporting Highmark/United Concordia operations.

Acrisure seeks a detail-oriented Commercial Insurance Mid/Large Account Manager in Santa Cruz to manage commercial lines accounts, support producers, and ensure accurate policy administration.

Lead and develop a FNOL claims unit at Kemper's Henderson office, overseeing adjusters and supervisors to ensure timely, compliant claim resolution and strong team performance.

Lead and scale Resilience's North America cyber claims operations, owning systems, vendor performance, regulatory compliance, and cross-functional claims insights.

Citizens is hiring a Senior Claims Litigation Analyst to lead litigation data analysis, manage discovery and legal billing, and support system enhancements within the Claims Litigation team.

Lead QA and systems efforts for FFS Medicaid products at Navitus, ensuring regulatory compliance, strong testing practices, and reliable claims processing.

QualDerm Partners is hiring an onsite Customer Service Representative to handle high-volume patient communications, billing inquiries, appointments, and payment processing for their dermatology clinics.

Lead billing and posting operations for a healthcare organization, driving revenue cycle performance, mentoring staff, and resolving complex claims in a remote Team Lead role.

Sun Life U.S. is hiring a Client Support Liaison to serve as the primary group-claims contact for mid-market employer clients, driving service recovery, reporting, and client-facing education.

Sedgwick is hiring a Workers' Compensation Claims Examiner in Long Beach to adjudicate complex California WC claims, negotiate settlements, and provide high-quality client and claimant communications in a hybrid work model.