Claims Examiner - Commercial Healthcare

TX Dallasonsite

Posted 1w ago · via Workday

About this role

- As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims across the U.S. Key Accountabilities/Deliverables: Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation, and resolution. Provide oversight on claims portfolios within the primary casualty book. Maintain direct contact with insureds, agents, and brokers. Provide oversight on claims portfolios handled by TPAs within the excess casualty book. Engage in rigorous ALAE control and management, by competently selecting, instructing, and managing 3rd party vendors, as appropriate.…

Read the full description on Core Specialty Insurance Services's site →

What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

We compare your skills against the role requirements.

2

Level fit

We check your title trajectory against the seniority signal of the role.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is based in TX Dallas. We weight your proximity and willingness to relocate.

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