Rx Claims Engineer
Eden Prairie, MN · On-site
Role: Rx Claims Engineer Location: Eden Prairie MN (Onsite) Hire Type: W2 Contract 1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims 2. Deep knowledge of PBM concepts ...
Eden Prairie, MN · On-site
Role: Rx Claims Engineer Location: Eden Prairie MN (Onsite) Hire Type: W2 Contract 1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims 2. Deep knowledge of PBM concepts ...
Eden Prairie, MN · On-site
Role: Rx Claims Engineer Location: Eden Prairie MN (Onsite) Hire Type: W2 Contract 1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims 2. Deep knowledge of PBM concepts ...
Lakewood, CO · On-site +1
$118K - $154K/yr
Summary The Claims Engineer is located in the Construction Branch of Central Federal Lands Highway Division's (CFLHD's) and leads the Claims Review Team. The ideal candidate is a technical expert in ...
Lakewood, CO · On-site +1
$118K - $154K/yr
Summary The Claims Engineer is located in the Construction Branch of Central Federal Lands Highway Division's (CFLHD's) and leads the Claims Review Team. The ideal candidate is a technical expert in ...
The Claims Engineer is located in the Construction Branch of Central Federal Lands Highway Division's (CFLHD's) and leads the Claims Review Team. The ideal candidate is a technical expert in highway ...
The Claims Engineer is located in the Construction Branch of Central Federal Lands Highway Division's (CFLHD's) and leads the Claims Review Team. The ideal candidate is a technical expert in highway ...
The Claims Engineer is located in the Construction Branch of Central Federal Lands Highway Division's (CFLHD's) and leads the Claims Review Team. The ideal candidate is a technical expert in highway ...
The Claims Engineer is located in the Construction Branch of Central Federal Lands Highway Division's (CFLHD's) and leads the Claims Review Team. The ideal candidate is a technical expert in highway ...
Brooklyn, NY · On-site
$75K - $95K/yr
... engineers, consultants, and health care practitioners, to fully and accurately assess the causes ... Manage all phases of the claims for New York bodily injury and property damage lawsuits from intake ...
Quick apply
Brooklyn, NY · On-site
$75K - $95K/yr
... engineers, consultants, and health care practitioners, to fully and accurately assess the causes ... Manage all phases of the claims for New York bodily injury and property damage lawsuits from intake ...
New York, NY · On-site
... engineers, consultants, and health care practitioners, to fully and accurately assess the causes ... Manage all phases of the claims for New York bodily injury and property damage lawsuits from intake ...
New York, NY · On-site
... engineers, consultants, and health care practitioners, to fully and accurately assess the causes ... Manage all phases of the claims for New York bodily injury and property damage lawsuits from intake ...
Brooklyn, NY · On-site
$75K - $95K/yr
... engineers, consultants, and health care practitioners, to fully and accurately assess the causes ... Manage all phases of the claims for New York bodily injury and property damage lawsuits from intake ...
Brooklyn, NY · On-site
$75K - $95K/yr
... engineers, consultants, and health care practitioners, to fully and accurately assess the causes ... Manage all phases of the claims for New York bodily injury and property damage lawsuits from intake ...
Wayne, PA · On-site
Responsibilities: Assists claimants before the Social Security Administration with cases pending at the initial and reconsideration levels and has the authority, granted by the claimant, to act on ...
Wayne, PA · On-site
Responsibilities: Assists claimants before the Social Security Administration with cases pending at the initial and reconsideration levels and has the authority, granted by the claimant, to act on ...
Wayne, PA · On-site
Responsibilities: • Assists claimants before the Social Security Administration with cases pending at the initial and reconsideration levels and has the authority, granted by the claimant, to act ...
Wayne, PA · On-site
Responsibilities: • Assists claimants before the Social Security Administration with cases pending at the initial and reconsideration levels and has the authority, granted by the claimant, to act ...
Wayne, PA · On-site
Responsibilities: Assists claimants before the Social Security Administration with cases pending at the initial and reconsideration levels and has the authority, granted by the claimant, to act on ...
Wayne, PA · On-site
Responsibilities: Assists claimants before the Social Security Administration with cases pending at the initial and reconsideration levels and has the authority, granted by the claimant, to act on ...
Auburn Hills, MI · On-site
This role will interact extensively with suppliers, Purchasing, Supply Chain, Engineering, Finance, and Program Management to evaluate and resolve disputed claims. The Auditor will perform ...
Auburn Hills, MI · On-site
This role will interact extensively with suppliers, Purchasing, Supply Chain, Engineering, Finance, and Program Management to evaluate and resolve disputed claims. The Auditor will perform ...
Richardson, TX · Hybrid
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Richardson, TX · Hybrid
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Tempe, AZ · Hybrid
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Tempe, AZ · Hybrid
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Honolulu, HI · Hybrid
$72K - $103K/yr
Reporting directly to the Construction Claims Manager, the Construction Engineer will play a key role in managing construction claims, ensuring compliance with contracts, and supporting litigation ...
Honolulu, HI · Hybrid
$72K - $103K/yr
Reporting directly to the Construction Claims Manager, the Construction Engineer will play a key role in managing construction claims, ensuring compliance with contracts, and supporting litigation ...
Bloomington, IL · Hybrid
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Bloomington, IL · Hybrid
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Bloomington, IL · On-site
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Bloomington, IL · On-site
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Dunwoody, GA · Hybrid
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Dunwoody, GA · Hybrid
Grow Your Skills, Grow Your Potential Responsibilities As a Software Engineer / Lead Software Engineer in Enterprise Technology (ET) Claims, you will join the Enterprise Claim System (ECS) Build team ...
Honolulu, HI · On-site
$72K - $103K/yr
Reporting directly to the Construction Claims Manager, the Construction Engineer will play a key role in managing construction claims, ensuring compliance with contracts, and supporting litigation ...
Quick apply
Honolulu, HI · On-site
$72K - $103K/yr
Reporting directly to the Construction Claims Manager, the Construction Engineer will play a key role in managing construction claims, ensuring compliance with contracts, and supporting litigation ...
Honolulu, HI · On-site
$72K - $103K/yr
Reporting directly to the Construction Claims Manager, the Construction Engineer will play a key role in managing construction claims, ensuring compliance with contracts, and supporting litigation ...
Honolulu, HI · On-site
$72K - $103K/yr
Reporting directly to the Construction Claims Manager, the Construction Engineer will play a key role in managing construction claims, ensuring compliance with contracts, and supporting litigation ...
$85K/yr
... Coordinate programming updates and client communications for Plan changes. • Run reports as ... claims productivity and auto-adjudication rates. • Perform other special projects as assigned.
Quick apply
$85K/yr
... Coordinate programming updates and client communications for Plan changes. • Run reports as ... claims productivity and auto-adjudication rates. • Perform other special projects as assigned.
$41K - $46.3K
1% of jobs
$46.3K - $51.5K
4% of jobs
$51.5K - $56.8K
3% of jobs
$56.8K - $62.1K
6% of jobs
$66.6K is the 25th percentile. Wages below this are outliers.
$62.1K - $67.4K
12% of jobs
$67.4K - $72.6K
14% of jobs
The median wage is $77K / yr.
$72.6K - $77.9K
12% of jobs
$77.9K - $83.2K
18% of jobs
$84.9K is the 75th percentile. Wages above this are outliers.
$83.2K - $88.5K
15% of jobs
$88.5K - $93.7K
12% of jobs
$93.7K - $99K
3% of jobs
$41K
$76K
$99K
| Aspect | Claims Engineer | Claims Adjuster |
|---|---|---|
| Required Credentials | Engineering degree, certifications in claims or insurance | High school diploma, insurance licenses |
| Work Environment | Engineering firms, insurance companies, construction projects | Insurance companies, third-party claims firms |
| Employer & Industry Usage | Used in construction, engineering, and insurance sectors | Primarily in insurance industry |
| Common Search & Comparison | Often compared for claims processing and technical assessment roles | Focuses on claims settlement and customer interaction |
Claims Engineers and Claims Adjusters both handle claims, but Claims Engineers focus on technical assessments related to engineering aspects, often requiring engineering credentials. Claims Adjusters primarily evaluate insurance claims from policyholders, focusing on settlement and customer service. While their roles overlap in claims processing, their expertise and work environments differ significantly.

Job Description:
1. In depth knowledge on RxClaim Adjudication, claims processing, MedD claims
2. Deep knowledge of PBM concepts, including drug pricing, copays, accumulators, and Drug Utilization Review (DUR)
3. Knowledge on business & plan configuration and plan option knowledge.
4. Facilitate discussion with Product Owners, Business and clarify business requirements
5. High level knowledge in executing root cause analysis, managing data validation, and navigating automated database systems/reporting tools.
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Recruiting and staffing services
201 - 500 Employees
Iselin, NJ, US
2003