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Environmental Claims Manager Jobs in Oregon (NOW HIRING)

Senior EnvironmentalClaims Adjuster

OR · On-site +1

$65K - $85K/yr

This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and ...

Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Familiarity ... Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS ...

Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Familiarity ... Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS ...

Ability to manage multiple priorities and meet deadlines in a fast-paced environment. * Familiarity ... Job Category Claims Adjusting * Business Unit United States * Legal Employer ACE American Insurance ...

Claims Specialist

Portland, OR · Remote

$52K - $85K/yr

The Workers' Compensation Claims Specialist manages within company best practices lower-level, non ... Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: * Bachelor ...

Claims Specialist

Portland, OR · On-site

$52K - $85K/yr

Manages non-complex lost-time workers' compensation claims under close supervision * Communicates ... Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: * Bachelor ...

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Environmental Claims Manager information

What does an environmental claims manager do?

An Environmental Claims Manager is responsible for overseeing and managing insurance claims related to environmental incidents, such as pollution, hazardous spills, or property contamination. Their duties include investigating claims, assessing damages, working with legal and environmental experts, and ensuring compliance with environmental regulations. They also negotiate settlements, help mitigate risks, and coordinate with insurers, clients, and regulatory agencies to resolve claims efficiently. This role requires strong analytical skills, knowledge of environmental laws, and experience with claims management processes.

What are the key skills and qualifications needed to thrive as an environmental claims manager?

To thrive as an Environmental Claims Manager, you need expertise in insurance claims handling, knowledge of environmental regulations, and typically a degree in environmental science, law, or a related field. Familiarity with claims management software, environmental risk assessment tools, and regulatory databases is often required. Strong analytical thinking, negotiation skills, and the ability to communicate complex information clearly are vital soft skills. These capabilities ensure accurate claim evaluation, regulatory compliance, and effective resolution of environmental claims, protecting both clients and the organization.

What are some common challenges faced by environmental claims managers, and how can they prepare to handle them?

Environmental Claims Managers often encounter complex regulatory requirements and must navigate intricate environmental laws while investigating and settling claims. One key challenge is staying up-to-date with evolving regulations and ensuring compliance across jurisdictions. Additionally, these managers frequently collaborate with legal teams, environmental consultants, and insured parties to assess liability and remediation needs. To prepare, candidates should develop strong analytical skills, maintain an understanding of current environmental policies, and foster effective communication with stakeholders involved in claims processes.

What is the difference between Environmental Claims Manager vs Environmental Compliance Specialist?

AspectEnvironmental Claims ManagerEnvironmental Compliance Specialist
CertificationsEnvironmental certifications, claims handling trainingEnvironmental certifications, compliance training
Work EnvironmentClaims assessment, client communication, risk managementRegulatory audits, site inspections, policy implementation
Industry UsageInsurance, legal, environmental consultingManufacturing, construction, government agencies

The Environmental Claims Manager focuses on managing environmental claims, assessing damages, and liaising with insurers and clients. In contrast, the Environmental Compliance Specialist ensures organizations adhere to environmental laws and regulations through audits and policy enforcement. Both roles require environmental knowledge and certifications but serve different functions within the industry.

What cities in Oregon are hiring for Environmental Claims Manager jobs?

Cities in Oregon with the most Environmental Claims Manager job openings:

Pharmacy Claims Review Manager

Consonus Pharmacy

Portland, OR • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago


Job description

Overview
Pharmacy Claims Manager
What's your wish list for the perfect job? Maybe it's to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive team is top priority, or to feel respected and valued.
If your answer is "all of the above," consider joining our team at Consonus Pharmacy. It's a perfect opportunity for compassionate people dedicated to people's health and well-being.
Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers. We are currently hiring a Pharmacy Claims Manager to join our team!
As the Pharmacy Claims Manager your responsibilities will include (but are not limited to):
The Pharmacy Claims Manager is responsible for overseeing all pharmacy claims processing operations, including prescription adjudication, third-party billing, claim rejection management, and reimbursement optimization. This position leads a team responsible for ensuring accurate and timely claim submission, resolution of claim exceptions, compliance with PBM, Medicare Part D, Medicaid, and commercial payer requirements, and adherence to NCPDP standards.
The Pharmacy Claims Manager partners closely with Billing, Customer Accounts, and Pharmacy Operations to ensure accurate reimbursement and compliance, minimize claim write-offs, and ensure exceptional service to residents, facilities, and payers. In our Long-Term Care environment, there is focus on coordination with the Credentialing & Contracting team on payer enrollment issues, and management of LTC-specific reject queues related to transition fills, hospice billing, and facility census changes.
Some benefits may include:
  • Paid training & career advancement opportunities
  • $25,000 toward ongoing education benefit
  • Generous Paid Time Off that pools vacation, sick & holiday pay in a single bucket for flexible use
  • Medical/Dental/Vision insurance
  • Free access to MDLIVE - allowing access to your health benefits from anywhere
  • 401K With Employer Match
  • Employee Assistance Program: with free access to counseling & support services

Qualifications
  • Bachelor's degree in Healthcare Administration, Business, Finance, or related field; equivalent experience considered.
  • Minimum 5 years of pharmacy claims, third-party billing, pharmacy revenue cycle, or PBM operations experience. Long - Term Care experience preferred.
  • Minimum 2 years of supervisory or management experience.
  • Strong understanding of: NCPDP claim standards, Medicare Part D, Medicaid pharmacy billing, Managed Care reimbursement, PBM claim adjudication processes, Pharmacy revenue cycle operations.
  • Experience working with PBMs such as Express Scripts, CVS Caremark, OptumRx, Humana, Prime Therapeutics, MedImpact, and Navitus.
  • Experience managing Medicare Part D, Medicaid, and dual-eligible populations
  • Advanced analytical and problem-solving skills.
  • Proficiency with pharmacy management systems and reporting tools
  • Ability to work under pressure in fast-paced environment ensuring timely and accurate billing
  • Ability to travel to other pharmacy locations as required
  • Certified Pharmacy Technician (CPhT) preferred (can obtain after hire)

EEO Statement
"Be here. Be you."
For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We've continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We're committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
That means you being you - without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It's the foundation of who we are and the evolution of our collective future.