- TEKsystems (Fresno, CA)
- …or nearby; Merced, Chowchilla, Madera, Fresno, Visalia, Hanford, or Bakersfield. Description The Claims Examiner I reports to the Supervisor of Claims . ... I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state , federal and health plan regulatory… more
- Texas Veterans Commission (Fort Worth, TX)
- …existing statutes and procedures, precedent rulings, and state law in the adjudication process. . Prepares and files claims and appeals with supporting ... job histories, which includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of duties performed.To receive… more
- Peckham, Inc. (KY)
- …handling sensitive information and mentoring new staff. DUTIES AND RESPONSIBILITIES + Claims Adjudication (70%): Examine and process complex or specialty ... any other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws. Peckham is an… more
- Adecco US, Inc. (Hunt Valley, MD)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Adecco is currently assisting one of its clients in their search for a ** Claims Examiner** **Pay range: $35 - $40/hr.** **Shift availability: Remote 8:00 AM - 4:30… more
- Adecco US, Inc. (San Diego, CA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... **Adecco is currently assisting a Client in their search to fill Claims Examiner positions located in San Diego, CA (Remote)** **Description:** **Min 3 years of… more
- Sedgwick (Roseville, CA)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Claims Examiner - Workers Comp (Hybird Roseville, CA) **PRIMARY ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (Atlanta, GA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Bodily Injury Liability **PRIMARY PURPOSE** : To analyze complex or… more
- Sedgwick (Rancho Cordova, CA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To analyze complex or… more
- Sedgwick (Roseville, CA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | San Diego or Roseville, CA Are you looking for an… more
- Sedgwick (Denver, CO)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Temp - Telecommute CO Are you looking for… more
- Sedgwick (Frankfort, KY)
- … claims involving litigation and non-litigated exposures; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability Property Damage | Remote As a Claims … more
- Sedgwick (Portland, OR)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Telecommute OR Are you looking for an… more
- Sedgwick (Plano, TX)
- …liability claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... claims within designated authority level. + Prepares necessary state filings within statutory limits. + Manages the litigation...coding is correct. + Refers cases as appropriate to supervisor and management. + Leads team meetings and assigns… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …( WCC (https://portal.ct.gov/wcc) ) is a quasi-judicial agency responsible for the adjudication of disputed workers' compensation claims and administration of ... Workers' Compensation District Operations Supervisor Recruitment # 250829-8148AR-001 Location Bridgeport, CT Date...9/5/2025 12:00:00 AM Salary $78,296*- $101,215/year (*New employees to state service start at the minimum) Job Type Open… more
- State of Massachusetts (Lawrence, MA)
- …part-time, professional experience in social work or social casework, claims adjudication , job placement, recruitment, employment counseling, vocational ... inclusive leaders for the position of *Supplemental Nutritional Assistance Program (SNAP) Supervisor *. Our ideal candidate will provide daily supervision of the SNAP… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …the Spine Insurance Specialist team to ensure optimal management filing insurance claims , denial management and adjudication according to LBJI contracts. ... served the orthopedic needs of northwest Indiana since 1968. With state -of-the-art facilities, we are dedicated to delivering the exceptional, compassionate care… more
- Henry Ford Health System (Troy, MI)
- …This includes but is not limited to: Coordinating timely and accurate claims submission for adjudication Coordinating and developing timely denial follow ... The Corporate Business Office (CBO) Supervisor works closely with the respective CBO Manager....to prevent denials. Oversee follow up to ensure all claims are resolved or responded to by the payers.… more
- KPH Healthcare Services, Inc. (Gouverneur, NY)
- …or related field **Experience:** + Required: 1 year experience using the RxIQ claims adjudication platform + Preferred: 2 Years experience with Health Care, ... adjudication platform. Works closely with the Benefit Operations Supervisor in ensuring the team's goals are met. Translates...is a multistate organization and abides by all local, state , and federal regulations as it pertains to minimum… more
- University of Rochester (Rochester, NY)
- …+ Review and advise supervisor or manager of trends on incorrectly paid claims from specific payers. + Work with supervisor /manager on communication to payer ... as to the processes necessary to collect denied insurance claims , no response accounts, and will investigate resolving billing...to ensure that the process conforms to federal and state regulations bringing concerns to the attention of billing… more
- University of Rochester (Rochester, NY)
- …methodology, including add-ons - - Follow up with payers on incorrectly paid claims through final resolution and adjudication , including refund of credits - ... within 2 hours of RTP and within New York State . Position Summary With latitude for initiative and independent...supervisor or manager on trends of incorrectly paid claims from specific payers - - Work with … more