- MTA (Brooklyn, NY)
- …or its equivalent and four years of full-time experience investigating and settling liability claims ; or Senior Claim Examiner One (1) year of permanent ... Claims Examiner Series - Law Job... Claims Examiner Series - Law Job ID: 12387 Business...Department: Torts Date Posted: Aug 8, 2025 Description Claim Examiner / Senior Claim Examiner … more
- State of Massachusetts (Boston, MA)
- * Claims Examiner /Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service Representative I ... within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review...Examiner /Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner /Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service ... the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review,...Examiner /Job Service Representative II, who reports to the Senior Manager of Benefit Operations & Program Integrity is… more
- ICW Group (Pleasanton, CA)
- …better everyday! Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a ... an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands… more
- AIG (Jersey City, NJ)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Examiner - International Casualty Home Office to play your part ... take so long in France? This position may be for you. A Senior Claims Examiner position in the International Casualty Home Office involves handling … more
- NTT DATA North America (Ontario, CA)
- ** Senior Claims Examiner (Xcelys System)** **NTT DATA Services currently seeks a Senior Claims Examiner to join our team working 100% Remote and ... training on camera.** **Job Description** To serve as a senior -level adjudicator and SME for medical claims ...a senior -level adjudicator and SME for medical claims within the Xcelys environment. Provide subject-matter expertise on… more
- Raphael and Associates (Rutherford, NJ)
- Senior Property Desk Examiner (remote) Company...currently growing and are looking for a TPA Property Claims Examiner with a minimum of five ... Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company...evaluate property damage estimates provided by field adjusters. + Recognition of subrogation potential. + Work well with internal… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... appropriateness, eligibility and coordination of benefits + Documents fully claims referred to senior staff for review...benefits + Documents fully claims referred to senior staff for review and determination + Maintains company… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and ... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
- Sedgwick (Brea, CA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Are you ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Philadelphia Insurance Companies (Melville, NY)
- …a member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr . Claims Examiner - PIP to join our team! Summary: Analyze insurance claims to ... investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- HUB International (New York, NY)
- …culture. Hub International Northeast Limited is seeking an experienced and forward-thinking Senior Claims Advocate to join our Property and Casualty (P&C) ... Claims Group. Key Responsibilities: + Act as claims advisor to large, complex clients, ensuring timely and equitable resolutions. + Partner with producers and… more
- US Tech Solutions (Whittier, CA)
- …UB-92 and HCFA-1500 forms + Understanding of provider contracts, Medi-Cal, commercial, and senior plan claims + Strong knowledge of timeliness, payment accuracy, ... 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups… more
- AIG (Atlanta, GA)
- Join us as a Senior Claims Adjuster to grow your experience in handling Federal Workers Compensation claims . Make your mark in Claims Our Claims ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- JB Hunt Transport (Lowell, AR)
- …levels. This includes setting up and assigning claim files to the appropriate Claims Examiner , establishing initial financial reserves based on early findings, ... **Job Title:** Sr Casualty Claims Intake Representative **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:**… more
- UCLA Health (Los Angeles, CA)
- …reviewing treatment progress, recommending medical treatment interventions to the third-party claims examiner , and ensuring compliance with applicable workers' ... Compensation Analyst and department manager, you will manage workers' compensation claims by supporting employees who have experienced work-related injuries or… more
- Patent and Trademark Office (Alexandria County, VA)
- …in the making - and help shape what's next. Learn how to become a patent examiner , explore the patent examiner disciplines crosswalk to find the areas that align ... we will verify your degree before your start date. As a patent examiner , you will: Examine patent applications and protect groundbreaking ideas. You'll review… more
- Patent and Trademark Office (Alexandria, VA)
- …in the making - and help shape what's next. Learn how to become a patent examiner , explore the patent examiner disciplines crosswalk to find the areas that align ... we will verify your degree before your start date. As a patent examiner , you will: Examine patent applications and protect groundbreaking ideas. You'll review… more
- JB Hunt Transport (Lowell, AR)
- …Pre-Law (Required), Doctorate: Law, GED, High School **Work Experience:** Loss Prevention/ Claims Management **Job Opening ID:** 00604206 Litigation Examiner ... **Job Title:** Litigation Examiner **Department:** Insurance **Country:** United States of America...the legal process by thoroughly investigating, reviewing, and assessing claims and legal cases to ensure compliance with applicable… more
- Health Care Service Corporation (Chicago, IL)
- …Accredited Health Care Fraud Investigator + Certified Professional Coder + Certified Fraud Examiner + Knowledge of health care claims processing and benefit ... administration. Please note that this role is **HYBRID** with an in-office requirement of 3 days a week \# LI-LK1 \# LI-Hybrid \# INJLF **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!**… more