- Universities of Wisconsin (Madison, WI)
- …safety, and environmental management quality property, liability, and worker's compensation claims management protection of UW System assets risk assessments ... apply through the internal application process. Position Title: Workers Compensation Examiner Job Category: Academic Staff Employment Type: Regular Job Profile: Work… 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 ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review, analyze and evaluate… more
- JB Hunt Transport (Lowell, AR)
- …of exposure and documentation of all findings for each claim within the claims matter management system for management review as well as internal and ... **Job Title:** Casualty Claims Examiner I **Department:** Insurance **Country:**... investigations to determine liability exposure of each assigned claim . This investigation includes analysis of state and federal… 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 ... for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review claims escalated… more
- Cedars-Sinai (CA)
- **Job Description** The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and ... required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred....and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** :… more
- State of Montana (Helena, MT)
- …over the phone in the claim process, utilizing the external customer oriented online claims system to file the claim . * Explain the rights and ... may be covered by a Voluntary Employee Beneficiary Association (VEBA) *JOB DUTIES:* As a Claims Examiner 2 in the call center you will: * Assist the public… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- Robert Half Office Team (Roseburg, OR)
- Description We are looking for a skilled Medical Claims Examiner II to join our team in Roseburg, Oregon. This Contract-to-permanent position involves analyzing ... internal teams, such as billing, collections, and compliance, to resolve escalated claims and investigate claim histories. * Maintain comprehensive electronic… more
- ADP (San Dimas, CA)
- …state-of--the art predictive modeling, and metrics, data analytic tools and HRIS and claims systems . + Requires comprehensive knowledge of CA and western region ... ADP is hiring a ** Claims Lead Examiner ** . **_RESPONSIBILITIES:_** +...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… 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 work ... relations, legal, IT, compliance teams -Support internal initiatives related to claims systems / operational improvements **Required Qualifications and skills:**… more
- NTT DATA North America (Decatur, IL)
- …for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Examiner ** on a **project** basis to work **remote, from home** . This is ... providers and case management company for information regarding problem claims . + Print/mail EOBs and claim forms...+ TPA Experience **Preferred:** + Experience in the GBAS system + Experience processing Dental Claims \#LI-NorthAmerica… more
- ICW Group (Pleasanton, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing ... within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of...industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary ... claims processing and procedures. + 1+ year computer medical billing or claims adjudication systems experience. + Excellent written and oral communication,… 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 ... expert knowledge of claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most challenging cases, mentor junior… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and ... adjusting claims and other duties as necessary. Key Responsibilities: +...Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: RETIREMENT CLAIMS EXAMINER Location: United States-Virginia-Virginia Beach Job Number: 250002NO Job Summary: Performs duties relating to the ... Establish and initiate retirement payment accounts in retirement vendor system . . Input all retired personal data tax deductions...in the plan. . Perform actuarial review of retirement claims for Willis Towers Watson Data Services. . Supports… more
- NTT DATA North America (Charlotte, NC)
- …here. NTT DATA is seeking to hire a **Remote (Anywhere in US besides CA) Claims Processing Associate** to work for our end client and their team. **NOTE** : This ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT DATA North America (Ontario, CA)
- …relations, legal, IT, compliance teams + Support internal initiatives related to claims systems / operational improvements **Required Skills/Experience** + 5+ ... on claims workflows and be a key contributor to system enhancements, audits, and process optimizations. **Role Responsibilities:** 1. Adjudication & Review… more
- Commonwealth of Pennsylvania (PA)
- Driver License Examiner (Hazleton) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5099654) Apply Driver License Examiner (Hazleton) ... Department of Transportation is actively looking to hire a Driver License Examiner , a vital role within PennDOT that significantly contributes to enhancing highway… more
- Commonwealth of Pennsylvania (PA)
- Driver License Examiner Assistant - Gettysburg Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5095809) Apply Driver License Examiner ... Department of Transportation is actively looking to hire a Driver License Examiner Assistant. This vital role within PennDOT involves supporting the Driver License… more
