- CACI International (Chantilly, VA)
- Claims Examiner Job Category: Finance and Accounting... claim form and enter it into the claims system + Maintain worker's compensation claim ... pro-active, critical thinker to manage and review workers' comp claims as a Claims Examiner ....Compensation claims are reviewed and approved by Claims Examiners promptly + Ensure Claim forms… more
- GAF (Parsippany, NJ)
- …under this roof, we protect what matters most. **Job Summary** The Residential Warranty Claims Examiner position is a critical member of our Residential Warranty ... Warranty Claims Supervisor for Enhanced Warranties. The Residential Warranty Claims Examiner will be responsible for overseeing their assigned warranty… more
- MVP Health Care (Schenectady, NY)
- …the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess ... improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is...experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills… 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
- OneMain Financial (Fort Worth, TX)
- Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... line by performing all functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Sr Claims Examiner **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part ... High School (Required) **Work Experience:** Legal **Job Opening ID:** 00596387 Sr Claims Examiner (Open) **_"This job description has been designed to… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within a ... FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims based on… 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 . Minimum 1 year experience in LuminX claims system Preferred: Experience processing Dental … more
- ICW Group (Sacramento, 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
- 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
- Thrivent Financial (WI)
- …liability within established guidelines. This position is accountable for analyzing claims to determine benefit/contract eligibility and processing claim ... + Determine extent of liability on routine and non-routine claims and make final claim decisions within...various work flow, administrative, and LOB (Line of Business) systems , accurately and cost effectively according to contract provisions… more
- State of Montana (Helena, MT)
- …position is open until filled with frequent screening of applicants. **Title:** * Claims Examiner 2 (11722)* **Location:** *Helena* **Requisition ID:** *25141497* ... resolution, pricing of specialized procedures, and maintenance of data systems for claims adjudication. Based on paid claims information, designs, and… more
- NTT America, Inc. (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role Responsibilities** ... -Processing of Professional claim forms files by provider -Reviewing the policies and...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- NTT DATA North America (Dallas, TX)
- NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM ... be responsible for: + Processing of Professional and Hospital 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 America, Inc. (Plano, TX)
- **In this Role the candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies and benefits + Comply ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...applications using a keyboard, navigating multiple screens and computer systems , and learning new software tools + High school… more
- State of Michigan (Saginaw, MI)
- … Claims Interviewer 9 or one year equivalent to an Unemployment Insurance Examiner 9, Unemployment Claims Examiner 9, or Unemployment Claims ... other state agencies through our fiscal, IT, and HR systems . Insurance Benefits:The State of Michigan offers health, mental...9 or one year equivalent to an Unemployment Insurance Examiner 9, Unemployment Claims Examiner … more
- Louisiana Department of State Civil Service (Shreveport, LA)
- Disability Determinations Examiner 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777517) Apply Disability Determinations Examiner ... have access to Social Security disability data, records, and systems . Your conditional job offer and access to Social...be filled from this recruitment as a Disability Determinations Examiner 1,2,or 3 depending on the level of experience… more
- Commonwealth of Pennsylvania (PA)
- Driver License Examiner - Bensalem Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5014419) Apply Driver License Examiner - Bensalem ... + One year of experience as a Driver License Examiner Assistant (Commonwealth job title or equivalent Federal Government...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… 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 ... your degree before your start date. As a patent examiner , you will: Examine patent applications and protect groundbreaking...certify that you have registered with the Selective Service System . If you are exempt from registration under Selective… more