- WelbeHealth (Los Angeles, CA)
- …Health Plan Services team helps ensure excellent care delivery for our participants, and the Senior Claims Examiner plays a pivotal role in ensuring timely ... At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option...and efficient processing of claims for our contracted specialty provider partners. **Essential Job… more
- MVP Health Care (Rochester, NY)
- …which requires innovative thinking and continuous improvement. To achieve this, we're looking for a ** Senior Medical Claims Examiner ** . If you are a team ... **Inclusive Workplace** . **Qualifications you'll bring:** + AAS degree with claims experience preferred, or equivalent combination of education and experience will… 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 internationally recognized for exceptional service.… more
- 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
- 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
- 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
- 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
- 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
- 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
- Sedgwick (Sacramento, CA)
- …strong background in insurance coverage analysis? We're seeking an experienced attorney or senior level examiner with a strong background in insurance coverage ... Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote...analysis to support insurance carriers by evaluating claims and loss complaints, interpreting policy language, and drafting… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... organizations, insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
- American Family Insurance - Corporate (Houston, TX)
- …established standards, and procedures of the company. You will report to a senior manager, adjusting services. In this primarily field-based role, you will spend 80% ... effective solutions for dealing with problems, situations and conflicts. *Comply with Unfair Claims Practices Acts and ensures handling of claims in good faith.… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR PHYSICIAN (Forensic Pathology) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4766320) Apply SENIOR PHYSICIAN (Forensic Pathology) ... Angeles County, CA Job Type Full time Job Number P5456C-R Department MEDICAL EXAMINER Opening Date 01/16/2025 Closing Date Continuous + Description + Benefits +… more
- Travelers Insurance Company (Overland Park, KS)
- …on all accounts. Under close supervision, performs risk evaluations and claims investigations on less complex accounts as assigned. Participates in individual ... equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements of the… 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
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