• Claims Examiner | Auto NF, PIP, MP…

    Sedgwick (Madison, WI)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Auto NF, PIP, MP | Remote Are you looking for ... financial and professional needs. **ARE YOU AN IDEAL CANDIDATE?** As a Claims Examiner , you will primarily handle auto-related liability claims for the… more
    Sedgwick (11/18/25)
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  • Claims Examiner | Multi-Line…

    Sedgwick (Madison, WI)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for ... ever the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with 5+ years of experience handling both 3rd party… more
    Sedgwick (10/15/25)
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  • Claims Examiner | General Liability…

    Sedgwick (Madison, WI)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a ... Claims Examiner at Sedgwick, you'll have the...Claims Examiner at Sedgwick, you'll have the opportunity to take...you have experience as a **Bodily Injury General Liability Claims Examiner ** working within **commercial (** **captive)… more
    Sedgwick (09/06/25)
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  • Claims Examiner | Commercial…

    Sedgwick (Madison, WI)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you looking for an ... YOU AN IDEAL CANDIDATE?** If you have 5+ years of experience as a Claims Examiner working on Complex Commercial Bodily Injury Trucking Claims and would like… more
    Sedgwick (10/30/25)
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  • Claims Examiner

    Sedgwick (Sun Prairie, WI)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner **PRIMARY PURPOSE** : To analyze complex or technically ... difficult general liability claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
    Sedgwick (10/30/25)
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  • Workers Compensation Claims Examiner

    Sedgwick (Madison, WI)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NC, SC, KY, WV Jurisdictions | Remote **Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze **Workers Compensation** claims on behalf of our valued clients to determine… more
    Sedgwick (11/22/25)
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  • (Remote) California Claims Examiner

    Sedgwick (Madison, WI)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze California jurisdiction Workers Compensation claims on behalf of our valued clients to determine… more
    Sedgwick (11/21/25)
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  • Workers Compensation Claims Examiner

    Sedgwick (Madison, WI)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required ... workers compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze workers compensation claims on behalf of our valued clients to determine… more
    Sedgwick (10/22/25)
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  • Workers Compensation Claims Examiner

    Sedgwick (Madison, WI)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...IDEAL CANDIDATE?** To analyze **New York** **Workers Compensation Lost-Time** claims on behalf of our valued clients to determine… more
    Sedgwick (09/17/25)
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  • Claims Examiner , Bodily Injury…

    Sedgwick (Madison, WI)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury | Liability | Remote **PRIMARY PURPOSE** : To ... analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the… more
    Sedgwick (11/25/25)
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  • Work Comp Claims Negotiator

    Sedgwick (Madison, WI)
    …accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner . Familiar with CPT, DRG and resources ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… more
    Sedgwick (11/12/25)
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  • Claims Team Lead | Auto Property Damage…

    Sedgwick (Sun Prairie, WI)
    …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
    Sedgwick (11/20/25)
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  • Complex Claims Advisor | Commercial GL…

    Sedgwick (Madison, WI)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an ... needs. **ARE YOU AN IDEAL CANDIDATE?** Are you an experienced attorney or examiner with a strong background in insurance coverage analysis? We're seeking an… more
    Sedgwick (09/25/25)
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  • Investigator, Coding Special Investigative Unit…

    Molina Healthcare (Madison, WI)
    …enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. + A demonstrated working knowledge of Local, State… more
    Molina Healthcare (11/20/25)
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  • Lead Investigator, Special Investigative…

    Molina Healthcare (Madison, WI)
    …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... + Healthcare Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Examiner (AHFI) and/or Certified Fraud Examiner (CFE)...Care Fraud Examiner (AHFI) and/or Certified Fraud Examiner (CFE) preferred. To all current Molina employees: If… more
    Molina Healthcare (11/21/25)
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