• Bodily Injury Claims Examiner

    Sedgwick (Lansing, MI)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims & ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
    Sedgwick (05/21/25)
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  • Claims Examiner - General Liability

    Sedgwick (Lansing, MI)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - General Liability **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 (05/15/25)
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  • Claims Examiner - Property (Hybrid…

    Sedgwick (Lansing, MI)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Property (Hybrid or Remote in Michigan) **This role is ... complex or technically difficult (up to $100,000) personal and commercial line property claims by scoping damages and completing an estimate or by obtaining a… more
    Sedgwick (05/21/25)
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  • Claims Examiner , Bodily Injury…

    Sedgwick (Lansing, MI)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
    Sedgwick (04/24/25)
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  • Claims Examiner

    Intermountain Health (Lansing, MI)
    **Job Description:** The Claims Examiner I is responsible for inbound calls from providers and health plans and adjudicates physician claims , in a timely and ... to and supports the corporation's quality improvement efforts. Processes medical claims (CPT, ICD, and Revenue Coding) at production standards, including timely… more
    Intermountain Health (06/04/25)
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  • Claims Team Lead - Liability (NY License,…

    Sedgwick (Lansing, MI)
    …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 (05/15/25)
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  • Senior Appeal Examiner (Meritain Health)

    CVS Health (Lansing, MI)
    …with heart, each and every day. **Position Summary** The **Senior Appeal Examiner (Meritain Health)** is responsible for managing (to resolution) complaint and ... Qualifications** + 1+ years of experience with healthcare, specifically in appeals, claims , and/or compliance, as well as benefit interpretation. + 1+ years of… more
    CVS Health (06/04/25)
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  • Workforce Absence Team Lead

    Sedgwick (Lansing, MI)
    …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 (05/20/25)
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  • Estimate Review Specialist Sr. (Repair Solutions)

    Sedgwick (Lansing, MI)
    …Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... to advance to the next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable range of compensation for… more
    Sedgwick (04/24/25)
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  • Investigator

    Highmark Health (Lansing, MI)
    …**Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more
    Highmark Health (05/08/25)
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