- Universities of Wisconsin (Madison, WI)
- …apply through the internal application process. Position Title: Workers Compensation Examiner Job Category: Academic Staff Employment Type: Regular Job Profile: Work ... Comp Examiner (Inst) Job Duties: The mission of the Office...and environmental management quality property, liability, and worker's compensation claims management protection of UW System assets risk assessments… more
- 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 (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 (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 (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 (Sun Prairie, WI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - (Hybrid/Agile Schedule - Auto w/ Litigation Experience) + ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Madison, WI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) Claims Examiner - Workers Compensation | GA & RI Jurisdictions Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf of our valued clients to determine… more
- 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 (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 (Sun Prairie, WI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury **PRIMARY PURPOSE** : To analyze and process ... complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- Molina Healthcare (Madison, WI)
- …or GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 1-3 years' experience in claims adjudication, Claims Examiner II, or other relevant work ... **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines,… more
- Sedgwick (Madison, WI)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- 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
- Molina Healthcare (Madison, WI)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- 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
- Highmark Health (Madison, WI)
- …**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
- Molina Healthcare (Madison, WI)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... Associate (HCAFA). + Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you are interested in… more
