- Sedgwick (Greensboro, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claim Examiner - Workers Compensation (Southeast state exp needed) Are you ... inclusion. **PRIMARY PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Sedgwick (Raleigh, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you ... **PRIMARY PURPOSE OF THE ROLE:** To analyze California jurisdiction Workers Compensation claims on behalf...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- Sedgwick (Raleigh, NC)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...& Licensing: **1 - 3 years of New York Workers Compensation claims management experience**… more
- Sedgwick (Raleigh, NC)
- …Specific jurisdictional expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker 's compensation claims and/or liability claims ... FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional… more
- Sedgwick (Raleigh, NC)
- … claim . + Maintains communication with the customer, Client Service Director, and Claims Examiner providing timely updates on changes in injured worker ... ongoing communication with the client, Client Service Director, and Claims Examiner until the assigned Field Case...recent clinical practice or Field Case Management experience in Worker 's Compensation . **Skills & Knowledge** + Strong… more
- CDM Smith (Raleigh, NC)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- Sedgwick (Raleigh, NC)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker , attorney and supervisor. ... considered. **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker , employer, and medical providers, create a case management strategy to… more
- Highmark Health (Raleigh, NC)
- …internal audit and regulatory requirements. Audits consist of contract, commissions, surveillance, workers ' compensation and IME. In addition, this position will ... **Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC)… more