- Intermountain Health (Las Vegas, NV)
- **Job Description:** The Claims Examiner I is responsible for inbound calls from providers and health plans and adjudicates physician claims , in a timely and ... standard and follows up timely to meet compliance standards for claims , pends, and tasks. Reviews claim images and batches to ensure accuracy. Uses proper plan… more
- MTA (Brooklyn, NY)
- …four years of full-time experience investigating and settling liability claims ; or Senior Claim Examiner One ( 1 ) year of permanent service in the title ... Claims Examiner Series - Law Job...Regular Department: Torts Date Posted: Aug 8, 2025 Description Claim Examiner / Senior Claim ...company, governmental agency or law office, at least one ( 1 ) year of which shall have been in a… more
- State of Massachusetts (Boston, MA)
- …**Accounting and Finance* **Organization:** **Division of Insurance* **Title:** *Market Conduct Examiner II* **Location:** *Massachusetts-Boston - 1 Federal St* ... handling, marketing and sales, producer licensing, underwriting and rating and claims handling. Market conduct examinations are initiated consistent with internal… more
- MyFlorida (Fort Lauderdale, FL)
- FINANCIAL EXAMINER /ANALYST II - 79012289 Date: Oct 1 , 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 862222 Agency: Business and Professional Regulations Working Title: FINANCIAL EXAMINER /ANALYST II - 79012289 Pay Plan: Career Service Position...SPECIAL REMINDERS: Male applicants born on or after October 1 , 1962, will not be eligible for hire or… more
- State of Massachusetts (Boston, MA)
- …**Accounting and Finance* **Organization:** **Division of Insurance* **Title:** *Insurance Examiner II - Pharmacy* **Location:** *Massachusetts-Boston - 1 ... to serve our citizens. *_About the Role:_* The Insurance Examiner II position reports to the Director of the...in positions including, but not limited to, customer service, claims or underwriting, or related experience in a regulatory… more
- New York State Civil Service (Melville, NY)
- … 1 , Business Document Specialist 2, Motor Vehicle Consumer Services Representative 1 , Licensing Examiner 1 , Taxpayer Services Representative 1 ... the NYS Segment. *Work up and process Workers' Compensation claims .*Approve and deny medical bills.*Respond to claimant and provider...service in a title eligible for transfer under Section 70. 1 of Civil Service Law. Eligible titles include, but… more
- AIG (Lenexa, KS)
- Claims Examiner II, Accident & Health At...How you will create an impact The Personal Accident Claim Examiner will be responsible to handle all ... help customers to manage risk. Join us as a Claims Examiner II, Accident & Health to...aspects of claim resolution for assigned claims while providing… 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 ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review, analyze and evaluate… more
- Sedgwick (Brea, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | CA Jurisdiction Knowledge Required | Brea, CA Are ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans... experience required; SIP must be obtained within one ( 1 ) year of employment.** **TAKING CARE OF YOU** +… more
- Sedgwick (Portland, OR)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Telecommute OR Are you looking for ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...benefits offering including medical, dental vision, 401K on day 1 Sedgwick is an Equal Opportunity Employer and a… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Casualty Claims Examiner I **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell ... of exposure and documentation of all findings for each claim within the claims matter management system...Prevention/ Claims Management **Job Opening ID:** 00599177 Casualty Claims Examiner I (Evergreen) (Open) **_"This job… 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...in Boston, MA, and is responsible for the following:** 1 . Facilitate the program integrity of the DFML by… more
- ICW Group (San Diego, CA)
- …best interest of all parties and providing benefits as prescribed by law. + Ensures claim files are properly documented and claims coding is correct. + Refers ... degree (GED) required. Bachelor's degree from four-year college or university preferred. Minimum 1 year of insurance or claims related experience; or equivalent… more
- State of Montana (Helena, MT)
- …may be covered by a Voluntary Employee Beneficiary Association (VEBA) *JOB DUTIES:* As a Claims Examiner 2 in the call center you will: * Assist the public ... claim process, utilizing the external customer oriented online claims system to file the claim . *...the application process, please contact the HR office. **Title:** * Claims Examiner 2 - Temporary* **Location:** *Helena*… more
- Sedgwick (Springfield, IL)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote ... and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within...a professional and timely manner. **QUALIFICATIONS** Education & Licensing: ** 1 - 3 years of New York Workers Compensation… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- NTT DATA North America (Ontario, CA)
- **Senior Claims Examiner (Xcelys System)** **NTT DATA Services currently seeks a Senior Claims Examiner to join our team working 100% Remote and work on ... systems / operational improvements **Required Qualifications and skills:** -5+ years claims adjudication experience - 1 + year experience in Xcelys or equivalent… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary ... specified timeframes. Essential Qualifications + Knowledge of contracts, medical terminology, and claims processing and procedures. + 1 + year computer medical… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and ... Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +...GED + Excellent oral and written communication skills + 1 - 3 years of Health claims … more
- Adecco US, Inc. (Phoenix, AZ)
- … claim action/processing with claimant, client and appropriate medical contact. . Ensures claim files are properly documented and claims coding is correct. . ... diploma or GED required. Licenses as required. . ExperienceOne ( 1 ) year of general office experience or equivalent combination...claim handling or applicable transferable skills in the claims industry. As a reminder, this role is being… more