- State of Montana (Helena, MT)
- …position 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 ... with the application process, please contact the HR office. **Title:** * Claims Examiner 2 - Temporary* **Location:** *Helena* **Requisition ID:** *25141632*… more
- State of Montana (Helena, MT)
- …This position is open until filled with frequent screening of applicants. **Title:** * Claims Examiner 2 (11722)* **Location:** *Helena* **Requisition ID:** ... position is with the Health Resources Division. This position is a Medicaid Claims Specialist and provides technical support primarily in the areas of disputed or… more
- Sedgwick (San Diego, CA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | San Diego, CA (Hybrid 2 Days Onsite) Are you looking ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (San Diego, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA Must Reside in California ... resolution to appropriate parties. + Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations + Responds… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within a ... FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims based on… more
- OneMain Financial (Fort Worth, TX)
- Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... correspondence to internal/external customers. **n the Role** + Evaluate claims against eligibility requirements, provisions and applicable processes. + Enter… more
- Sedgwick (Montpelier, VT)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictions | Remote We ... Examiners to join our team. The ideal candidate will have at least 2 years of claims handling experience, with a strong background in **CT, MA, NH, RI or VT**… more
- Sedgwick (Albany, NY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictions | NY License **Jurisdiction Knowledge: ... of directions in a professional and timely manner. **QUALIFICATIONS** Education & Licensing: 2 years of claims management experience or equivalent combination of… more
- Sedgwick (San Diego, CA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Commercial Auto) Are you looking for an ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...scope of damages. **OFFICE LOCATIONS** The position is hybrid ( 2 days in office) **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** +… more
- Sedgwick (Brea, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Management - (Hybrid Schedule) **HYBRID ROLE:** Must be able to go ... into office at least 2 days per week in Brea, CA. **PRIMARY PURPOSE**...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- NTT DATA North America (Dallas, TX)
- …amount using applicable methodology/ fee schedule/ Required Skills for this role include: + 2 years of healthcare claims processing (full cycle: Pay, Pend, Deny) ... NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- Louisiana Department of State Civil Service (Shreveport, LA)
- …Disability Determinations Examiner 1: $1,404.80 biweekly Disability Determinations Examiner 2 : $1,590.40 biweekly Disability Determinations Examiner ... may be approved by SCS. JOB DISTINCTIONS: Differs from Disability Determinations Examiner 2 by the absence of experienced-level disability determinations… more
- US Tech Solutions (Whittier, CA)
- …Ensure claims are processed accurately and timely per policy guidelines **Experience:** 2 + years of experience in claims adjudication (HMO, IPA, or hospital ... months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated...environment) **Skills:** + Claims reimbursement knowledge + Experience working with DOFR (Division… more
- NTT America, Inc. (Plano, TX)
- …methodology/ fee schedule **Requirements:** + 1-3 year(s) hands-on experience in Healthcare Claims Processing + 2 + year(s) using a computer with Windows ... + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are… more
- Patent and Trademark Office (Alexandria, VA)
- …in the making - and help shape what's next. Learn how to become a patent examiner , explore the patent examiner disciplines crosswalk to find the areas that align ... your degree before your start date. As a patent examiner , you will: Examine patent applications and protect groundbreaking...to a bachelor's or higher degree in engineering, OR ( 2 ) a combination of qualifying education and experience.This can… more
- Patent and Trademark Office (Alexandria, VA)
- …in the making - and help shape what's next. Learn how to become a patent examiner , explore the patent examiner disciplines crosswalk to find the areas that align ... your degree before your start date. As a patent examiner , you will: Examine patent applications and protect groundbreaking...curriculum. The GPA is rounded to one decimal place ( 2 .95 = 3.0 and 2 .94 = … more
- City of New York (New York, NY)
- …ONLY. Under direct supervision, receives and processes incoming workers' compensation claims . Performs tasks such as the following: Reviews accident reports and ... other documents related to incoming claims to determine workers' compensation coverage. Sets up computer files, enters information into computer, and updates… more
- MyFlorida (Tallahassee, FL)
- …* Two ( 2 ) years of professional experience involving workers' compensation claims . A post-secondary degree may be used as an alternative for the preferred ... SENIOR WORKERS' COMPENSATION EXAMINER - 43000429 Date: Jul 17, 2025 The...OPPORTUNITY DIVISION: RISK MANAGEMENT BUREAU: STATE EMPLOYEE WORKERS' COMPENSATION CLAIMS CITY: TALLAHASSEE COUNTY: LEON SPECIAL NOTES: High School… more
- USAA (Chesapeake, VA)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated **Injury Examiner ** , you will be responsible to adjust complex bodily injury claims ... confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible… more