- Option Care Health (Bannockburn, IL)
- …but not limited to HIPAA, Stark Law, Anti-Kickback Statute, and False Claims Act, and ensure that investigative practices remain current and compliant.Respects and ... trends and best practices.Experience representing a company and interacting with senior level management, legal counsel, federal and state regulators and law… more
- Lowe's (Mooresville, NC)
- … Claims Examiners on issues that cannot be satisfactorily resolved by the Claims Examiner , this position investigates complaints made by customers or stores ... + High School or GED and 5-7 Years experience as a Claims Examiner or materially relevant knowledge, skills and abilities from other professions (eg,… more
- AIG (Dallas, TX)
- …we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that ... skills and experience as a valued member of the team. Join us as a Senior WC Claims Examiner to grow your experience in Defense Base Act Claims . The AIG… more
- Sedgwick (Ontario, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Examiner Workers Compensation - Hybrid - Ontario, ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (Rancho Cucamonga, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Workers Compensation Claims Examiner - Hybrid **PRIMARY ... PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
- Crawford & Company (New Orleans, LA)
- …Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established ... authority on moderate-to-difficult claims . Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and… more
- Veterans Benefits Administration (Philadelphia, PA)
- Summary Incumbent serves as a Senior Veterans Claims Examiner in the Live Claims Section in the Insurance Claims Division, responsible for the ... Schedule: Monday through Friday 6:30am to 6:30pm; flexible schedule available Veterans Claims Examiner (Live Claims ) GS - 11; PD 00667-A Special Employment… more
- Health Advocates Network (Whittier, CA)
- Health Advocates Network is hiring a ** Claims Examiner (2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized hospital located in ... + **Start Date: ASAP** + **Contract Length: 13 weeks** ** Claims Examiner Qualification and Requirements:** + High...understanding of timeliness and payment accuracy guidelines for commercial, senior , and Medi-Cal claims + Knowledge of… more
- Amazon (Dallas, TX)
- …program around the world across all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our rapidly ... You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims...a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change,… more
- CVS Health (Tallahassee, FL)
- …recommend solutions.Required Qualifications - 1 plus years knowledge of plan documents, claims research, letter writing. - Understand excel and word. Able to ... interpret benefits. - Healthcare experience. - 1 plus years working with appeals, claims , or compliance. (and/ or) - 1 plus years experience working with documenting… 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...Examiner /Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is… more
- Access Dubuque (Dubuque, IA)
- …Full-Time Medical Associates RN - FT- Days - MercyOne Dyersville MercyOne Claims Examiner - Liability Sedgwick Certified or Non-Certified Ophthalmic Assistant ... Senior Accountant **Kunkel & Associates, Inc.** 1 Positions...services, resource consulting, safety and loss control management, and claims management. **Work with us, not for us.** At… more
- Access Dubuque (Dubuque, IA)
- …Full-Time Medical Associates RN - FT- Days - MercyOne Dyersville MercyOne Claims Examiner - Liability Sedgwick Certified or Non-Certified Ophthalmic Assistant ... Senior Structural Engineer **Origin Design** 1 Positions ID:...08/24/2023 **Job Overview** **Your future starts here.** **Job opening.** ** Senior Structural Engineer** DUBUQUE OR DAVENPORT, IOWA Origin Design… more
- Access Dubuque (Dubuque, IA)
- …Full-Time Medical Associates RN - FT- Days - MercyOne Dyersville MercyOne Claims Examiner - Liability Sedgwick Certified or Non-Certified Ophthalmic Assistant ... Senior Architect **Origin Design** 1 Positions ID: 25627...serve our clients. We are currently hiring a full-time Senior Architect who will be project leader for healthcare,… more
- Highmark Health (Harrisburg, PA)
- …**LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more
- Prime Therapeutics (Columbus, OH)
- …MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties as assigned. + ... and continuing education credits. **Responsibilities** + CFE - Certified Fraud Examiner credential preferred. + Bachelor's degree preferred. + Prefer knowledge of… more
- AIG (Charlotte, NC)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our employees with the latest tools to ... assets from internal threats and reducing overall risk. This senior level position will be looked upon as a...education and relevant experience. Preferred Certifications: + EnCase Certified Examiner - EnCE + GIAC Certified Forensic Analyst -… more
- Access Dubuque (Dubuque, IA)
- …Full-Time Medical Associates RN - FT- Days - MercyOne Dyersville MercyOne Claims Examiner - Liability Sedgwick Certified or Non-Certified Ophthalmic Assistant ... to advise clients on ways to minimize and avoid claims , discuss potential claims with client, and...all credit union matters Primary Contact 114365 Matt Hostert Senior Recruiting Specialist, Human Resources ###, ext. 2564 Phone… more
- Air National Guard Units (OH)
- …Pilot Development (MPD), Instructor Pilot (IP), Standardization Evaluation Flight Examiner (SEFE), Formation/Element Lead Qualification, and Touch and Go ... Geographic locations, Presidential Support missions, Combat Search and Rescue (CSAR), Senior Scout missions, Mobile Airborne Fire Fighting System (MAFFS), and other… more
- Option Care Health (Columbus, OH)
- …including but not limited to HIPAA, Stark Law, Anti-Kickback Statute, and False Claims Act, and ensure that investigative practices remain current and compliant. + ... and best practices. + Experience representing a company and interacting with senior level management, legal counsel, federal and state regulators and law enforcement… more
