- 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
- 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, ... examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- Sedgwick (San Francisco, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… 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 ... valued member of the team. Join us as a Senior WC Claims Examiner to...technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice… 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 ... claimants and witnesses, obtaining official reports, and by comparing claim information with evidence + Serves as an escalation...School or GED and 5-7 Years experience as a Claims Examiner or materially relevant knowledge, skills… more
- Crawford & Company (Brea, CA)
- …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
- 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 ... Healthcare experience. - 1 plus years working with appeals, claims , or compliance. (and/ or) - 1 plus years...plans. Preferred Qualifications - 3 plus years of prior claim or health insurance experience. - Familiarity with medical… 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 ... Information Work Schedule: Monday through Friday 6:30am to 6:30pm; flexible schedule available Veterans Claims Examiner (Live Claims ) GS - 11; PD 00667-A… more
- Amazon (Dallas, TX)
- …Management and Legal (internal and external), and employs best practices to control claim costs. . Lead logistic complex claims management, develop and refine ... a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change,... claims - 3+ years experience in transportation claims management, including fleets or large auto claim… 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
- City of Bellingham (Bellingham, WA)
- Senior Permits Reviewer Print (https://www.governmentjobs.com/careers/cobwa/jobs/newprint/4483102) Apply Senior Permits Reviewer Salary $32.91 Hourly Location ... a protest may be filed in writing with the Examiner within five (5) days following the date of...Washington State Law (RCW 41.04.010). If you wish to claim Veterans' Preference Points, please complete the Veterans Scoring… 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
- 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 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
- 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...with client, and work towards a timely and favorable claim settlement. + Maintain ongoing servicing of commercial client… more
- City of Bellingham (Bellingham, WA)
- …owners and officers regarding vehicle status. Coordinates information and files with senior volunteers for follow-up action on the vehicle. + Performs other related ... a protest may be filed in writing with the Examiner within five (5) days following the date of...Washington State Law (RCW 41.04.010). If you wish to claim Veterans' Preference Points, please complete the Veterans Scoring… 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
