- UnitedHealth Group (San Antonio, TX)
- …an ability to thoroughly review, analyze, and research complex health care claims in order to identify discrepancies, verify pricing, confirm prior authorizations, ... timely processing of the member's claim. Primary Responsibilities:Assist with escalated claims to resolve complex issues for team members and internal… more
- Medical Professionals (Anaheim, CA)
- …located in Anaheim? You can start right away! This large Medical Provider is seeking a Claims Examiner to join the team as a temporary to start with, with ... of 100 UBO4, Commercial capitated, PCP and PT commercial, and senior HMO claims daily; while maintaining a 95% accuracy rate. Responsibilities may include… more
- Heritage Insurance (Clearwater, FL)
- Position Summary: The Senior Liability Claims Examiner provides prompt, courteous and fair claim service on homeowners liability and commercial general ... liability property damage and bodily injury claims from initial claim set up through claim resolution, including litigation. This position will entail the handling… more
- TheBestIRS (Orange, CA)
- We have an immediate opening for a Senior Workers' Compensation Claims Examiner . This is a work from home position requiring 5+ years of Workers' ... Compensation claims handling complex & litigated Indemnity claims experience.Our client offers a competitive salary with excellent benefits. more
- DRIASI (Chanhassen, MN)
- …in the Customer Experience functional groups (POS and Contact Center departments) as needed. Senior Claims Examiner Functions also include:Assists in carrier ... Summary Overview: Analyzes insurance claims to determine extent of insurance carrier's liability...to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions: Compares… more
- Hoag Memorial Hospital Presbyterian (Costa Mesa, CA)
- …in improving claims processing efficiency Perform other duties as assigned Claims Examiner , Senior Specialize in processing complex claim types ... Claims Examiner Job Summary: The ... Claims Examiner Job Summary: The claims ... processing environment, knowledge of HMO/managed care regulatory guidelines Senior : 5 years of medical claims processing… more
- Chubb (Alpharetta, GA)
- Description The Senior Claim Examiner , under the direction of the Claims Team Leader, investigates and settles Commercial Property claims promptly, ... recovery. * Adhere to all statutory and regulatory fair claims practices. * Recognize and identify potential fraudulent ...claims practices. * Recognize and identify potential fraudulent claims . * Effectively control the use, work product, and… more
- MetLife (Oriskany, NY)
- …resolution. Evaluate claims to identify situations requiring referral to Senior Examiner . Respond to written and/or telephone inquiries from policyholders, ... Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and… more
- Attorneys' Title Fund Services, LLC (Fort Lauderdale, FL)
- … counsel to resolve issues. Job Requirements:Experience: Minimum of 4 years at a Senior or Commercial Title Examiner level. Knowledge of the title insurance and ... Commercial Title Examiner We have various Examiner positions...policies prior to delivery to customer. Mentor and train Senior Examiners in handling complex transactions. Responsible for commercial… more
- Society Insurance Company (Austin, TX)
- Job Information Job Title Senior Workers Compensation Claims Representative Home Department: Workers Compensation Claims Employment Status: Exempt; Full-Time ... a career at Society. Society Insurance is seeking an experienced Workers Compensation Claims Representative to join our team in the geographic area of Austin, TX.… more
- Berkley (Walnut Creek, CA)
- …a fiduciary role on behalf of policyholders, negotiates claim settlements and manages subrogation. Senior Claims Examiner 's conduct the handling of claims ... employers. We currently have a great opportunity for a Senior Workers' Compensation Examiner to join our...for the analysis and management of complex workers' compensation claims . This position will review, investigate, and make decisions… more
- Raphael and Associates (Rutherford, NJ)
- Senior General Liability Claims Examiner Company Overview: Raphael & Associates is a third party claims administrator and independent claims ... our services to our client?s specific needs. As a claims organization, what we do is complex. Our mission...This is a unique opportunity to manage the entire claims process from inception to completion. You will have… more
- Crawford & Company (Dedham, MA)
- …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
- MetLife (Oriskany, NY)
- …resolution. + Evaluate claims to identify situations requiring referral to Senior Examiner . Respond to written and/or telephone inquiries from policyholders, ... Operations group (GTO) is a diverse team of engineers, developers, business analysts, claims analysts and project managers with the freedom to create innovative and… more
- Veterans Benefits Administration (Lincoln, NE)
- …Virtual: This is not a virtual position. Position Description/PD#: Veterans Claims Examiner GS-0996-11 PD#37945A; GS-0996-12 37944A; GS-0996-13 PD# 37943A ... and gives oral presentations to various audiences within P&F Service, VBA senior management, department level executives and outside agencies. Prepares clear and… more
- Cipher Tech Solutions (Bethesda, MD)
- Digital Forensic VIDEX Examiner : Senior Level (TS/SCI with Poly Required) + Jobs + Login + 12-Aug-2020 to 31-Oct-2020 (EST) + Forensics + Bethesda, MD, USA + ... Location Bethesda, MD Description Cipher Tech is seeking a Senior Level Digital Forensic VIDEX Examiner , with...authenticate analyzed video/image to determine if accurate to purported claims or otherwise modified + Knowledge and ability to… more
- Raphael and Associates (Houston, TX)
- Senior Property Field Adjuster Company Overview: Raphael & Associates is a third-party administrator and independent claims adjusting company internationally ... our services to our client?s specific needs. As a claims organization, what we do is complex. Our mission...This is a unique opportunity to manage the entire claims process from inception to completion. You will have… more
- Texas State Job Bank (Austin, TX)
- …Workforce Commission (TWC), a Family Friendly Certified Workplace, is seeking a Accounts Examiner III-IV to join the Civil Actions unit with the Collections and ... the agency that affect Unemployment Insurance (UI), Career Schools, Board sanctions, Wage claims and Child labor. A priority of the division is the prevention,… more
- Latitude, Inc. (Fort Lauderdale, FL)
- …and final policies prior to delivery to customer. + Mentor and train Senior Examiners in handling complex transactions. + Responsible for commercial claim files ... and/or work with claims counsel to resolve issues. Job Specifications: Education: High...A minimum of four years? experience as a Title Examiner required Knowledge/Skills/Abilities: + Oral and written communication skills… more
- Internal Revenue Service (Austin, TX)
- …all types of individual and/or business master file taxpayer initiated inquiries, claims , and internally generated adjustments. You may also be involved in ... processing non-master file and/or individual retirement account master file inquiries and claims , as well. As aPlanning and Special Program Technician you will:… more
