- Cynet Systems (Roseville, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries,...cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second… more
- Tristar Insurance (Concord, CA)
- …or GED Salary Range $85000.00 - $100000.00 Salary Job Shift Day Job Category Insurance Claims Examiner III (Hybrid) Please make sure that you complete all the ... develop strategy. Enters and maintains accurate information in the claims management computer system . Clearly communicates concise... to resolution. Meets with clients to discuss on-going claims or review open claim inventory. Effectively… more
- C. Winchell Agency (New York, NY)
- …experienced auto/bodily injury examiner . Must be familiar with NY court systems , attorneys and litigation processes. Active claims desk requires strong ... coverage and negotiating skills. Must be pro-active, well organized and an aggressive claims "closer." Requirements : Ideal candidate will have 3+ years of previous… more
- County of Los Angeles, CA (Los Angeles, CA)
- …letters regarding extensions, notifications of depositions, agreed medical examiner letters, and appointment verifications. Contacts judges, court commissioners, ... filtered as spam/junk/clutter mail. ###@hr.lacounty.gov Los Angeles County will not accept claims of not receiving assessment invitations as a reason for a… more
- City of Paso Robles, CA (Paso Robles, CA)
- …easements Assist in the investigation and resolution of complaints and liability claims from the public regarding streets, sidewalk, gutters, traffic control, flood ... principles, practices, tools, and materials for maintaining and repairing streets and drainage systems The operation and minor maintenance of a variety of hand and… more
- CACI International (Chantilly, VA)
- Senior Claims Examiner Job Category: Finance and... claim form and enter it into the claims system + Maintain worker's compensation ... pro-active, critical thinker to manage and review workers' comp claims as a Claims Examiner ....claim log + Data entry into Worker's Compensation system **Qualifications:** _Required:_ + **Active/current TS/SCI with Polygraph is… more
- MVP Health Care (Schenectady, NY)
- …the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess ... improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is...experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills… more
- State of Montana (Helena, MT)
- …over the phone in the claim process, utilizing the external customer oriented online claims system to file the claim . * Explain the rights and ... 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… more
- OneMain Financial (Fort Worth, TX)
- Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... line by performing all functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Sr Claims Examiner **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part ... High School (Required) **Work Experience:** Legal **Job Opening ID:** 00596387 Sr Claims Examiner (Open) **_"This job description has been designed to… 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
- NTT DATA North America (Decatur, IL)
- …for NTT DATA Services and for the people who work here. NTT DATA seeks a ** Claims Examiner ** on a **project** basis to work **remote, from home** . This is ... providers and case management company for information regarding problem claims . . Print/mail EOBs and claim forms...TPA Experience . Minimum 1 year experience in LuminX claims system Preferred: Experience processing Dental … more
- ICW Group (Sacramento, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing ... within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of...industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory… 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 ... claims processing and procedures. + 1+ year computer medical billing or claims adjudication systems experience. + Excellent written and oral communication,… 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 ... adjusting claims and other duties as necessary. Key Responsibilities: +...Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +… more
- Thrivent Financial (WI)
- …liability within established guidelines. This position is accountable for analyzing claims to determine benefit/contract eligibility and processing claim ... + Determine extent of liability on routine and non-routine claims and make final claim decisions within...various work flow, administrative, and LOB (Line of Business) systems , accurately and cost effectively according to contract provisions… more
- State of Montana (Helena, MT)
- …position is open until filled with frequent screening of applicants. **Title:** * Claims Examiner 2 (11722)* **Location:** *Helena* **Requisition ID:** *25141497* ... resolution, pricing of specialized procedures, and maintenance of data systems for claims adjudication. Based on paid claims information, designs, and… more
- NTT America, Inc. (Plano, TX)
- …as part of an overall sourcing strategy. NTT DATA currently seeks a ** Claims Processing Associate** to join our team for a remote position. **Role Responsibilities** ... -Processing of Professional claim forms files by provider -Reviewing the policies and...-Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as… more
- NTT DATA North America (Dallas, TX)
- NTT DATA is currently seeking 20 Remote Claims Examiners to join our team. (Amisys or Xcelys experience is a plus) Must be able to work Monday to Friday 7 AM to 4 PM ... be responsible for: + Processing of Professional and Hospital claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- NTT America, Inc. (Plano, TX)
- **In this Role the candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies and benefits + Comply ... Work independently to research, review and act on the claims + Prioritize work and adjudicate claims ...applications using a keyboard, navigating multiple screens and computer systems , and learning new software tools + High school… more
