- National Health Care Associates (West Hartford, CT)
- …issues/resolution. + **_Administration:_** + Manage WC: Cinch form submission, partner with claims examiner , OSHA log recordkeeping, attend safety meetings, and ... the overall work experience for our dedicated staff. **Summary** To hire, support , and maintain an engaged workforce within the facility. Provide legal compliance… more
- Commonwealth of Pennsylvania (PA)
- …qualified individuals are granted licenses. In addition to administering these evaluations, the examiner also provides support at the Driver License Center by ... Driver License Examiner (Lancaster Regency Square) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5141695) Apply Driver License Examiner … more
- AON (Fort Wayne, IN)
- …compliance with carrier requirements and internal procedures. + Review and manage examiner caseloads, providing guidance on complex claim issues. + Oversee ... claim payments exceeding examiner authority. + Conduct monthly file audits and participate...or equivalent experience in Medical, PIP or Workers Compensation claims . How we support our colleagues: In… more
- University of Southern California (Los Angeles, CA)
- … Examiner to join our team! The Opportunity: The Senior Claims Examiner conducts, documents, and/or coordinates insurance claim management to the point of ... conclusion. The Senior Claims Examiner also engages with third-party administrators...lines, automotive, general liability, and other lines of insurance claims management, and performs claim research as… more
- MetLife (Oriskany, NY)
- …provisions and manually adjudicate complex FEGLI Life claims to make claim determinations. . Provide UAT support for system enhancements. Typical ... system . Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. . Work with our customer administrative staff to… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner /Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review, analyze and evaluate… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Senior Casualty Claims Examiner **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell ... of exposure and documentation of all findings for each claim within the claims matter management system...path to resolution. + Provide training and mentoring to Claims Examiner I and II roles within… more
- Sedgwick (Roseville, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Comp (Hybird Roseville, CA) **PRIMARY PURPOSE** : ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Robert Half Office Team (New Haven, CT)
- Description We are looking for a skilled Claims Examiner specializing in lost time workers' compensation claims to join our team in Jersey City, New Jersey. ... facts, taking statements, and reviewing policy details to assess claim validity. * Evaluate claim compensability based...of 3 years of experience as a Lost Time Claims Examiner or equivalent expertise in related… more
- MVP Health Care (Rochester, 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 ... continuous improvement. To achieve this, we're looking for a Claims Examiner to join #TeamMVP. If you...Reviews and ensures the accuracy of all changes to claim line information based on information received from other… more
- Cedars-Sinai (CA)
- **Job Description** The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and ... or work queue and incoming phone calls. + Research claims for appropriate support documents. + Analyzes...and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** :… 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 ... for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review claims escalated… more
- OneMain Financial (Fort Worth, TX)
- ** Claims Examiner ** The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all ... with internal and external customers. + Research additional information to support claim processing. Perform benefit calculations. Conduct claim… more
- WelbeHealth (Los Angeles, CA)
- …Services team helps ensure excellent care delivery for our participants, and the Senior Claims Examiner plays a pivotal role in ensuring timely and efficient ... processing of claims for our contracted specialty provider partners. **Essential Job...contracted specialty provider partners. **Essential Job Duties:** + Examine claim records and forms to investigate and resolve first… more
- ICW Group (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...coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes. **ESSENTIAL DUTIES… more
- Utilities Service, LLC (Willow Grove, PA)
- **Description** " **Corporate Claims Examiner ** **Job Type** :Exempt **Pay** : Salary **Benefits:** + Benefits Available and vary per position and location. ... liability claims + Direction of legal counsel, and third-party claim administrators. + Liaison between the regions, attorneys, and the third-party administrator… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims ... necessary. Key Responsibilities: + Review, research, analyze and process professional claims by navigating multiple applications and platforms accurately. + Ensure… more
- ManpowerGroup (Marquette, MI)
- Job Title: Claims Examiner Location: Marquette, MI Pay: $16.32 per Hour What's the Job? - Accurately process Medicaid claims in compliance with policies and ... goals for claims processing. - Assist with training new claims staff and support colleagues with escalated issues. What's Needed? - Temp to possible hire,… more
- State of Michigan (Detroit, MI)
- Departmental Technician 7-E9 - Civil Rights Claims Examiner Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5142630) Apply Departmental ... Technician 7-E9 - Civil Rights Claims Examiner Salary $23.23 - $31.91 Hourly...regulations; advocate for children, families, and victims of discrimination; support our state's military and veterans; rebuild our state's… more
- UPMC (Pittsburgh, PA)
- …departmental needs-giving you the best of both worlds. Why this role matters: As a Claims Examiner , you'll play a key role in helping our members live healthier, ... looking for detail-oriented problem solvers to join our CHC/Medicaid Claims team. This is a full-time hybrid position based...team, share ideas, and help us continuously improve. * Support other departments during busy periods and participate in… more
