- The Travelers Companies, Inc. (Melville, NY)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… 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 ... and input information into a Power Builder computer claim system computer system ..... Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. . Work… 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)
- …of exposure and documentation of all findings for each claim within the claims matter management system for management review as well as internal and ... **Job Title:** Senior Casualty Claims Examiner **Department:** Insurance **Country:** United... investigations to determine liability exposure of each assigned claim . This investigation includes analysis of state and federal… 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...experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills… 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
- Kelly Services (Orange, CA)
- ** Claims Examiner ** **About the Role** We're seeking an experienced ** Claims Examiner (Workers' Compensation)** to join our client's team in Orange, CA. ... **Qualifications** + **Experience:** Minimum of 3 years of workers' compensation claims examiner experience (required). + **Education:** High School Diploma… more
- Sedgwick (Syracuse, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing Preferred Job ... hybrid schedule** We are seeking a highly motivated and experienced Workers' Compensation Claims Adjuster/ Examiner to join our team. The ideal candidate will… more
- Cedars-Sinai (CA)
- **Job Description** The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and ... required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred....and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** :… 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 ... functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence to internal/external customers. **In… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… 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 + Demonstrated skills within Microsoft Office Applications and electronic claims processing systems + Ability to balance competing priorities,… 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 **Preferred:** + Experience in the GBAS system + Experience processing Dental Claims \#LI-NorthAmerica… 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...industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and ... expert knowledge of claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most challenging cases, mentor junior… 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
- 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...other state agencies through our fiscal, IT, and HR systems . Insurance Benefits:The State of Michigan offers health, mental… more
- NTT DATA North America (Plano, TX)
- "NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible for: * ... Processing of Professional and institutional claims * Reviewing the policies and benefits * Comply...Toggling back and forth between screens/can you navigate multiple systems . o Working knowledge of MS office products -… more
- Commonwealth of Pennsylvania (PA)
- Driver License Examiner (Lancaster Regency Square) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5141695) Apply Driver License Examiner ... The Department of Transportation is actively looking to fill a Driver License Examiner role in Dauphin County. This position is essential to the Pennsylvania… more
