• Sedgwick (Brea, CA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | CA Jurisdiction Knowledge Required | Brea, CA Are ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions… more
    Upward (07/28/25)
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  • Sedgwick (Long Beach, CA)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Long Beach, CA (Hybrid) Are you looking for an ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. Reports claims to the excess carrier; responds to requests of directions… more
    Upward (07/20/25)
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  • Claims Examiner - Workers…

    Sedgwick (Roseville, CA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Roseville, CA - Hybrid ** Claims ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
    Sedgwick (06/29/25)
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  • Workers Compensation Claims Examiner

    Sedgwick (Concord, CA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | CA Jurisdiction Knowledge Required | Concord, CA Are ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
    Sedgwick (07/29/25)
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  • Claims Examiner - Workers…

    Sedgwick (Lansing, MI)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Telecommute MI **ARE YOU AN IDEAL ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
    Sedgwick (07/25/25)
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  • Claims Examiner WC

    Adecco US, Inc. (Ontario, CA)
    Adecco is currently assisting one of its clients in their search for a Claims Examiner ! Pay rate: $50 Shift availability: Monday - Friday 8am - 4:30pm PST ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
    Adecco US, Inc. (07/02/25)
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  • Claims Examiner - Workers Comp…

    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** : ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
    Sedgwick (06/29/25)
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  • Claims Examiner - Workers…

    Sedgwick (Columbia, SC)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE -FL, GA, AL, and TN exp) Are ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
    Sedgwick (07/25/25)
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  • Claims Examiner - Workers…

    Sedgwick (El Dorado Hills, CA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - El Dorado Hills, CA - Hybrid ... **PRIMARY PURPOSE** **:** To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within… more
    Sedgwick (06/29/25)
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  • Claims Examiner , Bodily Injury…

    Sedgwick (Bartlesville, OK)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
    Sedgwick (07/25/25)
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  • Claims Examiner II

    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: +...Medical terminology + Computer literacy + Knowledge of current Medicare Advantage operational and regulatory guidelines established by CMS,… more
    DOCTORS HEALTHCARE PLANS, INC. (07/22/25)
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  • Specialty Health Plans Auditor III

    LA Care Health Plan (Los Angeles, CA)
    …reporting and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors. These audits ... responsible for the Department of Managed Health Care (DMHC) claims data submissions for LA Care and its Plan...Serves as primary contact and liaison for Centers for Medicare and Medicaid Services (CMS) claim audit section of… more
    LA Care Health Plan (07/06/25)
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  • Litigation Consultant - Workers Compensation…

    Sedgwick (San Diego, CA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Roseville or San Diego, CA (Hybrid) **PRIMARY ... Ten (10) years of experience handling litigation including 5 years of claims management experience or equivalent combination of education and experience required.… more
    Sedgwick (06/29/25)
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  • Investigator, Special Investigative Unit (Remote)

    Molina Healthcare (St. Petersburg, FL)
    …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of...Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you… more
    Molina Healthcare (07/24/25)
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