- USAA (Colorado Springs, CO)
- …represented claims , Proficient knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of ... multi-tasking, and problem-solving skills. Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims . Ability to… more
- The Computer Merchant, LTD. (West Mclean, VA)
- …of Facets and their integration within payer systems. Proven expertise in Claims Adjudication and Processing. JOB DESCRIPTION: As an QNXT/Facets Developer ... JOB TITLE: QNXT/Facets Developer JOB LOCATION: Remote WAGE RANGE*: $95k to $110k JOB NUMBER:...and their integration within payer systems. Proven expertise in Claims Adjudication and Processing. Solid knowledge of… more
- MCKESSON (Rogers, AR)
- …Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding ... reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer… more
- Mass Markets (Killeen, TX)
- …1-3 years of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a ... services. Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies to enhance customer journeys, drive scalability… more
- Sedgwick (Indianapolis, IN)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... Team Lead | Auto Liability Bodily Injury | Remote Are you looking for an opportunity to join...office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes… more
- Sedgwick (Tucson, AZ)
- …monitors individual claim activities. Offers technical and jurisdictional guidance on claims adjudication and maintains regular diaries, especially for complex ... and documentation standards. + Providing technical and jurisdictional guidance on claims adjudication , including quality reviews and reserve evaluations for… more
- Motion Recruitment Partners (Denver, CO)
- Medical Claims Processor / Contract / Remote Denver, CO **100% Remote ** Contract $25.63/hr - $26.51/hr Our client, a leading healthcare organization ... safety, is looking for a contract Medical Claims Processor. This is a fully remote ...Duration:** 2-Months **Required Skills & Experience** + 3 years Medical Claims processing/ adjudication experience. +… more
- Sedgwick (Fort Worth, TX)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... | Auto and General Liability | Nationwide Jurisdiction | Remote - Must Reside in Texas Are you looking...office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes… more
- Sedgwick (Hartford, CT)
- …individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims ... for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and… more
- Sedgwick (Norfolk, VA)
- …for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication . + Compiles reviews and analyzes management reports and ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | VA Jurisdiction | Remote **Are you looking for… more
- Sedgwick (Concord, NH)
- …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry… more
- Sedgwick (Santa Fe, NM)
- …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NC, SC, KY, WV Jurisdictions |... Examiner | NC, SC, KY, WV Jurisdictions | Remote **Are you looking for an opportunity to join… more
- Sedgwick (Albany, NY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Examiner - Workers Compensation | AZ, CO, UT Jurisdictions Are ... behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and… more
- Sedgwick (Springfield, IL)
- …Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for an opportunity to join a global industry leader where ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (Madison, WI)
- …behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required...Examiner | Dedicated Client | NY Licensing Required | Remote Are you looking for an opportunity to join… more
- Sedgwick (Rancho Cordova, CA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... spending or health savings account, and other additional voluntary benefits._ \# Claims #ClaimsExaminer #Hybrid #LI-Hybrid #LI- Remote #LI-AM1 Qualified applicants… more
- Sedgwick (Glendale, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Hybrid (3 Days Remote ) | Glendale, CA Are you ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (Brea, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | 3 Days Remote (Brea, CA) Are you looking for ... LOCATIONS** Brea, CA (2 days in office, 3 days remote ) **PRIMARY PURPOSE OF THE ROLE:** To analyze workers'...valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry… more
- Sedgwick (Sun Prairie, WI)
- …properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | Property Damage | Remote...claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and… more
- Sedgwick (Baton Rouge, LA)
- …properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster - Workers Compensation ( REMOTE -...claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and… more
