• HR Spec (Mil)

    Army National Guard Units (Pineville, LA)
    … Disqualification Program, Follow up Health Care Program, Medical Claims Processing Program, Medical Travel and Orders Program, Medical ... (1) Responsible for oversight administration and implementation of policies pertaining to state medical affairs, and exercise of programs in one or more of the… more
    Army National Guard Units (06/19/25)
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  • Workers Compensation | Medical

    Sedgwick (Honolulu, HI)
    …is correct. + May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical claims . + ... Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Medical Only Claims Adjuster | In-office (Honolulu, HI) **PRIMARY PURPOSE**… more
    Sedgwick (06/20/25)
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  • Claims Advisor, Medical Malpractice…

    Sedgwick (Dallas, TX)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Advisor, Medical Malpractice (Professional Liability) **PRIMARY PURPOSE** : To ... analyze complex or technically difficult medical malpractice claims ; to provide resolution of...trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. +… more
    Sedgwick (05/15/25)
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  • Express Claims Adjuster II

    Zurich NA (Stevens Point, WI)
    Express Claims Adjuster II 124107 Travel Guard meets the diverse needs of leisure and corporate travelers alike through its comprehensive portfolio of travel ... travel issues - from lost luggage or minor travel inconveniences to medical emergencies or life-threatening...an Express adjuster is to investigate, evaluate and resolve claims for travel products and/or benefits embedded… more
    Zurich NA (06/10/25)
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  • Express Claims Adjuster II

    Zurich NA (Stevens Point, WI)
    Express Claims Adjuster II 121138 Travel Guard meets the diverse needs of leisure and corporate travelers alike through its comprehensive portfolio of travel ... travel issues - from lost luggage or minor travel inconveniences to medical emergencies or life-threatening...from you! Zurich North America is seeking a **Express Claims Adjuster II** tojoin our Group inNorth America. **How… more
    Zurich NA (04/08/25)
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  • Financial Compliance Auditor III Claims

    LA Care Health Plan (Los Angeles, CA)
    …Preferred Master's Degree Experience Required: A minimum of 5 years of experience performing claims audits or claims processing related to Medi-Cal, Cal ... tasks within the Financial Compliance Unit, including audit of claims processed by medical groups and health...capitated hospitals and the Plan Partners. This includes all claims processing sub-contracting functions of the delegates.… more
    LA Care Health Plan (04/05/25)
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  • Warranty Claims Investigator - East

    Holcim US (Nashville, TN)
    …budget goals. + Provides guidance to Junior Warranty Claims Investigator regarding claims analysis and processing . **WHAT WE ARE LOOKING FOR** + 6+ years ... Warranty Claims Investigator - East Requisition ID: 13348 Location:...a repair contractor, ordering/shipping materials, reviewing work completed and processing contractor invoices. This Investigator position is for our… more
    Holcim US (06/13/25)
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  • Industry Advancement Program | Workers…

    Sedgwick (Rancho Cordova, CA)
    …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
    Sedgwick (06/19/25)
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  • Workers Compensation Claims Specialist…

    NJM Insurance (Trenton, NJ)
    …to all internal and external stakeholders, including: NJM policyholders, injured workers, medical providers, the NJM Medical Claims Services Department, ... Claim Representative, or comparable knowledge and experience with various aspects of claims handling and/or process including knowledge of medical terminology… more
    NJM Insurance (05/06/25)
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  • Claims Representative Trainee | In Office

    Sedgwick (Long Beach, CA)
    …+ Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only ... claims . + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal… more
    Sedgwick (06/20/25)
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  • Claims Examiner | Workers Compensation…

    Sedgwick (Rancho Cucamonga, CA)
    …client service requirements. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Analyzing and processing claims through well-developed action plans to an appropriate ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Workers Compensation | Dedicated Account | Hybrid - Rancho… more
    Sedgwick (06/14/25)
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  • Complex Claims Adjuster

    Zurich NA (Stevens Point, WI)
    …Adjuster is to handle claims of varying degrees of complexity with all travel insurance benefits. Claim processing benefits including but not limite to: Mid ... Cancelations, Travel Post Departure events (trip interruption, trip delay, baggage), travel medical , evacuation/repatriation and AD&D as well as providing … more
    Zurich NA (04/05/25)
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  • Professional Liability Claims Advisor…

    Sedgwick (Sacramento, CA)
    …and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult ** medical professional liability claims ** by investigating and gathering ... applicable to line of business preferred. **Experience** Six (6) years of medical malpractice claims management experience or equivalent combination of education… more
    Sedgwick (04/29/25)
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  • Senior Stop Loss Claims Analyst/HNAS

    Highmark Health (Frankfort, KY)
    … + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
    Highmark Health (04/26/25)
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  • Insurance and Claims Coordinator

    DePaul (Rochester, NY)
    …and Claims Coordinator to manage the organization's insurance procurement and claims program. This includes managing the reporting, processing and adjustment ... of premiums by location etc. + Manage the reporting, processing , and adjustment of claims , including preparation...ability to work independently with minimal supervision. + Minimal travel between locations, if necessary. + Perform any duties… more
    DePaul (05/30/25)
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  • Claims Services Representative 1 Trainee…

    New York State Civil Service (Buffalo, NY)
    …Representative 2, the incumbent will oversee all aspects of workers compensation claims processing from inception to closing; initially determine the ... NY HELP Yes Agency Insurance Fund, State Title Claims Services Representative 1 Trainee 1/Trainee 2 -...Type Full-Time Appointment Type Permanent Jurisdictional Class Competitive Class Travel Percentage 0% Workweek Mon-Fri Hours Per Week 37.50… more
    New York State Civil Service (06/18/25)
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  • Senior Claims Specialist, Professional…

    Sedgwick (Birmingham, AL)
    …to line-of-business + Extensive knowledge and comprehension of insurance coverage + Claims expertise in medical malpractice, errors and omissions, directors and ... Fortune Best Workplaces in Financial Services & Insurance Senior Claims Specialist, Professional Liability (A&E, D&O) **ESSENTIAL FUNCTIONS and RESPONSIBILITIES**… more
    Sedgwick (06/19/25)
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  • General Liability Claims Examiner - Hawaii…

    Sedgwick (Brea, CA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner - Hawaii License Required Are you looking for an opportunity ... 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 (06/19/25)
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  • Claims Examiner - Liability

    Sedgwick (Denver, CO)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or technically ... difficult general liability claims to determine benefits due; to work with high...professional and timely manner. + Communicates claim activity and processing with the claimant and the client; maintains professional… more
    Sedgwick (06/11/25)
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  • Claims Analyst

    Trinity Health (Livonia, MI)
    …a week and on site one day a week. **What you will do:** + Analyze medical claims and review billing information. Refer claims for further investigation if ... **Employment Type:** Full time **Shift:** **Description:** ** Claims Analyst** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time… more
    Trinity Health (06/11/25)
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