• Medical Claims Examiner

    CHS (Clearwater, FL)
    **Overview** ** Health Insurance Medical Claims Examiner ** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential… more
    CHS (05/07/25)
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  • Claims Examiner II, Accident…

    AIG (Lenexa, KS)
    …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner II, Accident & Health to play your part in that ... of the team. Make your mark in Accident and Health Claims Our Claims teams...you will create an impact The Personal Accident Claim Examiner will be responsible to handle all aspects of… more
    AIG (05/08/25)
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  • Claims Examiner - Hybrid - $21/hr

    Fallon Health (Worcester, MA)
    **Overview** **The Claims Examiner position is a hybrid role working 3 days (Tuesdays, Wednesdays and Thursdays) in the office in Worcester, MA and 2 days ... working at home.** **About us:** Fallon Health is a company that cares. We prioritize our...Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing… more
    Fallon Health (05/07/25)
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  • Claims Examiner III

    Dignity Health (Bakersfield, CA)
    **Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and adjudication of complex ... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most...providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers… more
    Dignity Health (05/21/25)
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  • Bodily Injury Claims Examiner

    Sedgwick (Topeka, KS)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims & ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
    Sedgwick (05/21/25)
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  • CRT Claims Examiner

    Integra Partners (Troy, MI)
    Integra is seeking a results-oriented, dynamic, proven Claims Examiner , with a specific background in the complex rehab technology (CRT) space. This role is ... establish strategies for development Knowledge/Skills/Abilities + 5+ years of experience in medical claims processing, billing, or revenue cycle management. +… more
    Integra Partners (05/06/25)
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  • Workers Compensation Claims Examiner

    Sedgwick (Roseville, CA)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | San Diego or Roseville, CA Are you looking for ... 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 (04/17/25)
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  • Commercial Auto Liability Claims

    Sedgwick (Roseville, CA)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Commercial Auto Liability Claims Examiner Are you looking for an opportunity to join a ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare compliance +… more
    Sedgwick (04/03/25)
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  • General Liability Claims Examiner

    Sedgwick (Honolulu, HI)
    …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Liability Claims Examiner | Hybrid Are you looking for an opportunity to join ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more
    Sedgwick (05/23/25)
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  • Workers Compensation Claims Examiner

    Sedgwick (Buffalo, NY)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated Client We are seeking a ... highly motivated and experienced Workers' Compensation Claims Adjusters to join our team. The ideal candidate...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more
    Sedgwick (05/23/25)
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  • Claims Examiner | Workers…

    Sedgwick (Long Beach, CA)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Workers Compensation | Hybrid - Long Beach, CA Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. As required… more
    Sedgwick (05/06/25)
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  • Claims Examiner - General Liability

    Sedgwick (Newark, NJ)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - General Liability **PRIMARY PURPOSE** **:** To act as a ... department subject matter expert by providing guidance to the complex claims team to ensure consistency resolving matters optimally while creating a culture of… more
    Sedgwick (05/06/25)
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  • Workers Compensation Claims Examiner

    Sedgwick (Miami, FL)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner I NY license required I Remote **PRIMARY PURPOSE** : ... To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
    Sedgwick (05/01/25)
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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** : ... To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
    Sedgwick (03/29/25)
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  • Medical Claims Examiner

    International Medical Group (Indianapolis, IN)
    …hospital, and other insurance companies; initiating or conducting investigation of questionable claims . + Documents medical claims actions by completing ... values. QUALIFICATIONS + At least 1 year of prior medical claims processing experience OR willing to...SKILLS + Knowledge of ICD-10 + Knowledge of FDA Health and HIPAA Regulations PERKS + Quarterly performance bonus… more
    International Medical Group (05/23/25)
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  • Claims Examiner , Bodily Injury…

    Sedgwick (San Juan, PR)
    …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 bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
    Sedgwick (04/24/25)
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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 ... written communication skills + 1 - 3 years of Health claims processing experience + Working knowledge...+ Working knowledge of COB and MSP preferably + Medical terminology + Computer literacy + Knowledge of current… more
    DOCTORS HEALTHCARE PLANS, INC. (05/07/25)
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  • Medical Claims Examiner

    TEKsystems (Pasadena, CA)
    … Processing,Member Claims , Health information management Additional Skills & Qualifications Health / Medical Claims experience - PPO claims ... Description -Accurate and timely processing of medical claims -Investigation/communication in order to...claims system Skills PPO Insurance, Claims , Claims Processing, Member Claims , Health more
    TEKsystems (05/16/25)
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  • Disability Determinations Examiner 1/2/3

    Louisiana Department of State Civil Service (Shreveport, LA)
    Disability Determinations Examiner 1/2/3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4777517) Apply  Disability Determinations Examiner ... Group, vacancies may be filled from this recruitment as a Disability Determinations Examiner 1,2,or 3 depending on the level of experience of the selected… more
    Louisiana Department of State Civil Service (04/07/25)
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  • Subrogation Examiner

    Elevance Health (Louisville, KY)
    …WI._ The **Subrogation Examiner ** is responsible for researching and examining routine health claims that may be related to Third Party Liability, Workers' ... **Subrogation Examiner ** _Location: This position will work a virtual...attorneys, members and others as necessary to determine if claims have potential for reimbursement from another party. +… more
    Elevance Health (05/21/25)
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