- Sedgwick (Riverside, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Riverside, CA 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
- AltaMed Health Services Corporation (Montebello, CA)
- …just a job; it's a calling that drives us forward every day. Job Overview The Claims Examiner II is responsible for analyzing and adjudication of medical ... related to retroactive contract rate and fee schedule changes. May resolve claims payment issues as presented through the Provider Dispute Resolution (PDR) process… more
- Viva Health (Birmingham, AL)
- Claims Examiner II Location: Birmingham, AL Job Description The Claims Examiner II will administer all claims adjudication processes in accordance ... claims , prepare reports and correspondence PREFERRED: Professional and/or hospital claims adjudication experience, preferably in the healthcare/ medical field… more
- Iconma LLC (Roseville, CA)
- Our Client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation for their Roseville, CA/ Remote location. Responsibilities: To ... analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… more
- Markel Corporation (New York, NY)
- …for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or ... The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where...full-time employees have the option to select from multiple health , dental and vision insurance plan options and optional… more
- Sedgwick (Ontario, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation | Claims Examiner | Hybrid, CA Are you looking for an opportunity to ... 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 (Concord, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Liability Claims Examiner | Must Reside in CA **Must Reside in California** ... resolution to appropriate parties. Responsible for litigation process on litigated claims and follow defense counsel guidelines and service expectations Responds to… more
- The Jonus Group (Atlanta, GA)
- We are seeking an experienced Senior Commercial Auto Claims Consultant to join our client's claims team. In this role, you will be responsible for investigating, ... negotiating, and resolving complex commercial auto liability and physical damage claims across multiple jurisdictions. The ideal candidate will bring strong… more
- Sedgwick (Tennyson, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Bodily Injury - Richfield, MN, Plano, TX, Irving, TX, ... - Hybrid PRIMARY PURPOSE : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims … more
- Chubb (Chesapeake, VA)
- …nationwide. In this role you will manage general liability and automobile claims , both litigated and non-litigated, involving small and medium sized commercial ... individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or… more
- Premier Administrative Solutions (Clearwater, FL)
- Overview Claims Manager Servicing Health Insurance Policies or Benefits Summary: Premier Administrative Solutions (PAS) is a Third-Party Administrator (TPA) ... claims administration, is where submissions for payment/reimbursement/sharing from medical providers and covered individuals are reviewed, subject to cost… more
- Corvel (Rockville, MD)
- …and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation ... industry experience and claims management preferred State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our… more
- Munson Healthcare (Traverse City, MI)
- …certification required (or must be obtained within 6 months). Opportunity to become and Aviation Medical Examiner (FAA examiner ), now offered by the current ... and develop occupational health programs. As part of Munson's Occupational Health and Medicine team, the Medical Director will oversee clinical operations,… more
- County of Los Angeles, CA (Los Angeles, CA)
- …transmittal letters, letters regarding extensions, notifications of depositions, agreed medical examiner letters, and appointment verifications. Contacts judges, ... vital public services as diverse as law enforcement, property assessment, public health protection, water conservation, cultural activities and many more. What does… more
- 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
- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is the ... Commercial Claims Processing Associate, Claims Examiner...America Req #2572 Friday, June 20, 2025 At MVP Health Care, we're on a mission to create a… more
- 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
- 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 ... for some of the world's best brands? + Apply your workers compensation adjuster, examiner , etc. knowledge and experience to adjudicate complex customer claims in… more
- 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 ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims… more
- Sedgwick (Sun Prairie, WI)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - PIP / MED *Note: This position is for a PIP / ... Medical Payments examiner for our Auto Center....To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and… more
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