- Sedgwick (Harrisburg, PA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for ... ever the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with 5+ years of experience handling both 3rd party… more
- Sedgwick (Harrisburg, PA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a ... Claims Examiner at Sedgwick, you'll have the...Claims Examiner at Sedgwick, you'll have the opportunity to take...you have experience as a **Bodily Injury General Liability Claims Examiner ** working within **commercial (** **captive)… more
- Sedgwick (Harrisburg, PA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you looking for an ... YOU AN IDEAL CANDIDATE?** If you have 5+ years of experience as a Claims Examiner working on Complex Commercial Bodily Injury Trucking Claims and would like… more
- WelbeHealth (Harrisburg, PA)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Examiner plays a pivotal role in ensuring timely and efficient ... processing of claims for our contracted specialty provider partners. **Essential Job...Duties:** + Assess appropriateness of returned, denied, or paid claims by reviewing and following contractual obligations, federal and… more
- Sedgwick (Harrisburg, PA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Comp REMOTE Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Pittsburgh, PA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Remote | Dedicated Client **Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze Workers Compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Harrisburg, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required ... workers compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze workers compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Harrisburg, PA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Licensing Required | Remote ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...IDEAL CANDIDATE?** To analyze **New York** **Workers Compensation Lost-Time** claims on behalf of our valued clients to determine… more
- Sedgwick (Philadelphia, PA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Multi-State Licensing Preferred - Hybrid - Sedgwick ... one. **PRIMARY PURPOSE** **:** To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims … more
- Penske (Reading, PA)
- **Position Summary:** The Liability Claims Examiner is responsible for investigating, documenting, managing, directing, and resolving a variety of claims ... + Investigate and resolve auto liability, property, cargo, brokerage, and subrogation claims , including alleged vehicle defects. + Analyze claim data and evaluate… more
- Insight Global (Reading, PA)
- Job Description Position Summary: The role of the Liability Claims Examiner is to investigate, document, manage, direct and resolve liability, property, cargo, ... brokerage and subrogation claims . This includes the gathering and analyzing of claim...direct and resolve liability, property, cargo, brokerage and subrogation claims including alleged vehicle defects. - Gather and analyze… more
- Utilities Service, LLC (Willow Grove, PA)
- **Description** " **Corporate Claims Examiner ** **Job Type** :Exempt **Pay** : Salary **Benefits:** + Benefits Available and vary per position and location. ... **Essential Functions & Responsibilities:** + Handling and monitoring of claims ; worker's compensation, auto, and general liability. + Investigation, evaluation,… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Examiner - SIU to join our team! Summary: Analyze insurance claims to ... investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii,… more
- ICW Group (Philadelphia, PA)
- …All examiners must receive certification (Self Insurance (SIP) or Workers' Compensation Claims Examiner designation) that meets the minimum standards of ... why you want to be here! **PURPOSE OF THE JOB** The purpose of Triage Examiner is to administer benefits to injured workers in accordance with statutory and case law… more
- Sedgwick (Harrisburg, PA)
- …accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner . Familiar with CPT, DRG and resources ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… more
- Sedgwick (Harrisburg, PA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Harrisburg, PA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an ... needs. **ARE YOU AN IDEAL CANDIDATE?** Are you an experienced attorney or examiner with a strong background in insurance coverage analysis? We're seeking an… more
- Sedgwick (Pittsburgh, PA)
- …& Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to ... within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and operational expense… more
- ICW Group (Philadelphia, PA)
- …+ Directs questions to the appropriate contact in the department. Inputs new claims into enterprise resource planning (ERP) system as well as creates written ... process claim. + Receives and/or returns telephone calls as directed by claim examiner . + Responds to insureds, agents or outside participants, as directed. +… more
- Highmark Health (Pittsburgh, PA)
- …**Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more