- Kelly Services (Phoenix, AZ)
- …isn't always easy** . That's where Kelly(R) comes in. We're seeking a ** Claims Associate - Medical only Examiner ** to work remotely in Phoenix, AZ. Sound ... Rate:** $22 per hour **Why you should apply to be a** ** Claims Associate - Medical only Examiner ** **:** + Competitive pay rate. + Opportunity to work… more
- MVP Health Care (Rochester, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a **Senior Medical Claims Examiner ** . If you are a team player ... **Inclusive Workplace** . **Qualifications you'll bring:** + AAS degree with claims experience preferred, or equivalent combination of education and experience will… more
- State of Massachusetts (Boston, MA)
- …II| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service Representative II is responsible for supporting processes within ... of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review,...required experience and the substitutions below. Substitution: I. An Associate 's degree may be substituted for one (1) year… more
- State of Massachusetts (Boston, MA)
- …I| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service Representative I is responsible for supporting processes within ... the Department of Family Medical Leave (DFML). The Claims Examiner...required experience and the substitutions below. Substitution: I. An Associate 's degree may be substituted for one (1) year… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and ... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most...+ Expert knowledge of CPT, ICD-10, HCPCS coding, and medical terminology. + Associate 's Degree - … more
- NTT DATA North America (Charlotte, NC)
- …work here. NTT DATA is seeking to hire a **Remote (Anywhere in US besides CA) Claims Processing Associate ** to work for our end client and their team. **NOTE** : ... + Work independently to research, review and act on the claims + Prioritize work and adjudicate claims as per turnaround time/SLAs + Ensure claims are… more
- CRC Insurance Services, Inc. (Fort Worth, TX)
- …responsible for investigating, evaluating, negotiating, and resolving personal lines property claims . Responsible for adjusting major and complex losses in their ... entirety, including high dollar claims . May also adjust standard losses. **ESSENTIAL DUTIES AND...functions. 1. Five years of related, applicable experience 2. Associate 's degree (AA or AS) or equivalent from a… more
- MyFlorida (Miami, FL)
- …OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER POSITION LOCATION: MIAMI/DADE COUNTY POSITION #: 64801357 ... OPS MEDICAL DISABILITY EXAMINER - 64801357 Date:...Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is… more
- ICW Group (Woodland Hills, CA)
- …All examiners must receive certification (Self Insurance (SIP) or Workers' Compensation Claims Examiner designation) that meets the minimum standards of ... claims . + Contacts and/or interviews injured workers, doctors, medical specialists, attorneys, and employers to get additional information. + Communicates… more
- City of New York (New York, NY)
- …up on directives issued by legal and management staff. Examines and processes claims and bills submitted by medical practitioners and hospitals for payment ... of workers' compensation benefits. Trains less experienced Workers' Compensation Benefits Examiner . Identifies medical information needed to reach a conclusion… more
- MyFlorida (Tallahassee, FL)
- FINANCIAL EXAMINER /ANALYST II - 79001235 Date: Oct 28, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 860681 Agency: Business and Professional Regulations Working Title: FINANCIAL EXAMINER /ANALYST II - 79001235 Pay Plan: Career Service Position Number: 79001235… more
- The County of Los Angeles (Los Angeles, CA)
- …Los Angeles County, CA Job Type Full time Job Number P4886A-R Department MEDICAL EXAMINER Opening Date 10/09/2024 Closing Date Continuous + Description + ... is subject to closure without prior notice. About the Medical Examiner : The Department of Medical...as spam/junk/clutter mail. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- The County of Los Angeles (Los Angeles, CA)
- …Location Los Angeles County, CA Job Type Full time Job Number P4887E-R Department MEDICAL EXAMINER Opening Date 10/16/2023 + Description + Benefits + Questions ... Position/Program Information DEPARTMENT OF MEDICAL EXAMINER -CORONER EXAM NUMBER: P4887E-R TYPE OF RECRUITMENT: Open Competitive Job Opportunity FILING START… more
- Molina Healthcare (Meridian, ID)
- …combination of education and experience **PREFERRED EXPERIENCE:** 3+ years healthcare Medical claims auditing **PHYSICAL DEMANDS:** Working environment is ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Sedgwick (Fort Worth, TX)
- …required. Associate degree preferred. **Experience** Two (2) years of claims management or insurance experience or equivalent combination of education and ... & Insurance OSS Coordinator **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …analytic problems through communication and collaboration. + Knowledge of BCBSMA claims processing system is preferred. + Proficient analytical and report ... data and identify potential fraud risks. + Working knowledge of health insurance claims coding, including CPT, HCPCS, ICD-10, and DRG coding. This is an essential… more
- Molina Healthcare (Louisville, KY)
- …health care fraud, waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and billing reviews. The SIU ... with other internal departments, including Compliance, Corporate Legal Counsel, and Medical Officers in order to achieve and maintain appropriate anti-fraud… more