- UPMC (Pittsburgh, PA)
- **Purpose:** UPMC Health Plan is seeking a full-time Claims Examiner to support the Medicare & Commercial Claims teams within the Claims Operations ... required in-office days for trainings, meetings, and other departmental needs. The Claims Examiner manages the adjudication of moderate-to-complex claims … more
- Sedgwick (Hampton, VA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (Need VA & Longshore Exp) ** Claims ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
- Adecco US, Inc. (Long Beach, CA)
- …_Long Beach, CA_ . This is a great opportunity to further your existing skills as a Claims Examiner _,_ while learning new ones to assist you in your career. The ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. . Reports claims to the excess carrier; responds to requests of directions… more
- Adecco US, Inc. (Roseville, CA)
- …is currently assisting one of its clients in their search for a **Workers Compensation Claims Examiner in Roseville, CA or Long Beach, CA!** Pay rate: $48.08/hr ... Second Injury Fund excess recoveries and Social Security and Medicare offsets + Reports claims to the...your application. If you are interested in a **WC Claims Examiner position in Roseville, CA or… more
- 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 ... or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex… more
- Sedgwick (Albany, NY)
- …Fortune Best Workplaces in Financial Services & Insurance General & Product Liability Claims Examiner - Multi State Licensing Preferred - Telecommute US ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
- Sedgwick (Long Beach, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner Are you looking for an opportunity to join a ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
- 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** : ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation **PRIMARY PURPOSE** : To analyze ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
- 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 ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
- 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 ... Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests of directions… more
- 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 ... 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 (Miami, FL)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Bodily Injury **PRIMARY PURPOSE** : To analyze and process ... complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- 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 ... adjusting claims and other duties as necessary. Key Responsibilities: +...Medical terminology + Computer literacy + Knowledge of current Medicare Advantage operational and regulatory guidelines established by CMS,… more
- Sedgwick (Southfield, MI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Consultant/ Examiner , Pooling (Hybrid) **Are you looking for an impactful ... CANDIDATE?** If you have 10+ years of experience handling high-exposure, complex claims involving serious injuries and legal inquiries or disputes, and developing… more
- Insight Global (Los Angeles, CA)
- …Plan based in Los Angeles is in the immediate need of a Medical Claims Representative. The Medical Claims Representative will be responsible for speaking with ... phone and troubleshooting any of the participants bills or claims . The Medical Claims Representative will be...- Extensive knowledge of Plan benefits, group insurance, and Medicare principals. - Knowledge of Coordination of Benefits rules.… more
- UPMC (Pittsburgh, PA)
- **Purpose:** UPMC Health Plan is hiring full-time Claims Examiners to support our CHC/Medicaid Claims Department in the Pittsburgh area! The Claims Examiners ... this position, you will manage the adjudication of moderate to complex claims while meeting or exceeding production and quality-designated standards. Our objective… more
- Kelly Services (Long Beach, CA)
- **Job Opportunity: Workers' Compensation Claims Examiner ** **Key Requirements:** + **SIP Certification:** Preferred + **Salary:** Up to $100k + **Experience:** + ... 10+ years of workers' compensation (WC) claims experience + Indemnity & litigation experience is a...including subrogation, Second Injury Fund excess recoveries, and Social Security/ Medicare offsets. + **Client & Vendor Coordination:** + Maintain… more
- City of Henderson (Henderson, KY)
- …employment + Latent Print/Footwear Discipline: Must possess the Latent Print Examiner certification or Footwear Examiner certification through the International ... the job. As part of the background investigation, all claims of education and experience made in the employment...the Household, and Access to Work/Life Wellness Resources + Medicare - Employee and City each pay 1.45% RETIREMENT… more
- LA Care Health Plan (Los Angeles, CA)
- …reporting and corrective action plans monitoring of financial solvency and claims processing compliance for specialty health plans and vendors. These audits ... of business. The position is responsible for the DMHC claims data submissions for LA Care and its Plan...Serves as primary contact and liaison for Centers for Medicare and Medicaid Services (CMS) claim audit section of… more