- Staffing Now (Tampa, FL)
- …of claim types to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that all claims are adjudicated ... * Authorize claim payments within established limits; otherwise forward to Claims Manager * Potentially process refunds appeals, disputes and adjustments (when… more
- Mindlance (Atlanta, GA)
- Job Title: Claims Examiner - Workers Compensation Location: Remote Job Length: 3 Months (Possibility of extension) Manager's Note: . Alaska work comp license or ... adjuster's license. Job Overview: Analyze complex or technically difficult workers' compensation claims to determine benefits due. Work with high-exposure claims … more
- HealthTexas (San Antonio, TX)
- Job Purpose The Claims Examiner & Support Specialist Level I is responsible for accurately processing health plan delegated claims , addressing provider ... Essential Job Duties & Responsibilities Processing Health Plan Delegated Claims : Reviewing claim submissions for accuracy and completeness. Verifying information… more
- Wahve (Chicago, IL)
- …carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions. Responsibilities include: Handle General ... claim in claims management system. Properly document claims files. Review police reports, legal and medical... claims files. Review police reports, legal and medical bills, etc. Litigation and Subrogation experience highly desired.… more
- Dexian - DISYS (Baltimore, MD)
- …may include performance of audits of financial business records, provider and subscriber medical data, claims , systems reports, medical records, analysis of ... for offsite audits/investigations and interviews when requested. Research provider/subscriber claims activity, operations manuals, data systems, medical … more
- TEKsystems (Fresno, CA)
- …or comparable industry experience preferrecd. * A minimum of one (1)year experience as a Claims Examiner for medical , dental claims and vision, ... Description: The Claims Examiner I reports to the...Description: The Claims Examiner I reports to the Supervisor of ...Examiner I is responsible for reviewing and processing medical , dental, vision and electronic claims in… more
- Lowe's (Mooresville, NC)
- … Claims Examiners on issues that cannot be satisfactorily resolved by the Claims Examiner , this position investigates complaints made by customers or stores ... **Required Qualifications** + High School or GED and 5-7 Years experience as a Claims Examiner or materially relevant knowledge, skills and abilities from other… more
- Kelly Services (Long Beach, CA)
- …Great opportunities are right here in your backyard. **Kelly(R)** is looking for a Claims Examiner to work at a leading global provider of technology-enabled ... Rate:** $48.00/hr **Why you should apply to be a Claims Examiner :** * Competitive pay rate of...resources. Kelly offers eligible employees voluntary benefit plans including medical , dental, vision, telemedicine, term life, whole life, accident… more
- Sedgwick (Columbus, OH)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Litigation - REMOTE ** Claims examiner ** Are ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Examiner | Remote **5 years of liability claims ... needs. **ARE YOU AN IDEAL CANDIDATE?** To analyze Liability Claims Examiner claims on behalf...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. **WORK ENVIRONMENT… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Examiner II (Temporary) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Claims Examiner II is responsible for the...self-manage in a fast-paced, detail-oriented environment. Extensive knowledge of medical terminology, standard claims forms and physician… more
- Sedgwick (Memphis, TN)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation ** Claims Examiner ** ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… 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 /Job Service Representative I will review claims escalated by the Contact Center and… more
- AIG (Dallas, TX)
- …way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It's an opportunity to ... of the team. Join us as a Senior WC Claims Examiner to grow your experience in...to differentiate AIG from our competitors + Manage indemnity, medical and legal aspects of assigned claims … more
- Access Dubuque (Dubuque, IA)
- Litigated Claims Examiner - Auto Liability **Sedgwick** 1 Positions ID: R49279 Posted On 04/11/2024 **Job Overview** Taking care of people is at the heart of ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Litigated Claims Examiner - Auto Liability Are you...medical , dental vision, 401K on day one. \#claimsexaminer # claims Sedgwick is an Equal Opportunity Employer and a… more
- Sedgwick (Hunt Valley, MD)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer (Hybrid) Claims Examiner - Workers Compensation/Public Entity | Hunt Valley/Largo, ... This requisition is a pipeline requisition for several WC Claims Examiner opportunities within this office **ARE...medical , dental vision, 401K on day one. \#claimsexaminer # claims Sedgwick is an Equal Opportunity Employer and a… more
- Sedgwick (West Hills, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | West Hills, CA Are you looking for an ... examiner 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
- Access Dubuque (Dubuque, IA)
- Claims Examiner - Auto Liability **Sedgwick** 1 Positions ID: R49056 Posted On 04/05/2024 **Job Overview** Taking care of people is at the heart of everything we ... place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Auto Liability **PRIMARY PURPOSE** : To analyze and… more
- State of Montana (Helena, MT)
- …Employment and Transitions Division, Disability Determination Services Bureau.* The Disability Claims Examiner position works within the Disability Determination ... Administration (SSA) under the disability benefits program. Responsibilities of the Disability Claims Examiner include managing a caseload of disability benefit… more
- Maxim Healthcare Services (Columbia, MD)
- The Workers' Compensation (WC) Claims Examiner II understands and participates in every aspect of the WC claim process. Working in a team approach, the WC ... action, and determine the appropriate settlement value. The WC Claims Examiner II also works with the...leads conference calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Maxim team members +… more
