• Senior Claims Examiner

    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 ... + High School or GED and 5-7 Years 6 Years Experience as a Claims Examiner or materially relevant knowledge, skills and abilities from other professions… more
    Lowe's (10/30/24)
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  • Senior Claims Examiner

    AIG (Atlanta, GA)
    …we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Examiner , International Casualty Home Office to play your part in ... leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will...in Germany? This position may be for you. This Senior Claims Examiner position in… more
    AIG (08/12/24)
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  • Senior Workers Compensation Claims

    AIG (Atlanta, GA)
    Senior WC Claims Examiner Join us as a Senior Claims Examiner to grow your experience in Claims . Make your mark in Claims Our Claims ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
    AIG (10/29/24)
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  • Senior Workers Compensation Claims

    AIG (Atlanta, GA)
    …we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that ... leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. Make your mark...mark in Federal Workers Compensation. Join us as a Senior Workers Compensation Claims Examiner more
    AIG (10/19/24)
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  • Bodily Injury and Litigation Auto Claims

    Amazon (Tempe, AZ)
    …various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our rapidly growing and evolving global auto program. ... You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims...a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change,… more
    Amazon (09/06/24)
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  • Workers' Compensation Examiner , WCB Items

    New York State Civil Service (Schenectady, NY)
    …full-time experience described in #1. Duties Description Under the direction of the Senior Workers Compensation Examiner , Examiner 's duties will include but ... NY HELP No Agency Workers' Compensation Board Title Workers' Compensation Examiner , WCB Items #2361 Occupational Category No Preference Salary Grade 14 Bargaining… more
    New York State Civil Service (11/09/24)
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  • Hearings Examiner - PFML - Multiple…

    State of Maine, Bureau of Human Resources (Augusta, ME)
    …their time of need. The Hearing Examiners, under the direction of the Senior Hearings Examiner , will adjudicate appeals of decisions involving employer ... Hearings Examiner - PFML - Multiple Vacancies Augusta ,...Paid Family and Medical LeaveJob Class Code:0053 Grade: 26 ( Professional & Technical) Salary: $56,264 - $78,998 (Annually) Location:… more
    State of Maine, Bureau of Human Resources (10/26/24)
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  • Senior Fraud, Waste, and Abuse Specialist…

    Sharp HealthCare (San Diego, CA)
    …requirements for the position, and employer business practices. **What You Will Do** The Senior Fraud, Waste and Abuse Specialist at Sharp Health Plan is a critical ... ensuring compliance with regulatory, accreditation and contract standards. The Senior FWA Specialist will manage day-to-day anti-fraud activities, coordinate with… more
    Sharp HealthCare (10/02/24)
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  • Healthcare Fraud Senior Manager, Special…

    CVS Health (Wellesley, MA)
    …Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing and managing fraud detection, investigation, and ... and external stakeholders and ensuring compliance with regulatory requirements. The Senior Manager develops strategies to mitigate fraud risks, analyzes complex data… more
    CVS Health (11/02/24)
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  • Senior Negotiator

    CVS Health (Plymouth, MN)
    …as needed to support cases requiring such needs as benchmarking (FCR), claim examiner support, other insurance, medical necessity, corrected claims , change in ... complex subject matter. **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification. **Pay Range** The typical pay range for… more
    CVS Health (11/01/24)
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  • Director, Special Investigations Unit (SIU) - Life…

    USAA (San Antonio, TX)
    …Unit (SIU),** you will be responsible for Life, Annuity & Health claims and fraud investigation programs and management of the Life Special Investigation ... guidelines, and training reference materials. + Oversees decisions made within the claims and benefits process. + Approves claims within assigned authority… more
    USAA (10/24/24)
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  • Fraud Waste and Abuse (FWA) Audit Manager

    Fallon Health (Worcester, MA)
    …LinkedIn. **Brief summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining ... to FWA investigations Compare to information submitted on the claims in order to determine amount and nature of billable services Determines appropriateness of… more
    Fallon Health (11/09/24)
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  • Hearing Officer

    State of Massachusetts (Boston, MA)
    …skills and talents to serve our citizens. *_About the Role:_* The Review Examiner II performs duties of a hearing officer in connection with administrative hearings, ... findings of fact and conclusions of law. The Review Examiner II will also provide additional support to the... II will also provide additional support to the Senior Management Team regarding home improvement contractor, or other… more
    State of Massachusetts (11/09/24)
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  • College Intern: Risk Management- Summer

    Meijer (Grand Rapids, MI)
    …course of the internship experience, we deliver diverse personal and professional development opportunities that further develop skillsets that can be implemented ... program will allow for interaction with other interns and Meijer senior leaders._ _The internship program includes:_ + _Challenging and impactful projects_… more
    Meijer (09/11/24)
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