- Raphael and Associates (Rutherford, NJ)
- …a fast-paced environment. We are currently growing and are looking for a TPA Transportation Claims Examiner with a minimum of three years of experience in this ... Liability Desk Examiner (remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company… more
- Raphael and Associates (NJ)
- …a fast-paced environment. We are currently growing and are looking for a TPA Property Claims Examiner with a minimum of five years of experience in this ... Senior Property Desk Examiner (remote) Company Overview: Raphael &...Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting … more
- Raphael and Associates (Rutherford, NJ)
- Liability Desk Examiner (remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...to provide superior reports so that proper evaluations of claim values can be made. + Appropriately represent the… more
- MetLife (Oriskany, NY)
- …and manually adjudicate complex FEGLI Life claims to make claim determinations. *Initiate investigations, employing both company and outside facilities ... system * Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. * Work with our customer administrative staff to… more
- ManpowerGroup (CA)
- **Job Title:** ** Claims Examiner - Workers Compensation** **Location:** **Remote (Must reside in California)** **Duration:** **30-Dec-2024 - 29-Mar-2025** ... subrogation opportunities and negotiate settlements. **Manager Notes:** + **Workers Compensation Claims Examiner (3+ years of California WC experience)**… more
- ManpowerGroup (CA)
- **Job Title:** Claims Examiner - Workers Compensation **Duration:** 2-months **Location:** Remote (Must reside in CA) **Target Pay: $45** **Primary Purpose** To ... subrogation of claims and negotiating settlements. **Manager's note:** Workers Compensation Claims Examiner (3+ years of California WC experience) - Out of… more
- MetLife (Oriskany, NY)
- …distance of the Oriskany NY office (Central NY) Title: Premium Waiver Claim Examiner LOB/Department: Institutional/Life Product Management Reports to: Unit ... new and ongoing Total and Permanent and Premium Waiver claims to determine if claim is payable...2. Interpret policy provisions to determine eligibility and make claim determinations. 3. Initiate investigations through both company… more
- Adecco US, Inc. (San Diego, CA)
- …assisting a local client in their search to fill a **Remote Worker's Compensation Claims Examiner ** job opportunity but **MUST LIVE ANYWHERE IN CALIFORNIA** . ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Sedgwick (Roseville, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Dedicated Client | Roseville, CA (Agile) Are ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a ... **Overview** **The Claims Examiner position is a hybrid...working at home.** **About us:** Fallon Health is a company that cares. We prioritize our members-always-making sure they… more
- Sedgwick (Columbus, OH)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims ... examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- Cedars-Sinai (CA)
- …standard of patient care we strive for. **What will you be doing:** The Claims Examiner is responsible for accurately and consistently adjudicating claims ... with policies, procedures and guidelines as outlined by the company policy. Process claims according to all...and beyond. **Req ID** : 6771 **Working Title** : Claims Examiner (Managed Care) - Remote **Department**… more
- Sedgwick (Orange, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Orange, CA **PRIMARY PURPOSE** **:** To analyze ... compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify… more
- ICW Group (Woodland Hills, CA)
- …conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage ... develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex ...all recoveries to ensure they are credited to the claim file. + Communicates effectively with other Company… more
- Academy Sports + Outdoors (Katy, TX)
- …in an insurance related industry. + We encourage candidates with prior examiner , adjuster, paralegal and/or other relevant claims handling experience to ... for: reporting, investigation, and analysis; resolution/outcome management; and the delivery of claim information. + Manage mostly non-complex claims , but may… more
- Sedgwick (Seatac, WA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation | WA Jurisdiction Are you looking ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- Sedgwick (New York, NY)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | NY Jurisdiction | Dedicated Client We are ... claims , from inception to resolution, ensuring adherence to company procedures, industry best practices, and regulatory requirements. + **Ensure** compliance… more
- Sedgwick (Pittsburgh, PA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | PA Jurisdictional Knowledge | Active Adjusters ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable ... FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims based on… more
- ADP (San Dimas, CA)
- …to orchestrate evaluation and analysis of claims to meet department and company goals. + Monitor and ensure qualitative claim handling through TPA and ... ADP is hiring a Claims Lead Examiner . _RESPONSIBILITIES:_ + Assist...reviews and provide feedback and recommendations for resolution of claim files as needed. _REQUIRED SKILLS:_ + Possesses professional… more