- ADP (San Dimas, CA)
- …is hiring a Claims Lead Examiner . _RESPONSIBILITIES:_ + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
- Kohler Co. (Kohler, WI)
- …If a Claim or Leave is approved, the Sr. Disability Claims Examiner then updates internal documentation and systems, coordinates appropriate payments ... **Sr. Disability Claims Examiner ** _Work Mode: Hybrid_ **Location:...required benefit payment information to corporate Payroll. + Communicate claim status with associate and manager . +… more
- Robert Half Accountemps (Long Beach, CA)
- Description An Healthcare IPA in Long Beach is in the need of a Medical Claims Examiner III. This role of Medical Claims Examiner III is will be an ... essential position within the organization. The Medical Claims Examiner III is responsible for collaborating...management and claims unit * Assist the Claims Manager in reviewing the quality auditing… more
- Elevance Health (Rancho Cordova, CA)
- ** Claims Examiner I** UNION POSITION **Location :** This is a remote position however the associate will be mapped to the Rancho Cordova, CA office and may need ... position. During the time spent in this position the Claims Examiner will develop claims ...the appropriate course of action (ie referral to MRU, claim reject, return to submittal etc.). + Utilizes appropriate… more
- AIG (Lenexa, KS)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner IV, Accident & Health to play your part in that transformation. It's ... How you will create an impact The Personal Accident Claim Examiner will be responsible to handle... will be responsible to handle all aspects of claim resolution for assigned claims while providing… more
- AIG (Lenexa, KS)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner II, Accident & Health to play your part in that transformation. It's ... How you will create an impact The Personal Accident Claim Examiner will be responsible to handle...+ Increased responsibility with an expectation of managing higher claims volumes and assist manager with customer… 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...from Team Subject Matter Experts (SMEs), the Trainer and Claims Manager to ensure accuracy of adjudicating… more
- USAA (Colorado Springs, CO)
- …injury (BI)/uninsured motorist (UIM) experience + Current or recent experience as a Claims Manager /Supervisor + Experience handling auto injury claims for ... so special! **The Opportunity** We are seeking a dedicated Manager , Claims Operations to lead a team...appropriate solutions as they investigate, evaluate and negotiate the claim . You will develop engaged employees through regular coaching… more
- Elevance Health (Rancho Cordova, CA)
- ** Claims Examiner II** UNION POSITION **Location :** This is a remote position however the associate will be mapped to the Rancho Cordova, CA office and may need ... position. During the time spent in this position the Claims Examiner will develop claims ...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Insight Global (Reading, PA)
- Job Description Position Summary: The role of the Liability Claims Examiner is to investigate, document, manage, direct and resolve liability, property, cargo, ... claims . This includes the gathering and analyzing of claim data, the evaluation of facts as presented to...improvements. - Other tasks and assignments as assigned by Manager We are a company committed to creating diverse… more
- JB Hunt Transport (Lowell, AR)
- …GED (Required), High School (Required) **Work Experience:** Legal **Job Opening ID:** 00560398 Claims Examiner II (Open) JB Hunt Transport, Inc. affirms its ... document incidents involving damages up to $20,000 (greater than $20,000 with manager approval/discretion). Manage claims made under our auto liability, general… more
- Amazon (Tempe, AZ)
- …Management and Legal (internal and external), and employs best practices to control claim costs. . Lead logistic complex claims management, develop and refine ... all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims ...candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change, enjoy working… more
- McAfee, Inc. (San Jose, CA)
- …Kount, Verifi, Ethoca, Chargeback Gurus, etc.). * Relevant certifications (eg, Certified Fraud Examiner , Certified Risk Manager ) are a plus * BA/BS/BBA degree in ... **_Job Title:_** Senior Payments Manager , Fraud and Disputes - Remote **_Role Overview:_**...areas for improvement to reduce first-party misuse and fraud claims . Manage multiple projects focused on preventing disputes and… more
- HCA Healthcare (Nashville, TN)
- …(2) years of experience processing claims , with at least one year of claims examiner experience required + Knowledge of ICD-9, CPT, HCPC and Revenue Coding ... Manager . + Provide technical support and training for claims examiners. + Understand Plan contracts, provider pricing, member...required + Ability to analyze claim issues and "trouble shoot" claims problems… more
- Elevance Health (Indianapolis, IN)
- **Subrogation Examiner ** _Location: Virtual with the ideal candidate will live within 50 miles of our Indianapolis, IN, Waukesha, WI, or Louisville, KY Elevance ... care cost containment company offering subrogation recovery services. The **Subrogation Examiner ** is responsible for researching and examining routine health … more
- New York State Civil Service (Brooklyn, NY)
- …No Agency Workers' Compensation Board Title Assistant Workers' Compensation Examiner Spanish Language, WCB Item #1854 Occupational Category Clerical, Secretarial, ... allowed? Yes County Kings Street Address Office of Operations, Claims and Hearing Support Upstate One Pierrepoint Plaza, 5th...Under the direct supervision and guidance of the WC Examiner , duties of this position include, but are not… more
- Veterans Benefits Administration (Louisville, KY)
- Summary Under the administrative supervision of the Fiduciary Hub Manager and the Coach, the supervisor plans, directs and assigns work priorities for their ... and their representatives, resolving issues, and obtaining required evidence to settle a claim . This includes knowledge of all VA benefit programs for purposes of… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Claims Job Category: Claims...to track and trend the metrics associated with the examiner and auditor production and prepare and present written ... support the safety net required to achieve that purpose. Job Summary The Manager , Claims directs the efforts of others in the achievement of the strategic,… more
- Defense Health Agency (Honolulu, HI)
- …Compensation Program Administrator (ICPA) , Office of the Worker's Compensation Program (OWCP) claims examiner , OWCP nurse case manager , lawyer, and union ... illnesses and incidents of potential hazard exposure as the Medical Case Manager for Workers Compensation cases. Plans, develops, and implements a comprehensive… more
- Crawford & Company (Brea, CA)
- …periodic meetings. + Reviews, analyzes, and assigns losses to the appropriate claim examiner with directives. Ensures all directives are executed appropriately. ... experience required + Five or more years of progressive experience as a Claim Examiner , or the equivalent, demonstrating the technical expertise to handle… more