- Sedgwick (Springfield, MA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Maine jurisdiction experience required | Licensing ... resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. +… more
- Sedgwick (Bartlesville, OK)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claim Examiner - Liability (REMOTE- Needs Gen Liab Experience) **PRIMARY ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … more
- Dignity Health (Rancho Cordova, CA)
- …are vital to maintaining excellence in care and service. **Responsibilities** The Senior Claims Examiner responsibilities include Quality Review of Claims ... and the accuracy of member denial letters. The Senior Claims Examiner reviews all provider payment inquiries...inquiries received by telephone fax and mail and adjust claim payments when required. This includes Commercial and Medicare… more
- Commonwealth of Pennsylvania (PA)
- …rightful owners! DESCRIPTION OF WORK As a Temporary Unclaimed Property Claims Examiner I, you will examine and evaluate claim information and pertinent ... Temporary Claims Examiner I Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4794819) Apply Temporary Claims Examiner I Salary… 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
- AIG (Atlanta, GA)
- …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 ... Workers Compensation. Join us as a Senior Workers Compensation Claims Examiner to grow your experience in...technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice… more
- AIG (Atlanta, GA)
- Senior WC Claims Examiner Join us as a Senior Claims Examiner on the Federal team to grow your experience in Claims . Make your mark in Claims Our ... impact + Provide technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice guidelines. + Utilize… more
- State of Georgia (Fulton County, GA)
- Claims Examiner Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/63374/other-jobs-matching/location-only) Financial ... accuracy and completeness. + Complete an Investigative Summary with a recommendation regarding claim eligibility. + Accurately document claims in the claims … 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...claims to identify situations requiring referral to Senior Examiner . 6. Respond to written and/or telephone inquiries from… 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** . ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...college or university preferred . + **Self-insurance certification PREFERRED .** + Five (5) years of claims … 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 ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… 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...or requirements **Qualifications** **Education:** High school diploma, college degree preferred . Medical billing and coding or equivalent experience … 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 ... as Chemotherapy, Dialysis, OB and drug and multiple surgery claims . Preferred experience with automated claims...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 ... claims ' action plans to resolution, coordinates return-to-work efforts, and approves claim payments. + Approves and processes assigned claims , determines… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Examiner I Job Category: ...claims processing experience in a managed care environment. Preferred : Previous Medi-Cal and EDI claims processing ... net required to achieve that purpose. Job Summary The Claims Examiner is responsible for the accurate... when indicated. *Meeting and exceeding performance measurements for Claim Examiners as required by department to meet regulatory… more
- Sedgwick (Los Angeles, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Auto - Commercial Trucking I Remote (Pacific or ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… 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 ... degrees and/or JD are a plus. + Texas non-subscription claims experience preferred + Active Texas All...investigation, and analysis; resolution/outcome management; and the delivery of claim information. + Manage mostly non-complex claims ,… more
- ICW Group (Woodland Hills, CA)
- …with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus ... within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of...all recoveries to ensure they are credited to the claim file. + Communicates effectively with other Company departments.… more
- Sedgwick (Omaha, NE)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Litigated Claims Examiner - General Liability / Bodily Injury | Midwest Region ... resolution by investigating and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within designated authority. +… more