- 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 ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- Commonwealth of Pennsylvania (PA)
- Medical Malpractice Claims Examiner 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4762417) Apply Medical Malpractice Claims ... Training Requirements: + One year as a Medical Malpractice Claims Examiner 1;or + Four years of...of determining your eligibility for the position. Information to support your eligibility for the position must be provided… more
- MetLife (Oriskany, NY)
- …and manually adjudicate complex FEGLI Life claims to make claim determinations. *Provide UAT support for system enhancements. Typical Qualification ... system * Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. * Work with our customer administrative staff to… 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... to provide training to the data entry and claims examiners and ongoing support and guidance.… more
- CACI International (Chantilly, VA)
- Senior Claims Examiner Job Category: Finance and...Compensation claims are reviewed and approved by Claims Examiners promptly + Ensure Claim forms ... **The Opportunity:** We are seeking a detail-oriented and experienced Claims Examiner to manage and review workers'...accurate code for injury or illness based on the claim form and enter it into the claims… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner /Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review, analyze and evaluate… 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 ... technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice...our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage… 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
- CVS Health (Plymouth, MN)
- …cases requiring such needs as benchmarking (FCR), claim examiner support , other insurance, medical necessity, corrected claims , change in medical review ... what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at...confirmation of network status of provider, other insurance, subrogation, claim edits, coding conflicts, reporting of units, cost, consulting… 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...claims by reviewing policies and documents submitted in support of complex claims . + Analyze coverage… 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 ... or work queue and incoming phone call. + Research claims for appropriate support documents. + Analyzes...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 Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11823 ... support the safety net required to achieve that purpose. Job Summary The Claims Examiner is responsible for the accurate and timely processing of direct… 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...coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes. **ESSENTIAL DUTIES… 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 ... 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 ... do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs....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 ... payment timelines, and compliance with statutory requirements. + Negotiate settlements of claims within designated authority to reach claim resolution. + Provide… more