- BroadPath Healthcare Solutions (Tucson, AZ)
- …plan interpretation via the cut-log system when necessary + Adjust complex claims and support other examiners with claim resolution + Perform additional ... **Overview** BroadPath is hiring a detail-oriented **Senior Claims Examiner ** to train and work...PST, no weekends! **Responsibilities** + Adjudicate all types of claims , resolving system edits and audits for… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is hiring a work from home, detail-oriented medical ** Claims Examiner ** looking to make a significant impact in the healthcare industry. ... Join our remote team as a Claims Examiner and play a crucial role...PST, no weekends! **Responsibilities** + Adjudicate a variety of claims , including routine and complex cases, resolving system… more
- National Health Care Associates (West Hartford, CT)
- …issues/resolution. + **_Administration:_** + Manage WC: Cinch form submission, partner with claims examiner , OSHA log recordkeeping, attend safety meetings, and ... to understand and operate the mechanics of a multi-line telephone/paging system . + Attends in-service educational classes and on-the-job training programs as… more
- MetLife (Oriskany, NY)
- …and customer satisfaction are met. * Evaluate life claims to identify claim situations requiring referral to Senior Examiner , law department and medical ... Interpret policy provisions and manually adjudicate complex Group Life claims to make claim determinations. * Initiate...medical reports, homicide investigations, etc.). * Handle more complex claims . * Provide UAT support for system … more
- MAPFRE Insurance (Webster, MA)
- Claim Examiner Date: Nov 25, 2025 Location: Webster, MA, US Company: MAPFRE **About the Role** As a ** Claim Examiner ** , you will provide technical ... leadership and oversight across all Claims Offices enterprise wide. You willprovide strategic oversight and direction to high-exposure, complex cases-including… more
- JB Hunt Transport (Lowell, AR)
- …of exposure and documentation of all findings for each claim within the claims matter management system for management review as well as internal and ... **Job Title:** Senior Casualty Claims Examiner **Department:** Insurance **Country:** United... investigations to determine liability exposure of each assigned claim . This investigation includes analysis of state and federal… more
- MVP Health Care (Schenectady, NY)
- …the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess ... continuous improvement. To achieve this, we're looking for a Claims Examiner to join #TeamMVP. If you...experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills… more
- Cedars-Sinai (CA)
- **Job Description** The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and ... required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred....and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** :… more
- OneMain Financial (Fort Worth, TX)
- ** Claims Examiner ** The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all ... functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence to internal/external customers. **In… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- ADP (San Dimas, CA)
- …state-of--the art predictive modeling, and metrics, data analytic tools and HRIS and claims systems . + Requires comprehensive knowledge of CA and western region ... ADP is hiring a ** Claims Lead Examiner ** . **_RESPONSIBILITIES:_** +...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
- ICW Group (Pleasanton, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing ... within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of...industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and ... expert knowledge of claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most challenging cases, mentor junior… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- Title: RETIREMENT CLAIMS EXAMINER Location: United States-Virginia-Virginia Beach Job Number: 250002NO Job Summary: Performs duties relating to the ... Establish and initiate retirement payment accounts in retirement vendor system . . Input all retired personal data tax deductions...in the plan. . Perform actuarial review of retirement claims for Willis Towers Watson Data Services. . Supports… more
- State of Michigan (Sterling Heights, MI)
- … Claims Interviewer 9 or one year equivalent to an Unemployment Insurance Examiner 9, Unemployment Claims Examiner 9, or Unemployment Claims ... other state agencies through our fiscal, IT, and HR systems . Insurance Benefits:The State of Michigan offers health, mental...9 or one year equivalent to an Unemployment Insurance Examiner 9, Unemployment Claims Examiner … more
- Commonwealth of Pennsylvania (PA)
- Driver License Examiner w/CDL (Hazleton) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5104984) Apply Driver License Examiner w/CDL ... Department of Transportation is actively looking to hire a Driver License Examiner , a vital role within PennDOT that significantly contributes to enhancing highway… more
- Commonwealth of Pennsylvania (PA)
- Driver License Examiner Assistant (Dublin) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5159598) Apply Driver License Examiner ... Transportation, Dublin Driver License Center (DLC) is seeking a dedicated Driver License Examiner Assistant to complete our team. If being part of a bustling office… more
- The County of Los Angeles (Los Angeles, CA)
- TITLE EXAMINER II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5128927) Apply TITLE EXAMINER II Salary $82,490.16 - $99,735.36 Annually ... years title examining experience at the level of Title Examiner I* or higher in the service of Los...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- Patent and Trademark Office (Alexandria, VA)
- …Office's (USPTO) patent examiners evaluate next-generation technologies, products, tools, and systems that change how billions of people connect, explore, and ... shape what's next. Learn how to become a patent examiner , explore the patent examiner disciplines crosswalk...certify that you have registered with the Selective Service System . If you are exempt from registration under Selective… more
- Patent and Trademark Office (Alexandria, VA)
- …in the making - and help shape what's next. Learn how to become a patent examiner , explore the patent examiner disciplines crosswalk to find the areas that align ... we will verify your degree before your start date. As a patent examiner , you will: Examine patent applications and protect groundbreaking ideas. You'll review… more
