- Kohler Co. (Kohler, WI)
- …regulations. If a Claim or Leave is approved, the Sr. Disability Claims Examiner then updates internal documentation and systems , coordinates appropriate ... **Sr. Disability Claims Examiner ** _Work Mode: Hybrid_ **Location:...also responsible for communication with associates and coordinating the Claim or Leave application process in compliance with both… more
- DXC Technology (Springfield, IL)
- …Description:** **Job Description Summary:** We are seeking a highly skilled and empathetic Claim Examiner (amnuity) to join our team, specializing in death ... claims processing. This role is integral to ensuring a seamless claim process for our clients, handling every aspect of the claim life cycle with precision… more
- GAF (Parsippany, NJ)
- …roof, we protect what matters most. Team or Function Overview The Residential Warranty Claims Examiner position is a critical member of our Residential Warranty ... Warranty Claims Supervisor for Enhanced Warranties. The Residential Warranty Claims Examiner will be responsible for overseeing their assigned warranty… 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...systems and manually apply rates in the core system . + Resolution of complex and high dollar … more
- Sedgwick (Sun Prairie, WI)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Recovery **PRIMARY PURPOSE** : Analyzes and processes ... to appropriate parties. + Gathers information necessary to support viable subrogation claims ; documents claim notes with appropriate information. + Provides… 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** : 4955 **Working Title** : Claims Examiner - Managed Care **Department** :… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Claims Examiner Recruitment # 241007-1979CL-001 Location Hartford, CT Date Opened 10/24/2024 10:00:00 AM Salary $55,248.00 - $72,247.00/year (Employees new to ... residents and businesses. We are recruiting for two (2) Claims Examiner (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=1979CL&LinkSpec=RecruitNum2&R1=&R3=) positions to support the… 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 ...& Experiences: + Thorough knowledge of medical terminology and claims processing procedures/ systems . + Effective communication and… 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
- GAF (Parsippany, NJ)
- …GAF. And under this roof, we protect what matters most. **Job Summary:** The Commercial Claims Examiner position is a critical member of our Commercial Claims ... the day-to-day activities related to new and existing commercial claims ,whichincludesbutisnotlimitedtoresearchandinvestigation,assignmentof workorders,preparationofvariouscommunicationsthroughoutthelife-cycleofthe claim , and resolution. + Apply… 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:_ + Assist...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… 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 ... control liability to the Company. Record and document vital information in Company information systems . + Maintain a suspense system to ensure regular review of… more
- ICW Group (Orlando, FL)
- …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...industry's best practices. + Ensures accuracy of data in claims system for compliance with applicable regulatory… more
- Sedgwick (Sun Prairie, WI)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Recovery **PRIMARY PURPOSE** **:** Processes and review ... follow up to ensure timely payment. + Processes recoveries into various claims systems to ensure the recovery dollars are applied to appropriate claims… more
- UCLA Health (Los Angeles, CA)
- …and resolve complex claim issues as well as train others on claims processes and workflows. Salary Range: $29.42 - $42.12/Hourly Qualifications We're seeking a ... on a key role within a world-class, award-winning health system . Contribute to the delivery of award-winning patient care....Microsoft Office and data visualization tools + Knowledge of claims adjudication systems (eg, EPIC-Tapestry, EZ Cap,… more
- Office of Workers' Compensation Programs (IN)
- …and similar instructional materials, and direct the team of GS-12/13 Claims Examiners in drafting, finalizing, and implementing these guidelines. Requirements ... includes: Developing and implementing policies and procedures for the adjudication of claims for benefits for a nationwide Workers' Compensation Program. Leading a… more
- Commonwealth of Pennsylvania (PA)
- Driver License Examiner w/CDL (Summerdale) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4686634) Apply Driver License Examiner w/CDL ... The Department of Transportation is seeking a Driver License Examiner to conduct standardized knowledge and skills examinations to...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… 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 ... system edits and audits for hardcopy and electronic claims . + Handle Case Log adjustment requests and resolve...required + Ability to analyze claim issues and "trouble shoot" claims problems… more
- Aston Carter (Atlanta, GA)
- …leaders in providing progressive, quality patient care. This five-time Magnet-Recognized health system company, is comprised of 2 hospitals and is looking for a ... support, troubleshooting issues, and resolving configuration challenges + Conduct regular system audits to ensure data integrity and compliance with organizational… more