- 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...+ Course Title + Credits/Clock Hours 11 WORK BEHAVIOR 2 - COMMUNICATIONCommunicates verbally with and writes various correspondences… 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 ... the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review,...A Bachelor's degree or higher may be substituted two ( 2 ) years of the required experience. III. A Master's… more
- State of Georgia (GA)
- UI Claims Examiner Associate (TLB) Georgia (https://careers.georgia.gov/jobs/64373/other-jobs-matching/location-only) New Hot Regulatory Labor, Georgia ... Share this Job Sign Up for Job Alerts UI Claims Examiner Associate (UI Claims ...Logo: + Requisition ID: REG041Y + Number of Openings: 2 + Advertised Salary: $40,000.00/Yr. + Shift: Day Job… more
- Fallon Health (Worcester, MA)
- **Overview** **The Claims Examiner position is a hybrid role working 3 days (Tuesdays, Wednesdays and Thursdays) in the office in Worcester, MA and 2 days ... or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a complex… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Examiner I Job Category: ...nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get ... support the safety net required to achieve that purpose. Job Summary The Claims Examiner is responsible for the accurate and timely processing of direct contract… 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
- Dignity Health (Bakersfield, CA)
- …employer-match. Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Claims Examiner III is an advanced-level role responsible for the ... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most...**Minimum Qualifications:** + 3-5 years of experience in healthcare claims processing, with at least 2 years… more
- MetLife (Oriskany, NY)
- …1. Evaluate new and ongoing Total & Permanent (T&P) and Premium Waiver (PW) claims to determine MetLife's liability. 2 . Interpret policy provisions to determine ... Evaluate claims to identify situations requiring referral to Senior Examiner . 6. Respond to written and/or telephone inquiries from policyholders, employers and… more
- Sedgwick (Baltimore, MD)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Hybrid | Dedicated Client **Dedicated Client** ... directions in a professional and timely manner. **QUALIFICATIONS** Education & Licensing: 2 + years of claims management experience or equivalent combination of… 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 ... to each claim. **QUALIFICATIONS** + **Experience:** + Minimum of ( 2 ) years of workers' compensation claims handling...Minimum of ( 2 ) years of workers' compensation claims handling experience. + Experience specifically with New York… more
- Sedgwick (San Francisco, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...LOCATIONS** Long Beach, CA - Hybrid schedule 1 to 2 days per week in office. **PRIMARY PURPOSE** :… more
- Sedgwick (Pasadena, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation - (Hybrid Schedule) **WORK LOCATION:** ... HYBRID SCHEDULE 1 TO 2 DAYS IN OFFICE **PRIMARY PURPOSE** : To analyze...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- GAF (Parsippany, NJ)
- …to assist with their issues in the most expedient and informative way. The Warranty Claims Examiner will be responsible for overseeing the residential claims ... what matters most. **Job Summary** The goal of the Claims Department is to provide solutions-based service driven by...medical, dental, and vision for you and your family. 2 . Our Family-Building benefits support the many different journeys… more
- TEKsystems (Richardson, TX)
- … claims Required Job Qualifications: * Bachelor degree or 4 years of experience. * 2 years of claims experience. * Problem solving and research skills. * PC ... relating to the severity of the stated disability or incident. * Adjudicate claims in accordance with established policies and procedures. * Adhere to quality,… more
- Louisiana Department of State Civil Service (Shreveport, LA)
- …Disability Determinations Examiner 1: $1,404.80 biweekly Disability Determinations Examiner 2 : $1,590.40 biweekly Disability Determinations Examiner ... may be approved by SCS. JOB DISTINCTIONS: Differs from Disability Determinations Examiner 2 by the absence of experienced-level disability determinations… more
- Health Advocates Network (Folsom, CA)
- Health Advocates Network is hiring a **Denials Analyst** **( 2 Years Exp Req)** ! This is a full-time contract position at a nationally recognized hospital located in ... and Requirements:** + High school diploma or equivalent. + Minimum of two ( 2 ) years of Professional Billing with an emphasis on Managed Care denial follow-up… more
- The County of Los Angeles (Los Angeles, CA)
- EVIDENCE CUSTODIAN, MEDICAL EXAMINER Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4735723) Apply EVIDENCE CUSTODIAN, MEDICAL EXAMINER ... Angeles County, CA Job Type Full time Job Number P2297A-R Department MEDICAL EXAMINER Opening Date 01/08/2025 Closing Date 1/24/2025 5:00 PM Pacific + Description +… 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 ... care like family! Jump-start your career as a(an) Research Examiner - WFH today with Work from Home. **Benefits**...Examiner is to ensure correct adjudication of all claims for PPMSI contracted plans. What you will do:… more
- State of Georgia (Fulton County, GA)
- Adjudicator 2 (Stipulated Settlement Examiner ) Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/63654/other-jobs-matching/location-only) New Hot ... supervision, reviews proposed stipulated settlement agreements for workers' compensation claims , ensuring compliance with applicable laws, rules and agency… more
- USAA (San Antonio, TX)
- …dedicated **Injury Examiner ** , you will adjust complex bodily injury claims and UIM claims to include confirming coverage, determining liability, ... 3 attempts. **What sets you apart:** + Experience handling UM/UIM injury claims . + 2 + years of catastrophic injury experience. + College Degree (Bachelor's or… more