- CHS (Clearwater, FL)
- **Overview** ** Health Insurance Medical Claims Examiner ** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a ... **Summary:** The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential… more
- Dignity Health (Rancho Cordova, CA)
- **Overview** Dignity Health Medical Foundation established in 1993 is a California nonprofit public benefit corporation with care centers throughout California. ... Dignity Health Medical Foundation is an affiliate of...maintaining excellence in care and service. **Responsibilities** The Senior Claims Examiner responsibilities include Quality Review of… 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 ... net required to achieve that purpose. Job Summary The Claims Examiner is responsible for the accurate...Determining prior authorization/precertification of services paid via system and/or health services * Requesting and reviewing medical … 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 ... working at home.** **About us:** Fallon Health is a company that cares. We prioritize our...Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing… more
- Dignity Health (Bakersfield, CA)
- …Off and Sick Leave. **Responsibilities** Under the guidance and supervision of the Manager of Claims , the Claims Examiner II is responsible for the efficient ... to ensure compliance with applicable policies, procedures, and regulations. The Claims Examiner II will handle complex cases, resolve discrepancies, and… 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 ... providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most… 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 ... core values, policies, and procedures. + Receives and adjudicates medical claims for processing; reviews scanned, EDI,...and beyond. **Req ID** : 6771 **Working Title** : Claims Examiner (Managed Care) - Remote **Department**… 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...to differentiate AIG from our competitors + Manage indemnity, medical and legal aspects of assigned claims … more
- AIG (Atlanta, GA)
- Senior WC Claims Examiner Join us as a...to differentiate AIG from our competitors + Manage indemnity, medical and legal aspects of assigned claims ... Senior Claims Examiner on the Federal team to grow your experience...which include medical management services to manage medical treatment and coordinate use of independent medical… 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 ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… 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 ... coding is correct. + May process complex lifetime medical and/or defined period medical claims...health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions.… more
- Sedgwick (West Hills, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | (Hybrid Schedule) **PRIMARY PURPOSE** : To analyze ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… 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 ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- Sedgwick (Plano, TX)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer (Hybrid) Litigation Claims Examiner - Liability Are you looking for an opportunity ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… 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 ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… 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 ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- Sedgwick (Pittsburgh, PA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | PA Jurisdictional Knowledge | Active Adjusters ... regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than… more
- State of Georgia (Fulton County, GA)
- Claims Examiner Georgia - Fulton - Atlanta...this Job Sign Up for Job Alerts Benefits: + Health and Flexible Benefits + 13 Paid State Holidays + ... is an equal opportunity employer. Description : Under limited supervision, the Claims Investigator is responsible for the accurate and timely processing of Victims… 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...Matters Most:** 1. We offer a wide range of health insurance options that include medical , dental,… more
- TEKsystems (Helena, MT)
- …company in all interactions. * Investigate, research, verify and diligently obtains medical information on all claim types to determine eligibility and interpret ... severity of the stated disability or incident. * Adjudicate claims in accordance with established policies and procedures. *...for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and… more
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