- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Examiner , International Casualty Home Office to play your part in ... death claim worth in Germany? This position may be for you. This Senior Claims Examiner position in the International Casualty Home Office involves handling… more
- ICW Group (Orlando, FL)
- …team members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims ... an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands… more
- AIG (Atlanta, GA)
- Senior WC Claims Examiner Join us as a Senior Claims Examiner to grow your experience in Claims . Make your mark in Claims Our Claims ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that ... Make your mark in Federal Workers Compensation. Join us as a Senior Workers Compensation Claims Examiner to grow your experience in Defense Base Act… more
- Lowe's (Mooresville, NC)
- … Claims Examiners on issues that cannot be satisfactorily resolved by the Claims Examiner , this position investigates complaints made by customers or stores ... High School or GED and 5-7 Years 6 Years Experience as a Claims Examiner or materially relevant knowledge, skills and abilities from other professions (eg, loss… more
- Crawford & Company (VA)
- …Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established ... authority on moderate-to-difficult claims . Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals 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
- Amazon (Tempe, AZ)
- …program around the world across all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our rapidly ... You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims...a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change,… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …their time of need. The Hearing Examiners, under the direction of the Senior Hearings Examiner , will adjudicate appeals of decisions involving employer ... Hearings Examiner - PFML - Multiple Vacancies Augusta ,...contributions, private plan substitutions, and benefit claims consistent with the requirements of the Maine Administrative… more
- HCA Healthcare (Nashville, TN)
- …plan payor, MSO, HMO, and IPA organizations with the primary function to ensure examiner payment accuracy of all claims processing including analysis of support ... part of our team. **Job Summary and Qualifications** The Claims Auditor will serve as a Subject Matter Expert...preferred + 4 - 5 years' experience as a Senior Claim Examiner in a managed care… more
- McAfee, Inc. (San Jose, CA)
- **_Job Title:_** Senior Payments Manager, Fraud and Disputes - Remote **_Role Overview:_** The Senior Payments Manager, Fraud and Disputes with the Payments team ... to find areas for improvement to reduce first-party misuse and fraud claims . Manage multiple projects focused on preventing disputes and first-party misuse fraud… more
- CVS Health (Wellesley, MA)
- …Manager to lead our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible for overseeing and managing fraud detection, investigation, and ... and external stakeholders and ensuring compliance with regulatory requirements. The Senior Manager develops strategies to mitigate fraud risks, analyzes complex data… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The Senior Fraud, Waste and Abuse Specialist at Sharp Health Plan is a critical ... ensuring compliance with regulatory, accreditation and contract standards. The Senior FWA Specialist will manage day-to-day anti-fraud activities, coordinate with… more
- CVS Health (Plymouth, MN)
- …as needed to support cases requiring such needs as benchmarking (FCR), claim examiner support, other insurance, medical necessity, corrected claims , change in ... medical review or eligible services, rework, referring cases to Special Investigation unit, to stop loss carrier coordinator, to client management team, and networking to handle all cases. **For this role you will need Minimum Requirements:** 5-8 years in a… more
- USAA (San Antonio, TX)
- …Unit (SIU),** you will be responsible for Life, Annuity & Health claims and fraud investigation programs and management of the Life Special Investigation ... guidelines, and training reference materials. + Oversees decisions made within the claims and benefits process. + Approves claims within assigned authority… more
- Meijer (Grand Rapids, MI)
- …program will allow for interaction with other interns and Meijer senior leaders._ _The internship program includes:_ + _Challenging and impactful projects_ ... + _Final presentations delivered to senior executives_ + _Executive speaker series_ + _Professional development...here at Meijer. They will gain experience working with claims management systems, complex insurance programs and communicating with… more
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