- Kohler Co. (Kohler, WI)
- ** Sr . Disability Claims Examiner ** _Work Mode:...If a Claim or Leave is approved, the Sr . Disability Claims Examiner then updates ... Hybrid_ **Location: ** Hybrid - Kohler, WI **Opportunity** The Sr . Disability Claims Examiner is...also responsible for communication with associates and coordinating the Claim or Leave application process in compliance with both… more
- AIG (Atlanta, GA)
- At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner Sr . WS to play your part in that transformation. It's an ... technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice...Workers' Compensation claims in accordance with best claim practice guidelines. + Utilize investigation, claim … more
- Crawford & Company (New Orleans, LA)
- …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
- HCA Healthcare (Campbell, CA)
- …must reside in the San Jose, CA market* Do you have the career opportunities as a Senior Claims Examiner you want with your current employer? We have an ... (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid...of colleagues. Do you want to work as a(an) Senior Claims Examiner where your… more
- 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 ... in Germany? This position may be for you. This Senior Claims Examiner position in... location. They may also be required to conduct Claim Reviews of foreign claims and will… 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 ... mark in Federal Workers Compensation. Join us as a Senior Workers Compensation Claims Examiner ...technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice… more
- ICW Group (San Diego, CA)
- …team members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims ... conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with...all recoveries to ensure they are credited to the claim file. + Communicates effectively with other Company departments.… more
- ICW Group (Las Vegas, NV)
- …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
- HCA Healthcare (Nashville, TN)
- …CA market area Do you want to join an organization that invests in you as a Claims Examiner ? At Work from Home, you come first. HCA Healthcare has committed up ... make a difference. We are looking for a dedicated Claims Examiner like you to be a...CPT, HCPC, and Revenue Coding + Ability to analyze claim issues and "trouble shoot" claims problems… 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 (Bellevue, WA)
- …Management and Legal (internal and external), and employs best practices to control claim costs. . Lead logistic complex claims management, develop and refine ... all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims ...a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change,… 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 ... an organization that invests in you as a **Research Examiner ** ? At HCA, you come first. HCA Healthcare...required + Ability to analyze claim issues and "trouble shoot" claims problems… more
- New York State Civil Service (Binghamton, NY)
- …years of this experience. Duties Description Under the general supervision of the Associate WC Examiner and direct guidance of the Senior WC Examiner , the WC ... NY HELP No Agency Workers' Compensation Board Title Workers' Compensation Examiner , WCB Items #8644 Occupational Category Clerical, Secretarial, Office Aide Salary… more
- HCA Healthcare (Nashville, TN)
- …Highschool diploma required; Bachelor's degree preferred + 4 - 5 years' experience as a Senior Claim Examiner in a managed care environment, required + ... and IPA organizations with the primary function to ensure examiner payment accuracy of all claims processing...all levels. + Review routine random sampling audit of examiner processed claim (s) for accuracy and provides… more
- MyFlorida (Orlando, FL)
- …medical record. + Coordinate with the facility Business Manager and Veterans' Claims Examiner regarding veterans' maximum benefit entitlement and benefits being ... SR LICENSED PRACTICAL NURSE ADMISSIONS 50556003 Date: Nov...Date: 12/07/2024 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Requisition #841045 SENIOR LICENSED PRACTICAL NURSE - ADMISSIONS FLORIDA DEPARTMENT OF… more
- Sedgwick (Naperville, IL)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr Medicare Associate **PRIMARY PURPOSE** **:** To gather documentation required to ... processes and products + Documents activity in MCS; communicates MCS action with examiner via JURIS notes + Creates daily reports to manage workload and monitors… more
- CVS Health (Plymouth, MN)
- …to support cases requiring such needs as benchmarking (FCR), claim examiner support, other insurance, medical necessity, corrected claims , change in medical ... implications, confirmation of network status of provider, other insurance, subrogation, claim edits, coding conflicts, reporting of units, cost, consulting with… more
- Fallon Health (Worcester, MA)
- …LinkedIn. **Brief summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining ... to FWA investigations Compare to information submitted on the claims in order to determine amount and nature of...appropriateness of billing and reimbursement Documents findings for each claim line Summarize findings in a written report Abstracts… 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
- JB Hunt Transport (Lowell, AR)
- …role in the legal process by thoroughly investigating, reviewing and assessing claims and legal cases to ensure compliance with applicable laws and regulations. ... and other legal professionals to support the successful resolution of claims and litigation matters. **Job Description:** **Key Responsibilities:** * Analyze and… more