- Kohler Co. (Kohler, WI)
- ** Sr . Disability Claims Examiner ** _Work Mode: Hybrid_ **Location: ** Hybrid - Kohler, WI **Opportunity** The Sr . Disability Claims Examiner is ... leave law regulations. If a Claim or Leave is approved, the Sr . Disability Claims Examiner then updates internal documentation and systems, coordinates… more
- AIG (Atlanta, GA)
- Senior WC Claims Examiner Join us as a Senior Claims Examiner on the Federal team to grow your experience in Claims . Make your mark in ... Claims Our Claims teams are the proven problem solvers of choice...showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop… more
- ICW Group (Woodland Hills, CA)
- …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)
- …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
- 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... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
- Sedgwick (Rancho Cucamonga, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Examiner Workers Compensation **PRIMARY PURPOSE** : To ... analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and… 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
- Amazon (Houston, TX)
- …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
- MetLife (Oriskany, NY)
- …met. Evaluate life claims to identify claim situations requiring referral to Senior Examiner . Maintain good rapport with internal and external customers by ... Job Title: Group Life Claim Examiner Location: Central New York - Virtual with...and obtain missing information required to evaluate Group life claims and input information into a Windows based computer… more
- Wells Fargo (Charlotte, NC)
- …Fargo is seeking a Senior Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking Operations (CSBBO). ... work; interpreting and presenting results of analyses and recommendations to senior management + Ensure adherence to data management/data governance regulations and… 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
- 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 billable services Determines appropriateness of… 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
- State of Massachusetts (Boston, MA)
- …skills and talents to serve our citizens. *_About the Role:_* The Review Examiner II performs duties of a hearing officer in connection with administrative hearings, ... findings of fact and conclusions of law. The Review Examiner II will also provide additional support to the... II will also provide additional support to the Senior Management Team regarding home improvement contractor, or other… more
- Southern California Edison (Rosemead, CA)
- …the progress of the investigation to the Reporting Party, Subject(s), senior management and executive leadership; and when appropriate, coordinate investigations ... In conjunction with Human Resources, provide accurate and timely briefings to senior management and executive leadership regarding the results of the various… more
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