- Kohler Co. (Kohler, WI)
- ** Sr . Disability Claims Examiner ** _Work Mode: Hybrid_ **Location: ** Hybrid - Kohler, WI **Opportunity** The Sr . Disability Claims ... any local leave law regulations. If a Claim or Leave is approved, the Sr . Disability Claims Examiner then updates internal documentation and systems,… 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 ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is… 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 ... School or GED and 6 Years Experience as a Claims Examiner or materially relevant knowledge, skills...sex, gender, age, ancestry, national origin, mental or physical disability or medical condition, sexual orientation, gender identity or… 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...religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is… 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 ...religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is… more
- ICW Group (Sacramento, CA)
- …team members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims ... to an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …of Ward's Top 50 and rated A++ by AM Best. Duties: We are looking for a Senior Claims Examiner - Professional Liability to join our team. Summary - Analyze ... insurance claims to determine extent of Insurer's obligations. Settle ...qualified employees regardless of age, color, race, religion, gender, disability , national or ethnic origin, family circumstances, life experiences,… more
- Access Dubuque (Dubuque, IA)
- Auto Liability Bodily Injury Claims Examiner **Sedgwick** 1 Positions ID: R52610 Posted On 12/31/1969 **Job Overview** Taking care of people is at the heart of ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Liability Bodily Injury Claims Examiner **PRIMARY PURPOSE** : To analyze and process complex… more
- Office of Personnel Management (Washington, DC)
- Summary As a Supervisory Legal Administrative Specialist ( Claims Examiner ) at the GS-0901-13 with a full performance level of GS-13, you will be part of ... Administrative Specialists in the review of disputed health benefits claims . Responsibilities Leads a team of people who review...final decision on a disputed claim. Serves as a senior advisor and subject matter expert on the disputed… 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
- Robert Half Office Team (Roseville, CA)
- …Suite and claims management software. + A valid license as a Compensation Claims Examiner preferred. Robert Half is the world's first and largest specialized ... are looking for a knowledgeable and meticulous Temporary Workers Compensation Indemity Examiner to analyze and process workers' compensation claims . The primary… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr . Fraud Investigator SIU (Special Investigations Unit) assists in the implementation and daily operation of the organization's Compliance ... to perform interviews and obtain medical records/ and other relevant documentation. The Senior Investigator will also act as subject matter expert in researching and… more
- CVS Health (Woonsocket, RI)
- …and affordable. **Position Summary** The Special Investigations Unit is seeking a Sr . Manager to lead our new ASO investigations team. The Healthcare Fraud ... Senior Manager is responsible for overseeing and managing fraud...investigation, or auditing + In-depth knowledge of healthcare systems, claims processing, and regulatory requirements related to healthcare fraud.… 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
- 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,...Examiner /Job Service Representative II, who reports to the Senior Manager of Benefit Operations & Program Integrity is… 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
- USAA (Tampa, FL)
- …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
- City and County of San Francisco (San Francisco, CA)
- …effective operations within the Commission. Auditors also play a key role in reviewing claims for public financing to ensure that City funds are only distributed to ... a Certified Public Accountant, Certified Internal Auditor, or Certified Fraud Examiner . + A Master's degree in public administration, business administration,… 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 ... as needed such as Legal, Human Resources, Corporate Security, Disability Management, and Worker's Compensation. Exercises independent judgment on triaging… 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