- Access Dubuque (Dubuque, IA)
- …Account Administrator - Health and Wellness Cottingham & Butler/ SISCO Claims Associate - Recovery Sedgwick Claims Examiner - Auto Sedgwick Workers' ... 20240619 End Date 20240726 Featured Job TH Ad TH Comments **Similar Jobs** Litigated Claims Examiner - Auto Liability Sedgwick Claims Examiner - Auto… more
- Access Dubuque (Dubuque, IA)
- Workers' Compensation Claims Examiner | Dedicated Client | REMOTE **Sedgwick** 1 Positions ID: R51304 Posted On 06/14/2024 **Job Overview** Taking care of people ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers' Compensation Claims Examiner | Dedicated Client | REMOTE Are you looking… more
- State of Montana (Helena, MT)
- …Auditor, Commissioner of Securities and Insurance (CSI), has multiple *Financial Examiner *positions in our Examinations Bureau, in both our insurance examinations ... and captive insurance units. We are seeking candidates to fill both Financial Examiner 1 and Financial Examiner 2 level positions. The successful candidate(s)… more
- MyFlorida (Miami, FL)
- …DETERMINATIONS OPEN COMPETITIVE OPPORTUNITY POSSIBLE MULTI-HIRE OPPORTUNITY TITLE: CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER ... MEDICAL DISABILITY EXAMINER - 64006794 Date: Jun 8, 2024 Location:...Disability Insurance, Supplemental Security Income and/or Medically Needy disability claims filed in the State of Florida. Training is… more
- Access Dubuque (Dubuque, IA)
- Claims Associate - Recovery **Sedgwick** 1 Positions ID: R51015 Posted On 06/14/2024 **Job Overview** Taking care of people is at the heart of everything we do, ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Associate - Recovery **PRIMARY PURPOSE:** To...Featured Job TH Ad TH Comments **Similar Jobs** Litigated Claims Examiner - Auto Liability Sedgwick Administrative… more
- Commonwealth Care Alliance (Boston, MA)
- …post-payment review of claims that were manually processed by a Claim Examiner to assess financial and procedural accuracy. Reviews will also be conducted to ... Assurance, the incumbent is responsible for independent quality reviews of medical claims , and evaluating Call Center activities for compliance with policies and… more
- New York State Civil Service (Albany, NY)
- …1. four years of the qualifying experience described below.Or 2. an associate 's degree AND two years of the qualifying experience described below.Or 3. ... CVS 1, SG-14 are Investigator 1 and Workers' Compensation Examiner . Duties Description The primary function of the Crime...1 is to review and process compensation and medical claims filed by crime victims or their survivors for… more
- Independent Health (Buffalo, NY)
- …functional fraud control owners to ensure overall program effectiveness. This associate will also be responsible for investigating suspected fraudulent or abusive ... fraud system and make determination to pay or deny claims . **Qualifications** + Bachelor's degree in criminal justice or...in criminal justice or related field required. Certified Fraud Examiner (CFE) preferred. + Five (5) years of insurance… more
- CareFirst (Baltimore, MD)
- …and external data bases and systems to support leads. Analyzes detailed claims files and performs financial calculations to assess financial impact of potential ... of fraud and/or abuse theory approach analyses, provider and subscriber medical data, claims , and systems reports as required. + Performs root cause analysis to… more
- Sedgwick (Columbus, OH)
- …required. Associate degree preferred. **Experience** Two (2) years of claims management or insurance experience or equivalent combination of education and ... Suite 100, Austin, TX 78758.** **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to… more
- Walmart (Riverside, CA)
- …Consults on complex claims and settlements. Designs preventative claims management processes (for example, associate engagement efforts, return-to-work ... More Certifications such as Loss Prevention Certification (LPC), Certified Fraud Examiner (CFE), Associate Safety Professional; Certified Safety Professional; or… more
- Molina Healthcare (Covington, KY)
- …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... and referral **JOB QUALIFICATIONS** **Required Education** Bachelors degree or Associate 's Degree, in criminal justice or equivalent combination of education… more
- Access Dubuque (Dubuque, IA)
- …TH Comments **Similar Jobs** Insurance Configuration Specialist Medical Associates Litigated Claims Examiner - Auto Liability Sedgwick Administrative Assistant ... or more of the following professional certifications is preferred: Graduate Safety or Associate Safety Professional (GSP or CSP), Associate in Risk Management… more
- First Horizon Bank (Tampa, FL)
- …laws related to fraud investigations, breach of warranty and hold harmless process, claims management, and chargeback rules, and ID theft - red flags rule ... clients and/or affiliates. + Develop and implement client and associate fraud awareness initiatives, including education, prevention, best practices, detection,… more
- Access Dubuque (Dubuque, IA)
- …specialty programs. + Proficiency in PBM industry, formulary management, pharmacy claims , and managed care principles. + Exceptional clinical skills with ability ... Staff Accountant Foodliner, Inc. Maintenance Tech Medical Associates Temporary Classroom Associate (Spanish-speaking) Holy Family Catholic Schools Are You a Lead… more