- Sedgwick (Baton Rouge, LA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Baton Rouge, LA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability (Auto Experience required/MUST RESIDE IN ... : To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the… more
- Intermountain Health (Baton Rouge, LA)
- **Job Description:** The Claims Examiner I is responsible for inbound calls from providers and health plans and adjudicates physician claims , in a timely and ... to and supports the corporation's quality improvement efforts. Processes medical claims (CPT, ICD, and Revenue Coding) at production standards, including timely… more
- Sedgwick (Baton Rouge, LA)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Baton Rouge, LA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claim Examiner - Liability (REMOTE- Needs Gen Liab Experience) **PRIMARY PURPOSE** : To ... analyze complex or technically difficult general liability claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
- Humana (Baton Rouge, LA)
- …investigation experience in managed care or CMS. + Prior health insurance claims experience + Demonstrated formal or informal people management + Excellent PC ... of two years of leadership experience + CFE (Certified Fraud Examiner ) or AHFI (Accredited Healthcare Fraud Investigator) **Additional Information** + Benefits… more