- GAF (Parsippany, NJ)
- …roof, we protect what matters most. Team or Function Overview The Residential Warranty Claims Examiner position is a critical member of our Residential Warranty ... Warranty Claims Supervisor for Enhanced Warranties. The Residential Warranty Claims Examiner will be responsible for overseeing their assigned warranty… more
- Sedgwick (New York, NY)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation | NY License Are you looking ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...PURPOSE OF THE ROLE:** To analyze high-level Workers Compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Newark, NJ)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Auto Liability Bodily Injury Claims Examiner **PRIMARY PURPOSE** : To analyze and process complex ... auto and commercial transportation bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- …The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary ... Medical Policies and Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures. This job description is… more
- Aston Carter (Saddle Brook, NJ)
- Job Title: Claims Examiner Job Description Job Summary: Responsible for investigating and confirming the facts of loss for basic automobile accidents. Applies ... to determine coverage, liability, damages, and otherwise adjusts and negotiates claims within the limit of authority. Key Responsibilities: * Handles investigation… more
- Amazon (New York, NY)
- …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 ... auto program. You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims with cross-functional… more
- Sedgwick (New York, NY)
- …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
- Raphael and Associates (Rutherford, NJ)
- Liability Desk Examiner (remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...negligence theories while investigating General Liability, Auto and Property claims . This position provides an opportunity for the right… more
- Akumin (New York, NY)
- …and state laws and regulations, including but not limited to: The False Claims Act, The Anti-Kickback Statute, The Civil Monetary Penalties Law, The Stark Law, ... (CIPP), Certified in Healthcare Privacy Compliance (CHPC), Certified Fraud Examiner (CFE), Certified Professional Compliance Officer (CPCO), or Certified… more
- Guidehouse (New York, NY)
- …datasets. + Analyze and interpret historical healthcare data related to claims , reimbursement, financial, clinical, and/or operations to identify risks, compliance ... agency. + Familiarity with case management tools. + Certified Fraud Examiner (CFE) or forensic accounting/financial investigations background. + Experience with… more
- City of New York (New York, NY)
- …of Health and Mental Hygiene (DOHMH) and the Office of the Chief Medical Examiner . The unit processes over 2,000 invoices a month which are received from vendors ... Duties and Responsibilities: - Perform internal audits, examination of expenditure claims to determine eligibility of costs reported. - Prepare claim verification… more