• Workers Compensation Claims Examiner

    Sedgwick (Trenton, NJ)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Remote | NE Jurisdictional Knowledge **Workers ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
    Sedgwick (11/12/24)
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  • Workers Compensation Claims Examiner

    Sedgwick (Philadelphia, PA)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Philadelphia, PA (Hybrid Schedule - 1 day per ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
    Sedgwick (09/28/24)
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  • Claims Examiner

    Sedgwick (Trenton, NJ)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner **PRIMARY PURPOSE** : To analyze complex or technically ... difficult 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
    Sedgwick (10/24/24)
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  • Auto Liability Bodily Injury Claims

    Sedgwick (Trenton, 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
    Sedgwick (11/06/24)
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  • Claims Examiner - Fast Track Auto

    Philadelphia Insurance Companies (Bala Cynwyd, PA)
    …of Ward's Top 50 and rated A++ by AM Best. Duties: We are looking for a Claims Examiner - Fast Track Auto to join our team. Summary - Investigate and analyze ... insurance claims to determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with policy provisions and… more
    Philadelphia Insurance Companies (10/05/24)
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  • Claims Team Lead - Consumer

    Sedgwick (Philadelphia, PA)
    …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 (09/07/24)
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  • Telephonic Case Manager

    Sedgwick (Trenton, NJ)
    …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
    Sedgwick (10/18/24)
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  • OSS Coordinator

    Sedgwick (Philadelphia, PA)
    …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 ... within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and operational expense… more
    Sedgwick (10/05/24)
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  • (USA) Operations Manager, Asset Protection - DC/FC

    Walmart (Westampton, NJ)
    …management. Responds to inquiries by regulatory authorities. Consults on complex claims and settlements. Designs preventative claims management processes (for ... Certifications such as Loss Prevention Certification (LPC), Certified Fraud Examiner (CFE), Associate Safety Professional; Certified Safety Professional; or… more
    Walmart (11/05/24)
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  • Healthcare Fraud Senior Manager, Special…

    CVS Health (Blue Bell, PA)
    …investigation, or auditing + In-depth knowledge of healthcare systems, claims processing, and regulatory requirements related to healthcare fraud. **Preferred ... in a leadership role. + Relevant certifications (eg, Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) **Education:** + Bachelor's… more
    CVS Health (10/19/24)
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