- Sedgwick (Frankfort, KY)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a ... Claims Examiner at Sedgwick, you'll have the...Claims Examiner at Sedgwick, you'll have the opportunity to take...you have experience as a **Bodily Injury General Liability Claims Examiner ** working within **commercial (** **captive)… more
- Sedgwick (Frankfort, KY)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Auto BI, UM, LIS | Remote Are you looking for ... financial and professional needs. **ARE YOU AN IDEAL CANDIDATE?** As a Claims Examiner , you will primarily handle auto-related liability claims for the… more
- Sedgwick (Frankfort, KY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Multi-Line | Public Entity | Remote Are you looking for ... ever the same assisting our public entity clients with their claims ! If you are an agile multi-line examiner with 5+ years of experience handling both 3rd party… more
- Sedgwick (Frankfort, KY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you looking for an ... YOU AN IDEAL CANDIDATE?** If you have 5+ years of experience as a Claims Examiner working on Complex Commercial Bodily Injury Trucking Claims and would like… more
- Sedgwick (Louisville, KY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE- Southeast State Experience) Are ... workers compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze workers compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Frankfort, KY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE - Exp in : TN/AR/MS/KY/AL/GA/FL) ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Frankfort, KY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto with BI experience | NY ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...needs. **ARE YOU AN IDEAL CANDIDATE?** To analyze **Liability** claims on behalf of our valued clients to determine… more
- Sedgwick (Louisville, KY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE- Southeast State experience) Are ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Frankfort, KY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NC, SC, KY, WV Jurisdictions | Remote **Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze **Workers Compensation** claims on behalf of our valued clients to determine… more
- Sedgwick (Frankfort, KY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze California jurisdiction Workers Compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Frankfort, KY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdictional Knowledge & NY Licensing Required ... workers compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze workers compensation claims on behalf of our valued clients to determine… more
- Sedgwick (Frankfort, KY)
- …accredited college or university preferred. **Experience** 2-3 years experience processing work comp claims as an examiner . Familiar with CPT, DRG and resources ... to Work(R) Fortune Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator **PRIMARY PURPOSE** **:** To negotiate Out of Network bills that do… more
- Sedgwick (Frankfort, KY)
- …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 (Frankfort, KY)
- …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 (Frankfort, KY)
- …with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and ... Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner . + Monitors third party claims ; maintains periodical… more
- Molina Healthcare (KY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order to… more
- CDM Smith (Covington, KY)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...such as CPA (Certified Public Accountant), CFE (Certified Fraud Examiner ), or CFF (Certified in Financial Forensics). **EEO Statement:**… more
- Centene Corporation (Frankfort, KY)
- …teams as needed. + Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to ensure enterprise solutions ... best practice and quality standards. + Applies a comprehensive knowledge of claims processing, provider customer service and payment knowledge to escalated provider… more
- Molina Healthcare (Covington, KY)
- …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... + Healthcare Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Examiner (AHFI) and/or Certified Fraud Examiner (CFE)...Care Fraud Examiner (AHFI) and/or Certified Fraud Examiner (CFE) preferred. To all current Molina employees: If… more