• 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 (12/28/24)
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  • Bodily Injury Claims Examiner

    Sedgwick (Trenton, NJ)
    …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 (01/10/25)
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  • Liability Claims Examiner | Marlton,…

    Sedgwick (Marlton, NJ)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Examiner | Marlton, NJ | Open to Remote Job Description ... **PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving… more
    Sedgwick (12/20/24)
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  • General Liability Claims Examiner

    Sedgwick (Marlton, NJ)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer General Liability Claims Examiner | Marlton, NJ (Open to Remote) Are you looking ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...OF THE ROLE:** To analyze high-level commercial General Liability claims on behalf of our valued clients to determine… more
    Sedgwick (11/28/24)
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  • Claims Examiner , Bodily Injury

    Sedgwick (Trenton, NJ)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner , Bodily Injury **PRIMARY PURPOSE** : To analyze and process ... complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
    Sedgwick (12/20/24)
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  • Claims Examiner

    Intermountain Health (Trenton, NJ)
    **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
    Intermountain Health (01/08/25)
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  • Household Expense Recovery Specialist

    Penske (Reading, PA)
    …Recovery Professional (CSRP) preferred. - Minimum of 2 years experience in Liability Claims Examiner . - Minimum of 1 year experience in handling collection ... or subrogation claims is preferred. - Knowledge of AS400, Risk Management Information Systems (RMIS), Access, Word, Excel, and PowerPoint required. - Knowledge of… more
    Penske (01/03/25)
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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 (01/04/25)
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  • Manager, Fraud and Waste * Special Investigations…

    Humana (Trenton, NJ)
    …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
    Humana (12/19/24)
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