• Medical Malpractice Claims Examiner

    Commonwealth of Pennsylvania (PA)
    Medical Malpractice Claims Examiner 2 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4762417) Apply  Medical Malpractice Claims ... Minimum Experience and Training Requirements: + One year as a Medical Malpractice Claims Examiner 1;or + Four years of experience in examining or negotiating the… more
    Commonwealth of Pennsylvania (01/10/25)
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  • Bodily Injury Claims Examiner

    Sedgwick (Harrisburg, PA)
    …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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  • 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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  • Claims Examiner , Bodily Injury

    Sedgwick (Harrisburg, PA)
    …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 (Harrisburg, PA)
    **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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  • (USA) Operations Manager, Asset Protection - DC/FC

    Walmart (Lebanon, PA)
    …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 (01/01/25)
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  • Manager, Fraud and Waste * Special Investigations…

    Humana (Harrisburg, PA)
    …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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