- Sedgwick (Philadelphia, PA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Remote | MD, NJ & PA jurisdictional knowledge ... 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 (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 (Philadelphia, PA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Compensation (REMOTE- NEED PA/NJ JURISDICTIONAL ... KNOWLEDGE)) NEEDS PA/NJ Claims Handling Experience **PRIMARY PURPOSE** : To analyze complex...: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Philadelphia, PA)
- …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
- 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
- Sutherland Global Services (Trenton, NJ)
- …and Quality goals throughout Training and beyond. What you will be doing as a Claims Examiner : + Work independently, processing claims via data entry for ... performance. Delivering measurable results._ This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much… more
- Lincoln Financial Group (Trenton, NJ)
- …environment. You will act as a liaison between the employee (member) and the claims examiner to provide a positive customer experience during their specific ... a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence...development to perform in this fast-paced environment. As a Claims Customer Care Associate, you will be responsible for… more
- 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 (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 (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
- 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
- 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