• Bodily Injury Claims Examiner

    Sedgwick (Dover, DE)
    …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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  • Claims Examiner - Liability

    Sedgwick (Dover, DE)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or ... technically difficult general 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 (01/16/25)
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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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  • Workers Compensation Claims Examiner

    Sedgwick (Philadelphia, PA)
    …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | PA Jurisdictional Knowledge | Active Adjusters ... 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 (01/11/25)
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  • Claims Examiner (Auto)

    Sedgwick (Dover, DE)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner (Auto) **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. **ESSENTIAL… more
    Sedgwick (01/22/25)
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  • Health Claims Specialists- Remote

    Sutherland Global Services (Dover, DE)
    …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
    Sutherland Global Services (01/21/25)
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  • Workers Compensation Claims Team Lead | NY,…

    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 (01/16/25)
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  • Telephonic Case Manager

    Sedgwick (Dover, DE)
    …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 (01/22/25)
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  • Medical Only Examiner I

    ICW Group (Philadelphia, PA)
    …lost time. This position exists to reserve, manage, and bring Workers' Compensation claims to an equitable conclusion within the company standards and best practices ... RESPONSIBILITIES** Receives and reviews information related to Medical Only claims . + Communicates via mail, phone, and email with...10, Chapter 5, Sub Chapter 3, requires Medical Only Examiner Certification. + Medical Only Examiner must… more
    ICW Group (01/16/25)
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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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  • Investigator

    Highmark Health (Dover, DE)
    …**Required** + None **Preferred** (any of the following) + Certified Fraud Examiner (CFE) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) ... (AHFI) **SKILLS** + Must have knowledge of provider facility payment methodology, claims processing systems and coding and billing proficiency + Must have… more
    Highmark Health (11/13/24)
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