- State of Minnesota (St. Paul, MN)
- **Working Title: Claims Adjudication Supervisor ** **Job Class: State Program Administrator, Supervisor Senior** **Agency: Department of Employment ... do is more than just a job.** At the State of Minnesota, employees play a critical role in...deliver this new benefit to Minnesotans. **Position Purpose:** The Claims Adjudication Supervisor plays a… more
- CVS Health (Olympia, WA)
- …claims . **Required Qualifications** + 3 or more years' experience as successful claims biller/ supervisor experience preferably in a Fortune 500 company + Must ... Summary** **THIS IS AN EVENING SHIFT - 11:30am-8pm PST** Supervisor will be responsible for the day-to-day oversight of...be responsible for the day-to-day oversight of the third-party adjudication team. This role will service as the lead… more
- Sedgwick (Honolulu, HI)
- …a great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Claims Team Lead Supervisor - Workers Compensation Are ... individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims… more
- Kelsey-Seybold Clinic (Houston, TX)
- **Responsibilities** Responsible for the supervision of Commercial claims adjudication . Essential job functions include ensure that quality and productivity ... development and coaching and other duties as assigned. **Job Title: Supervisor , Managed Care Claims ** **Location: Pearland Administrative Office**… more
- Sedgwick (Orange, CA)
- …a great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Claims Team Lead ( Supervisor ) Workers Compensation - ... individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims… more
- Sedgwick (Knoxville, TN)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Claims Supervisor - Workers Compensation **PRIMARY ... individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication ; and to maintain a diary on claims… more
- LA Care Health Plan (Los Angeles, CA)
- …and to support the safety net required to achieve that purpose. Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily ... Supervisor , Claims Job Category: Claims...Care. Track and trend the metrics associated with the claims adjudication . Prepare and present written and… more
- Texas Veterans Commission (Del Rio, TX)
- …existing statutes and procedures, precedent rulings, and state law in the adjudication process. . Prepares and files claims and appeals with supporting ... job histories, which includes job title, dates of employment, name of employer, supervisor 's name and phone number, and a description of duties performed.To receive… more
- Adecco US, Inc. (San Diego, CA)
- …exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... a local client in their search to fill a **Remote Worker's Compensation Claims Examiner** job opportunity but **MUST LIVE ANYWHERE IN CALIFORNIA** . **Pay rate:… more
- Sedgwick (Columbus, OH)
- …a great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Claims Adjuster - Liability - Cerritos, California - We ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (Columbus, OH)
- …a great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Claims Examiner - Liability **PRIMARY PURPOSE** : To analyze ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- Sedgwick (Syracuse, NY)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Workers Compensation Claims Team Lead Assistant | Dedicated ... compensation claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices… more
- Sedgwick (San Francisco, CA)
- …a great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Claims Examiner Workers Compensation Are you looking for an ... exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and… more
- ManpowerGroup (CA)
- … claims that may involve litigation and rehabilitation, ensuring ongoing adjudication of claims within service expectations, industry best practices, and ... settle claims within designated authority level. + Prepare necessary state filings within statutory limits. + Manage the litigation process to ensure… more
- AIG (Charleston, WV)
- …service with empathy and efficiency. This position is with the Charleston, WV Dedicated Claims Office, which provides services the State of WV account. How you ... claims involving litigation. The position also ensures ongoing adjudication of claims within the Company standards,...of the claim. + Refer case as appropriate to supervisor and management. Respond to requests or directions in… more
- Sedgwick (Phoenix, AZ)
- …a great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in- State Employer Workers Compensation Claims Handling Positions | CO, UT, AZ ... inclusion. **OFFICE LOCATIONS** Phoenix, AZ - Hybrid/Onsite Within the state of CO - Remote **This posting is a...valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry… more
- AIG (Parsippany, NJ)
- …moderate exposure claims involving litigation. The position also ensures ongoing adjudication of claims within the Company standards, industry best practices ... of products to customers through a diversified, multichannel distribution network. Our Claims professionals support AIG policyholders through some of the most trying… more
- BrightSpring Health Services (Kent, WA)
- …ON-SITE Monday-Wednesday & Friday 10:00am-8:30pm Required Certifications and skills: Washington State Pharmacy Tech License Hourly Pay : $29-32/HR What We Offer: ... for data entry. + May produce reports and keep management informed of unpaid claims and claims pending follow-up. + Processes prescriptions by triaging and… more
- MyFlorida (Tallahassee, FL)
- …load of correspondence from employers, reviews and identifies issues requiring adjudication . Issues non-charge determinations on fraudulent claims as needed. ... 845181 - EMPLOYMENT PROGRAM SPECIALIST - 40034312 1 Date: Jan 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify… more
- University of Rochester (Rochester, NY)
- …methodology, including add-ons - - Follow-up with payers on incorrectly paid claims through final resolution and adjudication , including refund of credits ... within 2 hours of RTP and within New York State . Position Summary: With latitude for initiative and independent...supervisor or manager on trends of incorrectly paid claims from specific payers - - Work with … more