- Sedgwick (Baton Rouge, LA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Recovery ( MUST RESIDE IN LOUISIANA) **PRIMARY PURPOSE** : ... multi-jurisdictional claims to establish potential for third party subrogation recovery by investigating and gathering information based on feasibility of … more
- ManpowerGroup (Syracuse, NY)
- …has partnered with a leading **Insurance Co** in the **Syracuse NY area** for a ** Claims Examiner - Workers Compensation** role to assist their team. This is a ... **Permanent (Direct Hire)** role. **Industry: Insurance Co** **Title:** ** Claims Examiner - Workers Compensation** **Location: ONSITE...reduce overall claims costs for clients. + Claims Recovery Management + Manage claim recoveries,… more
- Crawford & Company (Las Vegas, NV)
- …OPPORTUNITY! + Candidates must have experience in managing Nevada Workers Compensation Claims ! + Candidates must be residing within Nevada! + NV Licensing is ... party recovery potential and follows reclaim procedures. + Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates… more
- Crawford & Company (Dallas, TX)
- …party recovery potential and follows reclaim procedures. + Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates ... Summary + GREAT WORK FROM HOME OPPORTUNITY! + Candidates must have an experience handling Commercial Auto Bodily Injury... have an experience handling Commercial Auto Bodily Injury Claims ! + Experience handling Transportation Accounts is Ideal! +… more
- Hawaiian Electric (Honolulu, HI)
- …stored information for internal or external investigations, incident response, claims , litigation and regulatory proceedings for the company ESSENTIAL FUNCTIONS: ... of systems and devices for internal or external investigations, incident response, claims , litigation, and regulatory proceedings. + Engages closely with the General… more
- MyFlorida (Miami, FL)
- …application / resume. + Three (3) years' employment experience as a Veterans Claims Examiner or comparable title / experience counseling and handling veterans' ... Colleges (up to 6 credits per semester). Education and employment history must be verifiable. Please attach any credentials you claim (degrees, certifications,… more
- TEKsystems (Baltimore, MD)
- …levels fraud waste and abuse schemes resulting in the savings and recovery of funds Responsibilities Independently conduct low to medium level investigations and ... audits of financial business records provider and subscriber medical data claims systems reports medical records analysis of contract documents provider/subscriber … more
- Molina Healthcare (New York, NY)
- …for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. ... Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects… more
- Defense Health Agency (Honolulu, HI)
- …Program Administrator (ICPA) , Office of the Worker's Compensation Program (OWCP) claims examiner , OWCP nurse case manager, lawyer, and union representatives. ... and illnesses. Works with the Fort Shafter Federal Employee Compensation Act (FECA) Claims Administrator to identify cases that require review, screens all FECA … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …benchmarks. **This is an onsite/hybrid role, with onsite days required. You must live within** **driving distance of our Mountlake Terrace campus, located about ... and communication of fraud prevention, detection, investigation, reporting, and recovery strategies designed to support organizational goals and objectives. +… more
- New York State Civil Service (Syracuse, NY)
- …investigation of alleged fraud.* Designation as a Certified Fraud Examiner .* Experience with statistical sampling and/or advanced statistical training.* Knowledge ... ICD-9 / 10, DRGs) and/or experience analyzing health care claims data.* A CPA is not required; but the...and have resulted in large-scale criminal convictions and the recovery of millions of dollars of taxpayer money. Several… more
- Charles Schwab (Lone Tree, CO)
- …customer and company assets. We conduct investigations and provide resolution for claims of unauthorized or suspicious activity in our customers' accounts. Our group ... these in the investigative record. Vital aspects of this process include the recovery of funds lost from custody and fulfilling all regulatory requirements, such as… more