- Mastech Digital, Inc. (Aurora, CO)
- …Services for all American Corporations. We are currently seeking a Medical Claims Examiner for our client in the IT-Services domain. We value our professionals, ... Medical Claims ExaminerPrimary Skills: ClaimsRole Description: As a Medical Claims Examiner , you must have at least 3 years of experience.Day-to-day… more
- Tech Providers Inc. (Brea, CA)
- Position : workers' comp claims Examiner - WCLocation: CA (100% Remote)Duration: 5 + Months (Contract) This is a remote position and it is in California so candidate ... should have experience in handling workers' comp claims in CA. Job description: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of… more
- Rose International (Denver, CO)
- …based upon a client's business needs and requirements. Only qualified Medical Claims Examiner candidates located in the Denver, CO area will be considered due to ... the position requiring an onsite presence Additional Details: Fully Remote (Local to Denver) Candidate must be in 2.5 hour driving radius from Denver; due to onsite and equipment pick-up and required if they are converted to an FTE.Required Education: High… more
- Rose International (Atlanta, GA)
- …They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of ... **Only those lawfully authorized to work in the designated country associated with the position will be considered.** **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs… more
- Rose International (Atlanta, GA)
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.** **Please note that all Position start dates and ... duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.**PRIMARY PURPOSE: To analyze complex or technically difficult workers'' compensation claims to determine benefits due; to work with high-exposure… more
- ICONMA (New Haven, CT)
- …. Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc. . Works with in-house Technical Assistants, Special ... Investigators, Nurse. . Files workers' compensation forms and electronic data with states to ensure compliance with statutory regulations. . Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical… more
- Staffing Now (Tampa, FL)
- Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that ... all claims are adjudicated in accordance with CMS rules and regulations and our Client's internal criteria * Review different lines of business to include Medicare, Medicaid and Commercial services adherence to the contracts and timeliness guidelines *… more
- Nesco Resource (Roseville, CA)
- …Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the ... claim; manages claims through well-developed action plans to an appropriate and timely resolution. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy… more
- Globe Life Inc. (Oklahoma City, OK)
- …Research to identify unmatched mail items and forward to the appropriate department or examiner . * Index new claims via RightFax, Outlook, or OnBase. * Input initial ... benefit lines into Mainframe system for new claims. * Support examiners and analysts by creating and sending out letters for requested information. * Research and Identify policy information and create verifications with found information for outside… more
- Nesco Resource (Long Beach, CA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... with management projects for the office.Provides technical/jurisdictional direction to examiner reports on claims adjudication.Compiles reviews and analyzes management… more
- Lennar Mortgage (Miami, FL)
- …closing simple & complex commercial transactions requiredCommunicates with title examiner and underwriter to address attorney objection lettersCommunicates and ... coordinates daily responsibilities with the Branch or Escrow ManagerDraws instructions and supporting documents for signingAudits and closes file when all funds and documents are receivedDisburses fundsWrites escrow instructions consistent with the… more
- Rose International (Albany, NY)
- …keep financial records complete. Accounting & Bookkeeping Clerk Responsibilities: Process examiner billing invoices Assist with Motor Vehicle Law Enforcement Fee ... Audit Assist with Tax Audit as needed Assist with entering journal entries in the General Ledger system Assist with preparation of Retaliatory Tax worksheets Sort Revenue Unit Mail and enter filings and cash receipts in the system Process Licensing and… more
- Globe Life Inc. (Oklahoma City, OK)
- …to identify unmatched mail items and forward to the appropriate department or examiner Index new claims via RightFax, Outlook, or OnBase Respond to emails received ... from Customer Service regarding claim status and questions pertaining to policies and claim records Support examiners and analysts by creating and sending out letters for requested information Research and Identify policy information and create verifications… more
- WSFS Bank (Philadelphia, PA)
- …setting requiredFraud Related Certifications preferred including Certified Fraud Examiner (CFE), Certified Anti-Money Laundering Specialist (CAMS) and/or Certified ... Financial Crimes Investigator (CFCI)Must have a strong understanding of financial transactions requiredMust have a working knowledge of bank products, services, bank systems and transaction types preferredBasic knowledge and understanding of State and Federal… more
- Drees Homes (Fort Mitchell, KY)
- …based work in a timely mannerWe are searching for an experienced Title Examiner , a detail-oriented individual with acute accuracy, goal oriented and a strong ... customer service focus. Remote work is NOT available for this position.Stability Title offers a competitive pay and benefits package including profit sharing & 401(k) plans.Summary Equal Opportunity Employer / Drug-Free Work Place To learn more about Drees… more
- Option Care Health (Chicago, IL)
- …Healthcare Compliance (CHC), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or similar certification preferred.Direct experience in home infusion ... services, pharmacy and/or nursing compliance programs.Direct experience applying knowledge of Medicare, Medicaid, and Managed Care reimbursement guidelines.Formal project management training or certification.Proficiency with audit software or other governance,… more
- Retail Operations Center - ROC (51st Ave. & Van Buren) (Phoenix, AZ)
- …MVR with no DUIs and no reckless operation, as well as a Medical Examiner 's Certificate Ability to pass a background check and drug screen, where applicable for ... position You will be eligible for a comprehensive Total Rewards package, 1st of the month following 60 days of employment that includes the following: 5 Medical Plans Employer Funded Health Reimbursement Account (HRA) 3 Dental Plans Vision Plan 401K (Immediate… more
- CJ Logistics America (Des Plaines, IL)
- …Internal Auditor (CIA), Certified Public Accountant (CPA), and or Certified Fraud Examiner (CFE) highly preferred Understand current US GAAP, COSO, and SOX ... requirements Experience in warehousing/transportation environment preferred. Proficient PC skills within Microsoft Excel, Word, and PowerPoint. Exposure to Microsoft Visio, Access, and Project are a plus. Develops and applies strong written and oral… more
- Salt Lake City Corporation (Salt Lake City, UT)
- Position Title: Plans Examiner III (May be under filled) Job Description: As a Plans Examiner you will perform technical review of residential or other ... from the International Code Council (ICC) as a Plans Examiner , Building Inspector, or other construction area are preferred....our commitment to training and individual growth. The Plans Examiner team benefits from our work alongside the Building… more
- State of Georgia (Evans, GA)
- Driver Examiner 1 - Evans Georgia - Evans (https://careers.georgia.gov/jobs/54691/other-jobs-matching/location-only) New ... (DDS) is seeking qualified candidates for: Position Title: Driver Examiner 1 Status: Full-Time Salary: $32,000 /annually (non-negotiable) About...with excellence and respect. Job Summary: As a Driver Examiner 1 for DDS, you will help make everyday… more
