- HCA Healthcare (Campbell, CA)
- …must reside in the San Jose, CA market* Do you have the career opportunities as a Senior Claims Examiner you want with your current employer? We have an ... a committed, caring group of colleagues. Do you want to work as a(an) Senior Claims Examiner where your passion for creating positive patient interactions is… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Senior Claims Examiner , International Casualty Home Office to play your part in ... death claim worth in Germany? This position may be for you. This Senior Claims Examiner position in the International Casualty Home Office involves handling… more
- ICW Group (San Diego, CA)
- …team members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims ... an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands… more
- ICW Group (Las Vegas, NV)
- …team members with opportunities to contribute, develop, and belong. **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims ... an equitable conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands… more
- AIG (Atlanta, GA)
- Senior WC Claims Examiner Join us as a Senior Claims Examiner to grow your experience in Claims . Make your mark in Claims Our Claims ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that ... Make your mark in Federal Workers Compensation. Join us as a Senior Workers Compensation Claims Examiner to grow your experience in Defense Base Act… more
- Crawford & Company (Tampa, FL)
- …Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established ... authority on moderate-to-difficult claims . Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable ... FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims based on… more
- Amazon (Bellevue, WA)
- …program around the world across all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims professional to support our rapidly ... You will lead strategy on complex bodily injury auto claims , handling pre-litigation disputes and resolving litigated claims...a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change,… more
- New York State Civil Service (Binghamton, NY)
- …years of this experience. Duties Description Under the general supervision of the Associate WC Examiner and direct guidance of the Senior WC Examiner , the WC ... NY HELP No Agency Workers' Compensation Board Title Workers' Compensation Examiner , WCB Items #8644 Occupational Category Clerical, Secretarial, Office Aide Salary… more
- Federal Emergency Management Agency (Washington, DC)
- …management, and customer support, all in support of insurance policyholders during the claims appeals process. Serving as a senior representative for the Federal ... Summary In this Position, you will serve as a Supervisory Insurance Examiner in the Federal Insurance Mitigation Administration, Federal Insurance Appeals Branch.… more
- HCA Healthcare (Nashville, TN)
- …plan payor, MSO, HMO, and IPA organizations with the primary function to ensure examiner payment accuracy of all claims processing including analysis of support ... part of our team. **Job Summary and Qualifications** The Claims Auditor will serve as a Subject Matter Expert...preferred + 4 - 5 years' experience as a Senior Claim Examiner in a managed care… more
- Sharp HealthCare (San Diego, CA)
- …requirements for the position, and employer business practices. **What You Will Do** The Senior Fraud, Waste and Abuse Specialist at Sharp Health Plan is a critical ... ensuring compliance with regulatory, accreditation and contract standards. The Senior FWA Specialist will manage day-to-day anti-fraud activities, coordinate with… more
- CVS Health (Plymouth, MN)
- …as needed to support cases requiring such needs as benchmarking (FCR), claim examiner support, other insurance, medical necessity, corrected claims , change in ... medical review or eligible services, rework, referring cases to Special Investigation unit, to stop loss carrier coordinator, to client management team, and networking to handle all cases. **For this role you will need Minimum Requirements:** 5-8 years in a… more
- JB Hunt Transport (Lowell, AR)
- …role in the legal process by thoroughly investigating, reviewing and assessing claims and legal cases to ensure compliance with applicable laws and regulations. ... and other legal professionals to support the successful resolution of claims and litigation matters. **Job Description:** **Key Responsibilities:** * Analyze and… more
- Fallon Health (Worcester, MA)
- …LinkedIn. **Brief summary of purpose:** Under the general direction of the Senior Internal Audit Manager, theAnalyze and interpret patient medical records pertaining ... to FWA investigations Compare to information submitted on the claims in order to determine amount and nature of billable services Determines appropriateness of… more
- State of Massachusetts (Boston, MA)
- …skills and talents to serve our citizens. *_About the Role:_* The Review Examiner II performs duties of a hearing officer in connection with administrative hearings, ... findings of fact and conclusions of law. The Review Examiner II will also provide additional support to the... II will also provide additional support to the Senior Management Team regarding home improvement contractor, or other… more
- MyFlorida (Orlando, FL)
- …medical record. + Coordinate with the facility Business Manager and Veterans' Claims Examiner regarding veterans' maximum benefit entitlement and benefits being ... Date: 12/07/2024 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Requisition #841045 SENIOR LICENSED PRACTICAL NURSE - ADMISSIONS FLORIDA DEPARTMENT OF… more