- Dignity Health (Rancho Cordova, CA)
- …that are vital to maintaining excellence in care and service. **Responsibilities** The Senior Claims Examiner responsibilities include Quality Review of ... claims processing and the accuracy of member denial letters. The Senior Claims Examiner reviews all provider payment inquiries received by telephone fax… more
- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner /Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service ... the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review,...Examiner /Job Service Representative II, who reports to the Senior Manager of Benefit Operations & Program Integrity is… more
- CACI International (Chantilly, VA)
- Senior Claims Examiner Job Category: Finance and Accounting Time Type: Full time Minimum Clearance Required to Start: TS/SCI with Polygraph Employee Type: ... None * * * **The Opportunity:** We are seeking a detail-oriented and experienced Claims Examiner to manage and review workers' comp claims . As a Claims… 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
- AIG (Atlanta, GA)
- Senior WC Claims Examiner Join us as a Senior Claims Examiner on the Federal team to grow your experience in Claims . Make your mark in ... Claims Our Claims teams are the proven problem solvers of choice...showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop… more
- ICW Group (Woodland Hills, 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
- 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
- Dignity Health (Bakersfield, CA)
- …employer-match. Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Claims Examiner III is an advanced-level role responsible for the ... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
- MetLife (Oriskany, NY)
- …timeframes. 5. Evaluate claims to identify situations requiring referral to Senior Examiner . 6. Respond to written and/or telephone inquiries from ... of the Oriskany NY office (Central NY) Title: Premium Waiver Claim Examiner LOB/Department: Institutional/Life Product Management Reports to: Unit Manager - Premium… more
- Crawford & Company (VA)
- …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
- Amazon (New York, NY)
- …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
- Raphael and Associates (NJ)
- Senior Property Desk Examiner (remote) Company...currently growing and are looking for a TPA Property Claims Examiner with a minimum of five ... Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company...evaluate property damage estimates provided by field adjusters. + Recognition of subrogation potential. + Work well with internal… more
- Dignity Health (Rancho Cordova, CA)
- …and distributing work assignments. This position will perform the duties of the Senior Claims Examiner when needed. These duties include compliance ... findings to the manager. **Qualifications** **Minimum Qualifications:** + 5 years as a senior claims examiner in all functional areas + High School Diploma… more
- MyFlorida (St. Augustine, FL)
- …medical record. + Coordinate with the facility Business Manager and Veterans' Claims Examiner regarding veterans' maximum benefit entitlement and benefits being ... OPS SR LICENSED PRACTICAL NURSE ADMISSIO - 50601604 Date:...02/06/2025 Total Compensation Estimator Tool (https://compcalculator.myflorida.com/) Requisition 845414 OPS SENIOR LICENSED PRACTICAL NURSE (ADMISSIONS) FLORIDA DEPARTMENT OF VETERANS'… more
- New York State Civil Service (Menands, NY)
- …12204 Duties Description Under the general supervision of the Associate Workers' Compensation Examiner and direct guidance of the Senior Workers' Compensation ... NY HELP No Agency Workers' Compensation Board Title Workers' Compensation Examiner , WCB Items #2333, #4110, #8132, and #8142 Occupational Category No Preference… more
- Marriott (Costa Mesa, CA)
- …and in accordance with Marriott's Career Leadership System's Guidelines. + Directly manage Senior Staff ( Sr . Manager, Claims Operations, or Claims ... and monitoring of self -insured/administered regulations and/or responsibilities. The Senior Director acts as a liaison between claims...Review all "Reportable" cases (in the absence of a Sr . Manager, Claims Operations) + Perform aged… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR PHYSICIAN (Forensic Pathology) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4766320) Apply SENIOR PHYSICIAN (Forensic Pathology) ... Angeles County, CA Job Type Full time Job Number P5456C-R Department MEDICAL EXAMINER Opening Date 01/16/2025 Closing Date Continuous + Description + Benefits +… 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