- Sourcing Square US (Phoenix, AZ)
- …of Swift Transportation. Job Responsibilities: What you will do Investigates and evaluates claims . Asks for guidance from more senior examiners and/or leadership ... $100k in total incurred authority. Studies reports and similar claims to determine validity of the claim . Reviews, evaluates and processes claims and makes… more
- Crawford & Company (New Orleans, LA)
- …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
- 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 ... in Germany? This position may be for you. This Senior Claims Examiner position in... location. They may also be required to conduct Claim Reviews of foreign claims and will… 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 ... technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice...Workers' Compensation claims in accordance with best claim practice guidelines. + Utilize investigation, claim … 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 ... mark in Federal Workers Compensation. Join us as a Senior Workers Compensation Claims Examiner ...technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice… more
- Lowe's (Mooresville, NC)
- … Claims Examiners on issues that cannot be satisfactorily resolved by the Claims Examiner , this position investigates complaints made by customers or stores ... claimants and witnesses, obtaining official reports, and by comparing claim information with evidence + Serves as an escalation...School or GED and 6 Years Experience as a Claims Examiner or materially relevant knowledge, skills… more
- FM (Norwood, MA)
- …employees, working in more than 100 countries, in a variety of challenging roles. The Senior Claims Examiner will handle losses directly and will also ... adjusters on larger losses as assigned by the Operations Claims Manager. The Senior Claims Examiner will handle all homeowner claims for FM employees… more
- Amazon (Nashville, TN)
- …Management and Legal (internal and external), and employs best practices to control claim costs. . Lead logistic complex claims management, develop and refine ... all of its various use cases. Amazon's Last Mile Claims team is seeking a talented claims ...a successful candidate will support and report to a Senior Risk Manager and be enthusiastic about driving change,… more
- Office of Workers' Compensation Programs (IN)
- …is the outside the bargaining unit. For the GS-0991-15, Supervisory Workers Compensation Claims Examiner you will: -Serve as the recognized technical authority ... Program Act (EEOICPA), 42 USC |7384 et. seq., by developing and adjudicating new claims for benefits, managing ongoing claims , authorizing and paying medical and… more
- HCA Healthcare (Campbell, CA)
- …(2) years of experience processing claims , with at least one year of claims examiner experience required . Knowledge of ICD-9, CPT, HCPC and Revenue Coding ... 156,000 hours volunteering in our communities. As a(an) Research Examiner with HCA Healthcare you can be a part...well with supervisors and co-workers + Ability to analyze claim issues and "trouble shoot" claims problems… more
- Federal Emergency Management Agency (Washington, DC)
- …handling claim appeals disputes; and Providing programmatic advice to senior -level officials. Please read the following important information to ensure we have ... if hired? In this position, you will work as a Lead Insurance Examiner within the Resilience, Federal Insurance and Mitigation Administration area of FEMA. Typical… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr . Fraud Investigator SIU (Special Investigations Unit) assists in the implementation and daily operation of the organization's Compliance ... to perform interviews and obtain medical records/ and other relevant documentation. The Senior Investigator will also act as subject matter expert in researching and… 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
- Hawaiian Electric (Honolulu, HI)
- Senior Digital Forensic Analyst Date:Sep 9, 2024 Location: Honolulu, Hawaii (HI), US, 96814 Company: hawaiianel We recognize our competitive advantage -- our people. ... stored information for internal or external investigations, incident response, claims , litigation and regulatory proceedings for the company ESSENTIAL FUNCTIONS:… more
- Veterans Affairs, Veterans Health Administration (Santa Ana, CA)
- …Services program office after complete review of the EDRP application. Responsibilities The Senior Social Worker works within VA Long Beach Health Care for the ... treatment team. Assists Veterans in applying for discharge upgrades and benefits claims by referring them to the appropriate resources. Assesses and refers as… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …that we serve through our Healthsource blog: https://healthsource.premera.com . As a ** Senior Manager of the Special Investigation Unit (SIU)** , you will lead ... preferred. + Accredited Healthcare Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE) preferred. + Certified Public Accountant (CPA) or Registered Nurse… more
- Medical Mutual of Ohio (Rossford, OH)
- …payments. Supports investigative activities (external and internal) of the Company's claims payment operations, providers of service, subscribers, and employees. . ... Analyzes data to compile documentation of fraudulent behaviors. . Examines claims information and identifies those with fraudulent billing patterns. . Communicates… more
- Meijer (Grand Rapids, MI)
- …program will allow for interaction with other interns and Meijer senior leaders._ _The internship program includes:_ + _Challenging and impactful projects_ ... + _Final presentations delivered to senior executives_ + _Executive speaker series_ + _Professional development...here at Meijer. They will gain experience working with claims management systems, complex insurance programs and communicating with… more
- City and County of San Francisco (San Francisco, CA)
- …and review their operations. The Audit Division is also responsible for reviewing claims for public financing to ensure that City funds are only distributed to ... a Certified Public Accountant, Certified Internal Auditor, or Certified Fraud Examiner . + A Master's degree in public administration, business administration,… more
