- Rose International (Atlanta, GA)
- To analyze complex or technically difficult workers'' compensation claims to determine benefits due; to work with high exposure claims involving litigation and ... rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements; and to… more
- Amazon (Nashville, TN)
- …(DSP) 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 growing and evolving global auto program. You will lead strategy on complex bodily injury auto claims...agreements. Essential Duties and Responsibilities Within the Last Mile Claims team , a successful candidate will support… 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...processing software + Ability to understand and implement complex claims procedures + Team player, ability to… more
- Federal Emergency Management Agency (Washington, DC)
- …in this position 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 assignments include: Lead a team that has a diverse...lead for Federal Insurance with an understanding of claims handling and how the claims appeals… more
- Sedgwick (Columbus, OH)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Consumer **PRIMARY PURPOSE:** To supervise the ... training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a… more
- Sedgwick (Syracuse, NY)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Compensation | NY Jurisdiction ... training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a… more
- Sedgwick (Atlanta, GA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Liability (Hybrid Schedule in Charlotte, ... training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a… more
- Sedgwick (Roseville, CA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead | Roseville, CA (Agile) Are you ... training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a… more
- Sedgwick (West Hills, CA)
- …a great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Compensation | CA Claims ... training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a… more
- Sedgwick (Honolulu, HI)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Team Lead | Honolulu, HI (In-Office) Are you ... the world's best brands? + Apply your experience to lead teams delivering claims services to clients...monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to… more
- Sedgwick (Long Beach, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead , Professional Liability (Hybrid) ) **PRIMARY PURPOSE** ... training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a… more
- State of Massachusetts (Boston, MA)
- * Lead Claims Examiner /Job Service Representative...professional life. * You will work with a dedicated team who are fueled by our mission of helping the ... supporting processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review, analyze and… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager, SIU, the Team Lead is responsible to lead a small team of investigators and ... a team of investigators and analysts, the Team Lead will ensure the Manager is...utilization by providers and recipients. The position will review claims data, medical records, and billing data from all… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …SIU. Report on SIU activities and performance to appropriate management committees. + Lead team in investigations and monitor investigation quality by providing ... viable tech solutions, modifications, and/or enhancements to support anti-fraud efforts. + Lead team in communication and training sessions for providers when… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …experience Preferred: N/A **Experience** Required: 4+ years' experience in claims examination, adjusting, fraud detection, or investigations in a healthcare ... Medicare regulations, resources and processes Strong knowledge of Medicare Claims Processing CPT/Coding knowledge **License(s)** Required: N/A Preferred: Health Care… 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 ... divisional protocols, and Government Auditing Standards, as appropriate. LEADERSHIP, TEAM DEVELOPMENT & PROJECT MANAGEMENT + Supervises, coaches, mentors, trains,… more
- State of Colorado (Denver, CO)
- …criminal prosecution in state court. Often, the unit acts as the lead investigative agency gathering information from partnering law enforcement and regulatory ... State of Colorado. The Investigator position is a critical team member of the COMFCU that will work both...to civil investigations in support of the Colorado False Claims Act. Additionally, the incumbent will provide technical training,… more
