- ADP (San Dimas, CA)
- …hiring a ** Claims Lead Examiner ** . **_RESPONSIBILITIES:_** + Assist Claims Manager in monitoring the workers compensation program within the ADPTS/PEO ... that could be problematic and take steps along with Claims Manager to take steps to develop...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
- Amergis (Columbia, MD)
- …aspect of the WC claim process. Working in a team approach, the Claims Examiner WC will make decisions concerning reserve adjustments, develop a plan of ... action, and determine claim resolution. The Claims Examiner ...Examiner WC also works with the Adjusters, WC Manager , and fellow Amergis team members. Essential Duties and… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner /Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service Representative I ... within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review.../Job Service Representative I, who reports to the Senior Manager of Benefit Operations & Program Integrity is based… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- Position Purpose: The Claims Examiner III ensures that claims are processed according to department standards and assists the Claims manager in ... Qualifications: + High School Diploma or GED + 3+ years as Medical Claims Examiner + Experience in contract interpretation + Knowledge of CMS guidelines and… more
- State of Massachusetts (Boston, MA)
- …as a partner to employers to deliver program integrity. What you'd do The Review Examiner I, who reports to the Appeals Manager , is based in Boston, MA**and ... Review Examiner I | Department of Family & Medical...I is responsible for conducting hearings on appeals of claims for agency services or benefits; for promptly preparing… more
- Elevance Health (Louisville, KY)
- **Subrogation Examiner ** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... law.** **Schedule:** Monday - Friday; 8:30am-5:00pm Eastern Time The **Subrogation Examiner ** is responsible for researching and examining routine health claims… more
- Army National Guard Units (Carson City, NV)
- Summary This position is for a MATERIAL EXAMINER AND IDENTIFIER, PD# D1902000, part of the Nevada Army National Guard. These positions are located in the United ... must provide transcripts or other documentation to support your Training/Educational claims . To receive credit for Training/Education, you must provide documentation… more
- AON (Fort Wayne, IN)
- Aon is looking for a Claims Manager I As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective ... solutions as a Claims Manager I in our Ft. Wayne,...carrier requirements and internal procedures. + Review and manage examiner caseloads, providing guidance on complex claim … more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager ** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... as well as the client's stated coverage. Join Premier Administrative Solutions as a Claims Manager and lead our Claims Department in delivering exceptional… more
- LA Care Health Plan (Los Angeles, CA)
- …to achieve that purpose. Job Summary The Claims Supervisor works with the Claims Manager to oversee the daily operations of the claims department. ... Healthcare Related Field Experience Required: At least 3 years of experience as claims examiner working with medical facility claims and high dollar … more
- Access Dubuque (Dubuque, IA)
- …20251211 End Date 20260210 Featured Job TH Ad TH Comments **Similar Jobs** Claims Examiner Cottingham & Butler/ SISCO Dental Assistant Crescent Community Health ... Claims Assistant **Sedgwick** 1 Positions ID: R62460 Posted...world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey.… more
- Penske (Reading, PA)
- …"Customer Provides" claims . **Major Responsibilities:** * Receives & routes incoming claim inquiry calls to appropriate examiner or department * Review ... **Position Summary:** Assists Compliance Manager and Compliance Supervisor, day-to-day operations. Provides basic...to determine coverage * Handle tender of customer provides claims * Review Rental & Lease agreements * Review… more
- State of Indiana (Indianapolis, IN)
- …Prepare and present various reports or gather specific information requested by the Manager , Chief Examiner , or Commissioner. The job description is not designed ... and their families from loss or harm. Consumers may need assistance with certain claim situations or just help in understanding how their policies work. Our other… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER , AUTOPSY OPERATIONS AND SUPPORT SERVICES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4670156) Apply MANAGER , AUTOPSY ... Angeles County, CA Job Type Full time Job Number P4886A-R Department MEDICAL EXAMINER Opening Date 10/09/2024 Closing Date Continuous + Description + Benefits +… more
- Access Dubuque (Dubuque, IA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles,...claim status; and provides written resumes of specific claims as requested by client. + Assures that direct… more
- Sedgwick (Carson City, NV)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner , client, injured worker, attorney and supervisor. + Identifies ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker,… more
- Ventura County (Ventura, CA)
- …DESIRED: + Four (4) or more years' experience as a workers' compensation claims examiner or adjustor for an insurance carrier, third-party administrator, or ... resources management) AND two (2) years' experience handling workers' compensation claims , including experience with claim evaluation, management, or adjustment,… more
- The City of Rochester, MN (Rochester, MN)
- …Public Accountant (CPA) + Certified Management Accountant (CMA) + Certified Financial Manager (CFM) + Certified Fraud Examiner (CFE) + Certified Financial ... in the preparation of financial and regulatory reports, statements, and claims for reimbursement according to prescribed guidelines; performs related duties as… more
- CDM Smith (Lakewood, CO)
- …Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical in evaluating and analyzing financial data related ... to disaster-related claims , including property damage, business interruption, and other loss...potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting, auditing, and investigative… more
- The County of Los Angeles (Los Angeles, CA)
- …County, CA Job Type Full time Job Number P4887E-R Department MEDICAL EXAMINER Opening Date 10/16/2023 + Description + Benefits + Questions Position/Program ... Information DEPARTMENT OF MEDICAL EXAMINER -CORONER EXAM NUMBER: P4887E-R TYPE OF RECRUITMENT: Open Competitive Job Opportunity FILING START DATE: Applications will… more