Claims Examiner Jobs

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122 Claims Examiner jobs found on Monster.

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We currently have immediate openings in Anaheim, CA and the surrounding areas for a, Medical Claims Examiner, as well as other insurance positions! When you are employed by Insurance Overload Services, you will enjoy a COMPREHENSIVE BENEFITS PACKAGEproviding medical, dental, vision, and life insurance, direct deposit, and MUCH, MUCH MORE!! Medical Claims Examiner- Must have 2+ years recent experie...
JOB SUMMARY: The HMO Claims Examiner administers HMO contracts by processing medical claims in an efficient, cost-effective, and timely manner. Responsible for determining financial responsibility between group, health plans and contracted hospitals for accurate processing of claims. JOB RELATIONSHIPS: The HMO Claims Examiner is supervised directly by the Claims Manager and has regular interaction...
Jericho based insurance company seeks experienced New York No-Fault claims examiner. -Able to process no-fault claims including IME's, peer reviews and settlements. -Ability to fee schedule bills. -Initiate subrogation. -Process payments and denials. Requirements: -Minimum 2 years experience in automobile no-fault. Salary to comensurate with experience. Medical/Dental and 401K. Requirements:...
Company Confidential Clearwater, FL, 33764
Third Party Claims Administrator located in Clearwater, Florida is seeking an experienced medical claims examiner. We offer a competitive salary, growth potential, and an excellent benefits package. Job Requirements: Analyze and research claim issues Comprehension of complicated work flows, policy certificates and policy provisions Process claims Release of benefit payments Request and obtain nece...
Requirements: California Experienced Claims Adjuster Designation and current on education hours. Minimum of 3 years of recent experience as a Workers Compensation Examiner. Construction experience preferred. Good customer services skills. If you are interested in this position, and you meet the qualifications, please apply with your attached resume....
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick i...
Our client is seeking a Claims Examiner for a permanent position to manage caseloads for medical claims and indemnity. Responsibilities will be to work with indemnity and medical claims and provide oversight for the complex major accounts where a high level of knowledge and expertise is required. You will manage the accounts by investigating, evaluating, negotiating and settling claims. Other resp...
JOB DESCRIPTION:Examiner, Claims - CFHP Claims Department JOB CLASS:4951 REVIEWED:05/06 POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children?s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by the Department. EDUCATION/EXPERIENCE High sc...
SeaBright Insurance Company, a division of Enstar, is a specialty provider of niche Workers Compensation insurance. We offer challenging opportunities, fantastic benefits and great proprietary software to make your job easier. We are a really unique organization, with a great history, and are looking for that perfect match… is it you? Position: Sr. Claims Examiner Position Summary: We are looking...
Job_Other_Compensation: Up to $19.00 Job Description: Medical Company has immediate opening for a Medical Claims Examiner. You will be responsible for the accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. You will process claims for all lines of business, including complex claims, monitor itemized billings for excessive charges, dupli...
Claims Examiner - Liability CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the pla...
I have a client that needs a temporary Workers Compensation Examiner ASAP! Here are the following requirements: A minimum 4 years of recent experience as a workers’ compensation claims examiner. California Experienced Claims Adjuster Designation and current on education hours. At least one year of public entity experience. SIP license is preferred....
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick i...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick i...
Claims Examiner Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick i...
*MUST HAVE CLAIM PROCESSING EXPERIENCE WITH LIFE INSURANCE CLAIMS* Our Client, a leader in the insurance industry, is seeking a Claims Examiner to work out of their Neptune location. Job Purpose Investigate, either by direct correspondence or investigative sources, to determine insurance eligibility, policy requirements as necessary to determine liability for Life and AD&D claims. Key Activities •...
Job_Other_Compensation: Job Description: Our client in Ossining,NY is seeking one claims examiners. The right candidates will have at least one years experience in medical claims examining,knowledge of HIPPA, as well as ICD9 and CPT codings in a 3rd party administration or self pay check processing. Also needed is a have proven ability to make pay decisions and great attention to detail, proficien...
Workers Compensation Claims Examiner (Schaumburg, IL) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information nece...
Workers Compensation Claims Examiner (Albany, NY) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information necessar...
Workers Compensation Claims Examiner (Robbinsville, NJ) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information ne...
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Business Career Tools

Claims Examiner

Salaries

$29,120.00 - $70,000.00
Typical Salary for Claims Examiner
(216 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
45.7%
Some College Coursework Completed
18.6%
Associates
14%
Master's
7%
High School
6.2%
Vocational
6.2%
(129 Respondents)
Source: Monster.com Careerbenchmarking Tool

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