Claims Examiner Jobs

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1000+ Claims Examiner jobs found on Monster.

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JOB FAIR MARCH 28th 2015, 10am-2pm Michigan Commercial Insurance Mutual 4161 Clark Rd, Sarasota We will be interviewing seasoned Workers Compensation professionals for the following positions: Claims Senior Claims Examiner Examiner Assistant Underwriting Workers' Compensation Underwriter Underwriting Assistant Loss Prevention Loss Prevention Assistant Ideal candidates will have PC pr...
The Claims Examiner or Senior Claims Examiner will handle a caseload of commercial insurance claims under a close to moderate level of supervision. Job functions to include: Analyzing claims to determine applicable coverage afforded to the policyholder. Analyzing claims to determine the extent of insurance carrier's liability. Reviewing and evaluating damages and making recommendations for resolut...
Superior Vision Houston, TX
Job Description: Scope and Purpose of Position: Review and adjudicate claims for services provided to members/patients enrolled through the company’s clients in accordance with contract and industry standards. Job Function: Review and process claims for covered services as defined by contract and in accordance with the established guidelines for claims administration performance standards and ...
Seeking a detail oriented person with minimum of 1 year experience processing medical claims using an image processing system in either a TPA or self pay environment, proficient in Microsoft Word and Excel. Excellent communication and interpersonal skills required to facilitate courteous, prompt, and professional customer service with Society Members and medical providers. Knowledge of ICD-9, ICD-...
Description : As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient c...
Description : Conifer Health Solutions is currently hiring for a Claims Supervisor, Encino, CA Position Summary: Provides direction to the Claims unit team while monitoring daily workflows. Degree of Supervision: This position reports to the Manager of Claims and requires minimum degree of supervision to ensure tasks are appropriately prioritized. Job Duties and Essential Functions: Hourly...
Description : As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient c...
Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) The Claims Examiner is responsible for accurate and prompt payment of claims, in addition to reporting of statistic...
Position: Long term temp claims adjuster/examiner focusing on worker's comp. Duration: 6 -12 months. Pay: $26 to $28/hr Company: A New York State Government entity that protects policy holders and creditors of insurance companies. Location: Downtown Manhattan Hours: 8:00 to 4:00 or 4:30 with a half hour or hour lunch, or 8:30 to 4:30 or 5:00 with a half hour or hour lunch (7.5 hour workdays)....
QualCare, a successful Managed Care Organization, is currently seeking an individual to join our team to work out of the Piscataway, NJ office: Medical Claims Examiner Reporting to the Manager of Claims, and works within the Managed Care Regulatory Guidelines. Responsibilities include the processing and adjudicating of paper, electronic and scanned claims for multiple benefits and tier plans. ...
Trover Solutions, Inc. is a leading independent provider of outsourced insurance subrogation, claims recovery and cost containment solutions for the healthcare payor and property and casualty industries. The company headquarters is located in Louisville, KY, and Trover employs over 850 employees throughout the U.S. Trover delivers exceptional recovery outcomes by leveraging the expertise of our h...
Divisional Information: Transamerica Life & Protection (L&P) division provides operations, information technology, legal, marketing, and finance support to internal agents and independent producers who market the companies’ life insurance, health insurance, long-term care insurance, marketing services, and investment products. We are committed to enhancing financial results through creativity, in...
RESPONSIBILITIES: Kforce has a client seeking a Claims Examiner in Los Angeles, California (CA). This role will process, file and pay out claims related to Medicare, Medi-Cal, and Commercial Claims. The Claims Examiner will be responsible for verifying eligibility, processing the authorization and verifying if a claim is to be paid or denied. Additional responsibilities will be to analyze pricing...
We are recruiters that specialize in Insurance and Reinsurance. Our client is a top P&C insurer located in Chicago. We are working together to find a Claims Examiner. The Claims Examiner will oversee and manage a portfolio of reinsurance treaty P&C accounts. -Evaluate, develop and prepare action plans with recommendations and management reports on complex or high value claims. -Approve financia...
Job Description: Well-known company has an immediate need for a Medical Claims Examiner with at least 3 years of DIRECT health care claims processing experience in a managed care environment/health care setting. Knowledge of PDR (Provider Dispute Resolutions) is a huge plus! **Bilingual Spanish is a plus** JOB DUTIES: Accurate and timely processing of direct contract and delegated claims per re...
We are recruiters that specialize in Insurance and Reinsurance. Our client is a top P&C company located in Chicago. We are working together to find a Claims Examiner. The Claims Examiner will be responsible for: -Reviewing the incoming mail to identify if it's a new or existing claim. - Creating or closing claim files and processing financial transactions within authorization. - Seek out custo...
Flood Claims Examiner This position requires the ability to provide technical direction and guidance to National Flood Insurance Program (NFIP), agents, NFIP Adjusters regarding the NFIP Policy and its claims practices and procedures. Qualifications: • Requires strong knowledge of the National Flood Insurance Program (NFIP), the ability to accurately examine and estimate flood related damages a...
ABOUT US: The Texas Windstorm Insurance Association (TWIA) was established in 1971 by the Texas Legislature to provide wind and hail coverage to applicants unable to obtain insurance in the private market. The Legislature’s action was a response to market constrictions along the Texas coast after several hurricanes. TWIA is governed by Chapter 2210 of the Insurance Code (Chapter 2210). TWIA’s mis...
Claims Examiner Assistant is needed for busy Workers' Compensation firm. Prior Nevada Workers' Comp. experience is required. The ideal candidate will possess the capabilities to multitask while staying efficient and organized, maintain a strong attention to detail and be a self starter able to work with minimal supervision. We work with multiple claims management programs, so adequate computer ski...
Temporary Claims Examiner position to handle workers' compensation claims for Tristar in Atlanta, GA. Position will last approximately three (3) weeks, could be more or less. Pay is hourly and depends on past experience. Role and Responsibilities Claim investigations; including recorded statements Subrogation investigation/pursuit Compensability determination/benefit administration Medical ma...

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