Claims Examiner Jobs

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SENIOR WORKERS COMPENSATION CLAIMS EXAMINER/SUPERVISOR (COEUR D ALENE AREA) Compensation: Competitive Wage DOE An insurance company in the Coeur d' Alene, ID area is seeking an experienced and cheerful SENIOR WORKERS COMPENSATION CLAIMS EXAMINER/SUPERVISOR to join its team. This is a full-time position, 8:30am-4:30pm weekdays, offering a competitive wage and benefit package including medical/den...

JOB DESCRIPTION Job Title: Medicare Claims Examiner Reports to: Claims Manager Department: Claims Supervisory Responsibilities: No Status: Full time FLSA Classification: Non-exempt Position Summary: This position is responsible for accurately and timely processing of Medicare claims and related correspondence. RESPONSIBILITIES/DUTIES: (not all-inclusive) all of the duties listed below are...

JOB DESCRIPTION Job Title: Medical Claims Examiner Reports to: Claims Manager Department: Claims Supervisory Responsibilities: No Status: Full time FLSA Classification: Non-exempt Position Summary: This position is responsible for accurately and timely processing of medical claims and related correspondence. RESPONSIBILITIES/DUTIES: (not all-inclusive) all of the duties listed below are e...

Randstad is looking for outstanding employees that want a career in claims! We have an immediate opening for an experienced claims examiner to work in a stop loss claims area of a Fortune 500 organization in downtown Minneapolis. This is a possible temporary - permanent position. You will conduct analysis and audits of excess risk claims and claims reimbursement processes and report results to man...

Annuity Claims Examiner/Intermediate Annuity Claims Examiner (I&R)-15000233 Description and Qualifications Company Description: The Transamerica companies offer a wide array of innovative financial services and products with a common purpose: to help individuals, families, and businesses build, protect and preserve their hard-earned assets. With more than a century of experience, we have built ...

Be the first voice of Assurant Solutions and help our customers put the pieces back together by providing assistance during a hardship. Honor the Assurant promise to our customers. You will deliver outstanding service to our customers and fulfill the customers' needs in a claims call center environment. Assurant Solutions is a group of four entrepreneurial businesses that create business solution...

Hello Job Seeker Are you seeking unparalleled growth in a “sky the limit environment? This Claims Examiner position is calling your name. A Claims Examiner is needed for a recognized industry leader, who invests heavily in internal technologies. Our clients is experiencing explosive growth in a billion dollar industry and continues and to receive industry awards and accolades as a pioneer in the ...

Physicians Plus Insurance Corporation is currently recruiting for a full-time Claims Examiner. This position will be responsible for providing superior customer service to internal and external customers by resolving claims processing issues, ensuring all claims received are analyzed, processed and adjudicated in accordance with contractual plan benefits and in a timely manner. Claims Examiners wi...

Required Qualifications: 5 to 15+ years of experience handling Workers' Compensation Claims Experience handling Lost Time and Litigated Pennsylvania Files Good organizational and customer service skills Preferred Qualifications: Bachelor's Degree Job Description: Our client is currently seeking a Senior Workers' Compensation Claims Examiner for their Pittsburgh, Pennsylvania office or they ...

AmeriHealth Caritas is growing! We are the nation’s leading provider of health care solutions for the underserved—a mission-driven organization that has helped people in need for 30 years. Our companies positively impact the lives of nearly 5 million individuals in 13 states. As we expand, AmeriHealth Caritas is seeking talented, passionate associates to join our team. Together we can build stron...

Manpower is currently recruiting for a dynamic Claims Examiner to work one for our top clients in Dallas, TX! Job Responsibilities: Provide primary processing of incoming Utilization Review referrals, ensuring accuracy of information, coordinating with requesting providers, adjusters and case managers to ensure all supporting medical documentation is secured to perform the review. Provides esse...

Do you excel and take pride in your work knowing that thousands of lives are positively impacted? Are you interested in being part of an award-winning Health Plan? Do you thrive in a mission-driven and fast-growing environment where the frontier of healthcare is constantly being pushed? Then, let's talk! We're looking for smart thinkers who enjoy challenges and will help us shape the future of hea...

The MMIA, Helena MT, is seeking a Senior Workers’ Compensation Claims Examiner. The position works under the general supervision of the MMIA Claim Manager and is responsible for the investigation, processing and management of workers’ compensation claims for the MMIA member communities which include medical expenses and lost wages. Requires a: Bachelor’s degree; 5+ years of increasingly responsib...

Job Description: AppleOne is looking for experienced Claims Examiner the ability to work in a high volume claims environment including daily processing of various types of claims with a minimum of 400 claims paid on average. The various types of claims include PPO, ASO, Medicare, Patient Pays and COB. DUTIES AND ACCOUNTABILITIES: ? Processing of various types of claims ? Knowledge of CPT and ...

Description Essential Job Functions Conducts correspondence related to client requests for information. Evaluates available information to validate claims. Verifies policyholder information, policy effective dates, premium status and verification of claim eligibility. Identifies need for additional information; contacts appropriate source to obtain needed information. Verifies beneficiary or c...

Claims Examinerneeded for acontractopportunity with Yoh's client located in San Francisco, CA. The Big Picture - Top Skills You Should Possess: - Experience within Managed Care - Knowledge of Medi-Cal guidelines What You'll Be Doing: - Keep the department's claim inventory current and clear edit queues by process claims according to verification of eligibility, interpretation of program benef...

The Property Claims Examiner processes claims involving property coverage under personal and commercial lines insurance policies. They ensure claim assignments are completed in accordance with company best practices and state insurance regulations. They will investigate, evaluate, negotiate and make settlements on property damage claims. Work requires the assignment and direction of field adjuster...

Required Qualifications: Five (5) years of Commercial General Liability and/or Commercial Auto experience Multiple jurisdictional preferred but not required Must have TX adjusters license Proficiency with computer and technology - working knowledge of Microsoft Office application suite (MS Word, Excel, etc) and familiarity and experience using standard claim administration Applications Strong...

Top-rated insurance carrier with domestic and international customers seeking an attorney to perform E&O insurance claims. Functions: *** Own responsibility for case results on special risk and high-exposure E&O and other non-medical professional liability claims. *** Investigate claims, analyze coverage, manage litigation and resolve litigated claims. *** Prepare claim summaries and other per...

Large, well established insurance carrier working in both the domestic and international markets seeking individual with experience investigating and managing Miscellaneous Professional Liability claims to resolution. Shall: *** Investigate Miscellaneous Professional Liability claims. *** Negotiate with claimants, opposing counsel and third parties. *** Evaluate liability, establish settlement...