Claims Examiner Jobs

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247 Claims Examiner jobs found on Monster.

Jobs 1 to 20 of 247
Description: WellMed is now part of the OptumHealth division under the greater UnitedHealth Group umbrella. WellMed is a healthcare delivery system serving more than 90,000 patients, primarily Medicare eligible seniors, in Texas and Florida through primary care clinics, multi-specialty clinics, and contracted medical management services. Headquartered in San Antonio, Texas, WellMed is an industry...
Description: WellMed is now part of the OptumHealth division under the greater UnitedHealth Group umbrella. WellMed is a healthcare delivery system serving more than 90,000 patients, primarily Medicare eligible seniors, in Texas and Florida through primary care clinics, multi-specialty clinics, and contracted medical management services. Headquartered in San Antonio, Texas, WellMed is an industry...
International Catastrophe Insurance Managers, LLC in the Boulder, CO area is looking to fill a full-time opportunity with their organization for a Claims Examiner II position. The Claims Examiner II adjusts property and catastrophe claims as well as provides a full range of claims support and customer service for all of Boulder Claim’s operations. The Claims Examiner II will work closely with the...
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. JOB DUTIES: Accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines. Processing claims for all lines of business, including complex...
Workers' Compensation Claims Examiner 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...
Company Confidential Long Beach, CA
Senior Claims Examiner (Temp to Hire) (Permanent) Health Care Company Examiners (Medical Claims - All types) Must have at least 2+ years of recent Medical Claims experience Able to meet hourly and daily production standards Must be able to process/adjust Hospital (inpatient) specialty claims Requirements Experience with HMO, Managed Care, Medicare, Medi-Cal, Commercial, Senior, DRG/RCC rates, ICD-...
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, duplication, unbundling, and medical codin...
A Medical Management Company in the San Fernando Valley is hiring a Senior Claims Examiner ASAP. EZ-Cap knowledge Experience working with in-patient specialty claims Successful in a fast paced environment...
Medical Claims Examiner Hours: 8am - 5pm Location: Minneapolis, MN Pay Rate: $12//hr - $14/hr Start Date: May 12, 2014 - The Claims Examiners will research, resolve, examine and process paper and/or electronic claims submitted for payment. - Interact with internal customers to obtain needed information for claim processing. - Process claims reviewing Policies and Procedures, Coordination of Benefi...
To be consisered for the Claims Examiner - Property & Casualty Insurance all candidates must apply through the career page at www.troversolutions.com for the position titled Claims Examiner - Property & Casualty - Tulsa, OK. The Claims Examiner handles a file load equal to the current capacity plan for their level I, II or Senior and investigates reviews, calculates, negotiates, monitors and settl...
Monster Sourcing services has partnered with our customer; International Catastrophe Insurance Managers, LLC in the Boulder, CO area is looking to fill a full-time opportunity with their organization for a Claims Examiner II position. The Claims Examiner II adjusts property and catastrophe claims as well as provides a full range of claims support and customer service for all of Boulder Claim’s ope...
A smaller insurance company on the southside of Madison is currently searching for a Claims Examiner to join their team! This is a contract to hire position, with hours falling between 7:30 am- 5:30 pm. Summary: •Process medical and/or dental claims •Handle correspondence from members and providers •Handle phone calls from members and providers •Essential duties and responsibilities: •Process clai...
Insurance Industry - Workers’ Compensation Claims Examiner RAS is a leading mono line Workers’ Compensation Insurer looking to add EXPERIENCED professionals to our claims team! At RAS you will partner with our clients to mitigate exposure and reduce their Workers’ Compensation costs. Additionally, you will be assisting injured employees through their recovery and successful return to work as soon...
Insurance Industry - Workers’ Compensation Claims Examiner RAS is a leading mono line Workers’ Compensation Insurer looking to add EXPERIENCED professionals to our claims team! At RAS you will partner with our clients to mitigate exposure and reduce their Workers’ Compensation costs. Additionally, you will be assisting injured employees through their recovery and successful return to work as soon...
Insurance Industry - Workers’ Compensation Claims Examiner RAS is a leading mono line Workers’ Compensation Insurer looking to add EXPERIENCED professionals to our claims team! At RAS you will partner with our clients to mitigate exposure and reduce their Workers’ Compensation costs. Additionally, you will be assisting injured employees through their recovery and successful return to work as soon...
POSITION SUMMARY Investigates claims by interviewing employers, injured workers, medical providers and witnesses Gathers information, determines compensability and resolves all claim issues within state guidelines. Coordinates light-duty availability by communicating with medical providers, employers and injured workers With only general supervision, develops and carries out a plan of action for r...
International Medical Group, Inc. ® (IMG®) is a worldwide leader in designing, distributing and administering global healthcare benefits. IMG is a fast paced, growing company that offers a vibrant work environment and an exceptional benefits package. We are located just across from the Children’s Museum near downtown Indianapolis. We currently have an opening in our International Claims Department...
Summary: The medical Claims Examiner is responsible for analyzing and correctly adjudicating claims for GMS TPA operations. Essential Duties and Responsibilities: Examine, process and adjudicate claims for medical, dental and prescriptions. Identify claims to be processed in order of identified importance and work within time limitations. Resolve issues and identify customer needs (call on issues...
Job Description: Fast growing and prominent key player within the health care sector is actively interviewing for a Claims Examiner. Key responsibilities will be to process accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines, which includes: - Examination and adjudication of healthcare claims for all for all lines of business; Ability to...
Job Description: Top notch MSO company is growing fast and has room for professional growth. Immediate need for Claims Examiner II and III. Long term Temp to Perm. Great opportunity! Apply for this position up to $22/hour today! We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status. You can view all of ou...
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Claims Examiner

Salaries

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

Education / Training

Bachelor's
45.4%
Some College Coursework Completed
19.2%
Associates
13.8%
Master's
6.9%
High School
6.2%
Vocational
6.2%
(130 Respondents)
Source: Monster.com Careerbenchmarking Tool

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