Medical Claims Examiner Jobs

1000+ jobs

Job Description: Healthcare Company has immediate opening for a Medical Claims Examiner 3. 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 medica...

Job Description: Healthcare Company has immediate opening for a Medical Claims Examiner 3. 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 medica...

Maxor Administrative Services, a Third-Party Administrator (TPA) for self-insured health plans, is currently seeking an experienced Medical/Dental Claims Examiner. This role serves medical and dental insurance customers by determining insurance coverage; examining and resolving medical/dental claims; documenting actions; maintaining quality customer services; and ensuring lcompliance of plan docum...

Job Description: This Medicare Claims Analyst Position Features: ? Stable Company ? Supportive Staff ? Great Pay to $50K Immediate need for medicare claims examiner seeking stable company, supportive staff and great pay! Will be responsible for medicare and/or Medi-cal claims analysis. We are looking for 3-5 years experience, basic computer skills, strong attention to detail, and great writte...

QualCare, Inc., a successful and progressive managed care organization, is currently seeking a: Senior Medical Claims Examiner As a Senior Medical Claims Examiner, you will have the challenging responsibility of processing and adjudicating paper, electronic and scanned claims in order to meet targeted ratios. Additional responsibilities include adjudicating complicated claims as well as acting a...

Randstad has an immediate opportunity for an experienced claims examiner to work in a stop loss claims area. This is a possible temporary - permanent position with a prestigious international company in downtown Minneapolis. You will conduct analysis and audits of excess risk claims and claims reimbursement processes and report results to management. Responsibilities will include: design and condu...

Opportunity in the Rancho Cucamonga, CA office to manage workers' compensation claims within company best practices. Will work within delegated authority to determine and pay benefits due, work closely with case managers and attorneys to handle all aspects of the claims. In addition, will ensure specific customer service requirement to achieve the best possible outcomes. Essential Job Duties: De...

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...

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...

Claims Examiner LWP Claims Solutions, Inc. a Third-Party Administrator is expanding business and has an immediate opportunity to become part of a dynamic team. We are looking to add to our staff and have opportunities for experienced Workers’ Compensation Claims Examiners (Indemnity & Medical Only). LWP Claims Solutions, Inc. is a claims management company dedicated exclusively to Workers' Compe...

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...

Prospect Medical is searching for a qualified: Claims Examiner III SUMMARY Responsible for consistently and accurately adjudicating claims in accordance with policies, procedures and guidelines as outlined by the company policy. Process claims according to all CMS and DMHC guidelines. Examiner III will review, research and process complex claims. Handle recalculation of claims due to incorrect ...

RESPONSIBILITIES: Kforce has a client in Los Angeles, CA that is seeking a sharp individual for a Claims Examiner role for a 3 month contract assignment, with the possibility to extend. REQUIREMENTS: Experience with 2-5 years medical claims examining Minimum typing speed of 45 WPM and use of Ten-Key by touch Knowledge of ICD9-CM, CPT, and revenue Codes, DRG and APC coding a plus EZ-CAP exper...

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) Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, ne...

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) Primary Responsibilities: Provide expertise or general claims support by reviewing, researching, investigating, ne...

Summary of Position: The Liability Claims Examiner is responsible for the investigation, adjustment and settlement of Homeowner Liability claims. Essential Job Functions: · Responsible for contacting insured’s, witnesses, medical specialists or others to obtain necessary information to evaluate liability and damages. · Possess an understanding of medical terminology as well as excellent negoti...

Job Description: We have a great direct hire opportunity for a Claims Examiner here in the East Bay. The position requires at least (2) years of prior Claims Processing experience, the faculty to multi-task; as well as, to have commendable communication skills. Claims must be processed accurately and timely. This position works within the Claims Department and requires experience in on-line claim...

Investigate, analyze, and determine the extent of medical treatment and Hertz' liability concerning personal, casualty, or property loss or damages. Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information. Calculate benefit payments and approve payment of claims within a certain monetary limit. The primary responsibilities of the position will incl...

Job Description: About the Job: Are you looking to join a dynamic fast growing company with over 20 years in the insurance industry with a solid reputation? A local insurance company is seeking to expand their claims team with an experience claims examiner. This opportunity is perfect for someone who is computer proficient, has great communication skills, and can demonstrate innovation and the w...

Company Overview: Boston Mutual Life Insurance Company was founded in 1891 and has been a stable financially strong company for over 120 years. Boston Mutual is proud to promote our corporate principles of Service, Value, and Integrity. As well as being a financially strong and reputable company to do business with, Boston Mutual offers its employees a wide array of competitive benefits to full ...