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Medical Claims Examiner Jobs

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Review Accident report/FROI for completeness. Data enter all claim information into claims management system and secure system generated claim number. Perform 2 point contact. Confirm receipt of claim with employer providing CCI claim number. Identify proposed claim allowance. Refer to claims examiner all indemnity claims or per client special instructions. Process all BWC Certification Requ...

Job Description: Healthcare 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 c...

SummaryOur Client a TPA in workers' compensation seeks a workers' compensation examiner who can work under minimum supervision managing a caseload of future medical claims. his position is an oversight role, where you are working with clients, that have excess coverage on the claims file.SIP a PlusAdjuster Hours a plus.Minimum of three year's workers' compensation technical experience.Technical wo...

Manpower is currently recruiting for a Medical Claims Examiner position for one of our clients in Santa Ana, California! Job Responsibilities: Responsible for retrieving claims from secured sites Accurate registration and updating of claims Claims administration and processing to enable efficient claims management by Claim Adjusters Responsible for reviewing, evaluating and processing claims ...

Interested in working in an Medical Claims Examiner position in Santa Ana,CA with a dynamic and growing company? In this role our client is a fortune 500 company with room for growth and stability. We are looking for someone who is smart, dependable and driven. RESPONSIBILITIES AND DUTIES INCLUDE: Responsible for reviewing, evaluating and processing claims and makes recommendations for resolutio...

Hi Job Seeker Are you seeking unparalleled growth in a “sky the limit environment? This Medical Claims Examiner position is calling your name. A Medical 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 pi...

Company Confidential
Summary: Responsible for the accurate and timely adjudication of all claims in accordance with applicable contracts, state and federal regulations and health plan requirements. Job Duties and Essential Functions: Must demonstrate proficiency in the operation of the Company’s software and hardware systems for claims adjudication. Must have an excellent understanding of health and managed care c...

We're hiring for our Temporary, Temp to Hire and Direct Hire Insurance Jobs! Don’t see the insurance job you are looking for? Are there no adjuster jobs in your area? Keep checking back! Although we may not have open insurance jobs in your area today, with clients in all 50 states, we are certain to have one or more tomorrow. Complete your personal career profile today and be ready to start your ...

Job Description: This Medical Claims Examiner Position Features: ? Hospital ? Excellent Opportunity ? State Of The Art ? Great Pay Immediate need for medical claims examiner seeking hospital, excellent opportunity and state of the art. Research, microsoft windows and commercial and senior plans will be keys to success in this prestigious, well-known, stable organization. Will be responsible ...

Our client has an immediate need for a Bilingual Medical Claims Examiner / Sr. Customer Service Rep. for a Temp to Hire position. The chosen candidate must possess an excellent working knowledge of claims processing rules and procedures and how they apply to the SPD. This individual is responsible for reviewing claims for accuracy and completeness before processing and releasing them for payment. ...

Medical Claims Examiner - Payer/Insurance - AR, KS, LA, MO, MS, OK Healthcare Opportunities Dell is looking for Healthcare Claims Examiners in KS, MO, OK, AR, LA, and MS to expand our team as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the... V...

SummaryOur Client a TPA in workers' compensation seeks a workers' compensation examiner who can work under minimum supervision managing a caseload of future medical claims. Temp to hire and great employer. SIP a PlusAdjuster Hours a plus.Minimum of three year's workers' compensation technical experience.Technical workers? compensation claim knowledge should include current case law and legal manag...

Medical Claims Specialist/Examiner Looking for 2 people in this role. $16/hour, would pay more for strong experience. A good background is medical coding. Serves medical insurance customers by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal compliance. Responsibilities Determines covered medical ...

Claims Examiner IMMEDIATE HIRE Looking for experienced Claims Examiners with a minimum of one year experience in a fast paced claims environment. The candidate should have intimate knowledge of most Medicare fee schedules.Candidate should be able to maintain high production and quality standards. Primarily looking for experience with Medicare claims although will train on Medicare if candid...

About the Organization AmTrust Financial Services, Inc., (Nasdaq: AFSI) headquartered in New York City, is a multinational insurance holding company, which, through its insurance carriers, offers specialty property and casualty insurance products, including workers' compensation, commercial automobile and general liability; extended service and warranty coverage. For more information about AmTrus...

Description McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Business Performance Services (BPS) is a leader in physician and hospital revenue cycle management, physician electronic health record and practice managementsystem technology, and strategic consulting services. BPS offerings are uniquely designed to help p...

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. The HMO Claims Examiner is supervised directly by the Claims Manager and has regular interaction with patients, insurance provid...

The Institutional 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. Qualifications High School Diploma or equivalent. Course work and knowledge of medical terminology preferred. Two year...

About Us: We are a service-based company and as a licensed third party administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach. Responsibilities: ...

About Us: We are a service-based company and as a licensed third party administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's expectations. We’re an innovative company creating a unique experience for healthcare professionals. While many industry-wide solutions exist, nothing comes close to our ground-breaking approach. Responsibilities: ...