Medical Claims Examiner Jobs

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106 Medical Claims Examiner jobs found on Monster.

Jobs 1 to 20 of 106
Medical Claims Examiner Reserve National Insurance Company, a Division of Kemper Corporation is seeking qualified candidates to fill a Medical Claims Examiner position. Job Responsibilities: Analyze & adjudicate professional and institutional medical claims according to the benefits available under individual health plans. Claims must be processed in a timely and accurate manner taking into consid...
1690 New Britain Ave Farmington CT USA 06032 CRM NOTES •Minimum of a Bachelor’s degree or equivalent business experience required. •Minimum of 4 years of claims related experience required; prior insurance experience in a health/disability claim environment required. •Demonstrated analytical and critical thinking skills. •Strong written and verbal communication skills. •Experience with Microsoft O...
Job Description: Well known Health Care Organization 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, unbundlin...
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...
Company: Business Administrators and Consultants, Inc. Location: Reynoldsburg, OH Full Time - Optional 4 day flex work week Available Hours: 7:30 – 6:00 Monday through Friday Please send qualified resumes to ***** Position: Medical Claims Examiner in the Group Health Benefits Industry About the Job: The priority in this position is to accurately and promptly pay claims while maintai...
If you are interested,Please share your updated resume Position:Casualty Claims Examiner Location:Virginia Beach,VA 23462 Duration:3-6 months Job Id:AVIAD899 Pay Rate:$17/hr on W2(w/o any benefits) Job Description: need someone who has Automobile Insurance claims experience. Also auto accident claims background as well Description Essential Duties and Responsibilities : See disclaimer below for fu...
Title: Medical Claims Examiner Location: Minneapolis, MN Pay: $13 to $15 / hourly Duration: Long-term, contract-to-hire Overview The Claims Examiner research, resolve, examines 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 Benefit...
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...
SUMMARY: The Senior Workers’ Compensation Examiner is responsible for the analysis and management of complex workers’ compensation claims. This position will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims. The position will process and document claims to ensure compliance with company standards, industry best practices, and legislative pro...
Randstad is looking for an experiences life claims examiner to work in a prestigious financial organization in the downtown Minneapolis area. Will process claims while providing high quality service both internally and externally. We be responsible for interpreting contract language and to maintain knowledge of state legislation as it applies to claims. Must be able to process all areas of claims...
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 comm...
Job Order Number: 378060 Job Title: Claims Examiner-General Liability, Bodily Injury, Auto Location: 1117 Perimeter Center West Suite E-500 Atlanta, GA 30338 Duration: Contract Job Description: PRIMARY PURPOSE: To analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of cl...
An insurance carrier that is a premier provider of workers compensation coverage for the niche they serve offers an opportunity to join their claims team. As a member of their claims team, you will utilize your knowledge of NYS Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position...
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 commu...
Claims Examiner Workers Compensation 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 i...
Claims Examiner Workers Compensation 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 a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick...
Claims Examiner Workers Compensation 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 i...
Claims Examiner Job Label:MAG28AE3-2 NAS is currently looking for a dynamic Claims Examiner to handle liability and reinsurance claims. The position does not involve medical billing or health insurance. The ideal candidate will be enthusiastic, analytical, customer-service oriented and have excellent communication skills. This position will be fast-paced, challenging and diverse with hands on inst...
Position Description The Claims Examiner performs all functions necessary to properly adjudicate Group Health claims in an automated environment in accordance with established company procedures and State Insurance Department regulations. In addition: - Standards for production and accuracy must be met and surpassed consistently. - Provides service to customers/clients via ability to communicate c...
Position Description The Claims Examiner performs all functions necessary to properly adjudicate Group Health claims in an automated environment in accordance with established company procedures and State Insurance Department regulations. In addition: - Standards for production and accuracy must be met and surpassed consistently. - Provides service to customers/clients via ability to communicate c...

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Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner
(241 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
23.5%
Some College Coursework Completed
22.5%
Associates
16.6%
High School
14.4%
Certification
11.8%
Vocational
7.5%
(187 Respondents)
Source: Monster.com Careerbenchmarking Tool
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