Medical Claims Examiner Jobs

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179 Medical Claims Examiner jobs found on Monster.

Jobs 1 to 20 of 179
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...
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...
Job Title: Medical Claims Examiner Position Summary: Are you an experienced Medical Claims Examiner in the Greater Ontario area looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your claims examining career by joining a company that provides on-going training and development? Are you interested in working for a company that offers competitive sa...
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 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...
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...
POSITION: CLAIMS EXAMINER III INDUSTRY: MEDICAL CLAIMS DESCRIPTION: Are you looking for a team setting that allows you opportunity to use your people skills and grow? Nationally Recognized Healthcare Group is seeking a professional Claims Examiner for their claims department. Both temporary and temporary to hire opportunities available. Large group with opportunities to advance in a variety of are...
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 (Multiple Openings) PreferredOne Golden Valley, MN PreferredOne Administrative Services, Inc. (PreferredOne), a health and welfare benefits administrator which offers a full-range of products, services and networks to its health plan and insurer affiliates and to brokers, employers, members, insurance companies and third-party administrators, has multiple opening for a Claims Exami...
Senior Workers-Compensation Claims Examiner Tracking Code SCHAUMBURG04011401 Job Description The Senior Workers Compensation Claims Examiner investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits. He/she administers indemnity and medical benefits for valid Workers’ Compensation claims and manages a caseload of claims from inception to closing or settleme...
Workers Compensation Claims Examiner - Tracking Code RICHMOND04011401 The Senior Workers Compensation Claims Examiner investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits. He/she administers indemnity and medical benefits for valid Workers’ Compensation claims and manages a caseload of claims from inception to closing or settlement. He/she assists Unit...
Job Title: Claims Examiner Job Location: Pensacola, FL About the position and responsibilities: Job Description: • Responsible for accurate/timely daily review of claims and policy provisions to determine appropriate claim eligibility assessments for payment or denial. • Responsible for accurate/timely determination of benefits applicable under policy provisions as per Medicare Advantage HMO produ...
Job Title: Claims Examiner 1 Job Location: Pensacola, FL About the position and responsibilities: Job Description: Essential Duties and Responsibilities include the following. Other duties may be assigned. Responsible for accurate/timely daily review of claims and policy provisions to determine appropriate claim eligibility assessments for payment or denial up to authority limit of $20,000.00 Resp...
This position is open to be based out of any Sedgwick PA or MD office*. *subject to change based on company need. 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 wher...
Are you looking for a company that values teamwork and integrity? A local Managed Care company is seeking a professional Claims Analyst/Examiner. This position will require timely and accurate processing of medical claims in accordance with health care guidelines and federal and state regulations. Some of the duties will include: Processing and completing the claims upon the first receipt Processi...
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Answers for Medical Claims Examiner Jobs

Questions & Answers Powered by Yahoo! Answers
Is anyone a health claims examiner/medical biller? I am thinking of going to school for this.?
Is it a good job to have? What are the pros and cons? Thanks for your input!
What are 101 jobs?
I am trying to do a project and I am stuck so can you please help me!!! The first person who posts 101 or more will get chosen best answer!!thanks

Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner
(239 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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