Medical Claims Examiner Jobs

1000+ jobs

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...

Temp to hire assignments in Ontario, CA. Interested candidates can send resume to: ***** Processing of PROFESSIONAL medical claims including verification, adjudication and accuracy. Accurately process manual professional claims. Responsible for editing and adjusting of claims per the EDI daily audit report. Analyze and adjudicate claims to ensure accurate payment. Interpret F...

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...

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...

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...

Medical Claims Examiner, Mesa AZ *Work at Home 4 days a week, 1 day in office after training* Dell is looking for Claims Examiners with payer healthcare experience to join 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 business wi...

Disability Claims Examiner Opportunities with the State of Ohio Opportunities for Ohioans with Disabilities (OOD), a State of Ohio agency, has full-time opportunities in Columbus for professionals to review and make determinations on Social Security disability claims. As a Disability Claims Examiner (Adjudicator), you will: · Be responsible for a caseload of Social Security disability claims ...

JOB DESCRIPTION Integrity Staffing Solutions is a national leader in matching talented people to some of the nation’s leading jobs. We offer a variety of openings across the US and within the most prestigious organizations. We offer excellent benefits after only one week of work. If you do not see the opening you are looking for today, make sure to join our talent community and stay connected to ...

Please apply at http://dell.to/1MlwElS Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners with payer healthcare experience to join 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 business wi...

Claims Examiner Would you like to be a part of a company that values your contributions and allows your talent to flourish? Then consider a career with Florida Family Insurance. We are seeking an Claims Examiner to join our team located in Jacksonville, FL. Job Summary: Process claims often involving unique sets of circumstances that requires the adjuster/examiner to use his/her own experience,...

Description: Position 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. Flexible? Friendly? Fast on your feet? That's a great start. Accurate? Accountable? Self Directe...

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...

Maxim Healthcare Services' corporate office is currently seeking a Workers' Compensation Claims Examiner to monitor claims through litigation process, making decisions on reserve adjustments, plans of action, and settlements. Essential Duties and Responsibilities: Handles pending and new Workers' Compensation claims, and litigated files, to resolution Participates in conference calls with local...

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...

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...

Required Qualifications: 5 to 15+ years of Workers' Compensation Claims handling experience Must be well-versed in Pennsylvania law Good customer service skills Good organizational skills Preferred Qualifications: Carrier experience is preferred but NOT required Job Description: Our client is currently seeking a Senior Workers' Compensation Claims Examiner to work out of their Harrisburg, ...

Company Confidential
Title: Casualty Claims Examiner II (Contract) Location: Virginia Beach, VA Position Seeking a Casualty Claims Examiner II to join the Liability Claims Department located in Virginia Beach, VA. This position contributes to the company's success by reviewing and evaluating accident investigative materials to estimate the monetary value of the Company's casualty exposure (Bodily Injury and Propert...

Trover Solutions, Inc. is a leading independent provider of outsourced insurance subrogation, claims recovery and cost containment solutions for the healthcare payor and property and casualty industries. The company headquarters is located in Louisville, KY, and Trover employs over 850 employees throughout the U.S. Trover delivers exceptional recovery outcomes by leveraging the expertise of our h...

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 Job Description:The Insurance/Healthcarejob family contains positions associated with providing consultancy utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Res...