Medical Claims Examiner Jobs
Job_Other_Compensation: Up to $19.00 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, dupli...
Job_Other_Compensation: Job Description: Our client in Ossining,NY is seeking one claims examiners. The right candidates will have at least one years experience in medical claims examining,knowledge of HIPPA, as well as ICD9 and CPT codings in a 3rd party administration or self pay check processing. Also needed is a have proven ability to make pay decisions and great attention to detail, proficien...
Company Confidential Northridge, CA
Medical Claims Examiner Computerized claims systems Data entry and 10-key skills by touch and sight Monday through Friday, (40 Hours) At Least 3+ Years of Recent Claims Experience Apply now ASAP...
Company Confidential Burlington, MA, 01803
CLAIMS EXAMINER/SENIOR CLAIMS EXAMINER Seasoned professional medical claims examiner, with several years of experience reviewing and processing claims in a fast-paced environment. Must have proven communication and analytical skills,understand policy provisions and interpret complex medical terms and procedures consistently applying Fund office standards and policy in the adjudication of claims. A...
JOB SUMMARY: 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. JOB RELATIONSHIPS: The HMO Claims Examiner is supervised directly by the Claims Manager and has regular interaction...
Jericho based insurance company seeks experienced New York No-Fault claims examiner. -Able to process no-fault claims including IME's, peer reviews and settlements. -Ability to fee schedule bills. -Initiate subrogation. -Process payments and denials. Requirements: -Minimum 2 years experience in automobile no-fault. Salary to comensurate with experience. Medical/Dental and 401K. Requirements:...
Company Confidential Clearwater, FL, 33764
Third Party Claims Administrator located in Clearwater, Florida is seeking an experienced medical claims examiner. We offer a competitive salary, growth potential, and an excellent benefits package. Job Requirements: Analyze and research claim issues Comprehension of complicated work flows, policy certificates and policy provisions Process claims Release of benefit payments Request and obtain nece...
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...
Our client is seeking a Claims Examiner for a permanent position to manage caseloads for medical claims and indemnity. Responsibilities will be to work with indemnity and medical claims and provide oversight for the complex major accounts where a high level of knowledge and expertise is required. You will manage the accounts by investigating, evaluating, negotiating and settling claims. Other resp...
JOB DESCRIPTION:Examiner, Claims - CFHP Claims Department JOB CLASS:4951 REVIEWED:05/06 POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children?s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by the Department. EDUCATION/EXPERIENCE High sc...
*MUST HAVE CLAIM PROCESSING EXPERIENCE WITH LIFE INSURANCE CLAIMS* Our Client, a leader in the insurance industry, is seeking a Claims Examiner to work out of their Neptune location. Job Purpose Investigate, either by direct correspondence or investigative sources, to determine insurance eligibility, policy requirements as necessary to determine liability for Life and AD&D claims. Key Activities •...
Workers Compensation Claims Examiner (Schaumburg, IL) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information nece...
Workers Compensation Claims Examiner (Albany, NY) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information necessar...
Workers Compensation Claims Examiner (Robbinsville, NJ) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information ne...
RAS is a leading mono-line Workers’ Compensation Carrier in the upper Midwest looking to add professionals to our team! At RAS you will work with clients to control costs and exposure in the area of workers’ compensation. We are looking for people who have exceptional customer service skills and have a desire to help others. This is an entry level claims examiner position in which you will interac...
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...
Greater New York Mutual Insurance Company ("GNY") is an A+ rated, financially stable and growing property casualty insurance company with locations throughout the Northeast. We currently have an opening for an experienced Liability Claims Examiner for the Trial Preparation Unit in our East Brunswick, NJ location. Some of the functions of the position include: Review all matters transferred from th...
Greater New York Mutual Insurance Company ("GNY") is an A+ rated, financially stable and growing property casualty insurance company with locations throughout the Northeast. We currently have an addition to staff opening for an experienced Property Claims Examiner in our company headquarters located in New York City. Some of the functions of the position include: Review all new property claims rep...
Responsible for adjudicating more complex entering claim types for claim payments, allowable amounts, limitations, and exclusions and denial of claims. Responsible for meeting all production, quality, and attendance guidelines as outlined by the claims department. Route the most complex claims that require investigation to Claims Examiner III for processing. Route claims that require assistance fr...
Claims Examiner I Kern Health Systems is the largest health plan in Kern County serving over 124,000 local members. We’re located in Bakersfield, California…and Bakersfield was rated #9 by Forbes magazine as the Best city for jobs this spring 2013. We aren’t a big town but we do have that small town feel … this provides an awesome atmosphere of comfort in that we don’t have those heavy 5:00pm traf...
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Medical Claims Specialist/Examiner
$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Medical Claims Specialist/Examiner
Processes medical claims by reviewing and analyzing information; determining actions such as acceptance or denial.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
Maintains quality customer services by following customer service practices; responding to customer inquiries.
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