• Claims Examiner - Workers…

    Sedgwick (Frankfort, KY)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...Referral incentive program. + Opportunity to work in a remote or agile environment. + Career development and promotional… more
    Sedgwick (08/23/25)
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  • Claims Examiner Workers Comp…

    Sedgwick (Frankfort, KY)
    …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims more
    Sedgwick (06/29/25)
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  • Claims Examiner | General Liability…

    Sedgwick (Frankfort, KY)
    …Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a Claims Examiner at Sedgwick, you'll have the opportunity to take ... daily work and your career path. This is a remote , work-at-home, telecommuter position. + Be a part of...you have experience as a **Bodily Injury General Liability Claims Examiner ** working within **commercial (** **captive)… more
    Sedgwick (08/27/25)
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  • Senior Examiner , Claims

    Molina Healthcare (KY)
    **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims ... **KNOWLEDGE/SKILLS/ABILITIES** + Meets and consistently maintains production standards for Claims Adjudication. + Supports all department initiatives in improving… more
    Molina Healthcare (08/27/25)
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  • Examiner , Claims ( Remote )

    Molina Healthcare (Owensboro, KY)
    **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of claims ... cost control standards. **KNOWLEDGE/SKILLS/ABILITIES** + Evaluates the adjudication of claims using standard principles and state specific policies and regulations… more
    Molina Healthcare (08/27/25)
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  • Workers Compensation Claims Examiner

    Sedgwick (Lexington, KY)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | WV, PA. VA, TN, KY jurisdictional knowledge ... thinking ability; excellent judgement and discretion; ability to meet deadlines. \# claims #claimsexaminer # remote Sedgwick is an Equal Opportunity Employer… more
    Sedgwick (07/25/25)
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  • Medical Claims Specialist

    Kelly Services (Frankfort, KY)
    …to apply NOW! Or call Wendy at ### or email ###@kellyservices.com!** Related job titles: Claims Examiner , Claims Manager, Claims Supervisor, Claims ... **TITLE: Medical Claims Specialist** For those who want to keep...5+years of relevant experience (OR) if candidate is an Examiner , then 10+years of relevant experience **JOB DETAILS:** +… more
    Kelly Services (08/19/25)
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  • SIU Specialist - Pharmacy Tech - Remote

    Prime Therapeutics (Frankfort, KY)
    …decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible for the intake and initial ... Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the...terms and policy interpretation. + CFE - Certified Fraud Examiner credential preferred. + Bachelor's degree preferred. + Prefer… more
    Prime Therapeutics (06/24/25)
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  • Investigator, Special Investigative Unit-Must…

    Molina Healthcare (Lexington, KY)
    …Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects ... providers when overpayments are identified. + Works may be remote , in office, and on-site travel within the state...Accredited Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you… more
    Molina Healthcare (08/28/25)
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