• California Workers Compensation Claims…

    Sedgwick (Madison, WI)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance California Workers Compensation Claims Examiner I Remote **PRIMARY PURPOSE** : To analyze ... complex or technically difficult workers' compensation claims to determine benefits due; to work with high...to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication… more
    Sedgwick (08/08/25)
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  • Claims Examiner - Workers…

    Sedgwick (Madison, WI)
    …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 (07/15/25)
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  • Claims Examiner - Workers…

    Sedgwick (Madison, WI)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Midwest Jurisdictions - Chicago, IL, ... or Remote in MN, MI, MO, IN, WI Are you...**PRIMARY PURPOSE OF THE ROLE:** To analyze Workers Compensation claims on behalf of our valued clients to determine… more
    Sedgwick (08/08/25)
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  • SIU Specialist - Pharmacy Tech - Remote…

    Prime Therapeutics (Madison, WI)
    …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…

    Molina Healthcare (Kenosha, WI)
    …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 (07/24/25)
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