- Sedgwick (Madison, WI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims & ... Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Milwaukee, WI)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner , Bodily Injury (Auto) **PRIMARY PURPOSE** : To analyze and ... process complex auto and bodily injury claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.… more
- Elevance Health (Waukesha, WI)
- …WI._ The **Subrogation Examiner ** is responsible for researching and examining routine health claims that may be related to Third Party Liability, Workers' ... **Subrogation Examiner ** _Location: This position will work a virtual...attorneys, members and others as necessary to determine if claims have potential for reimbursement from another party. +… more
- Sedgwick (Madison, WI)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles, reviews, and… more
- Highmark Health (Madison, WI)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Sedgwick (Madison, WI)
- …Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... + We offer a diverse and comprehensive benefits including medical , dental vision, 401K, PTO and more beginning your...next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable… more
- Molina Healthcare (WI)
- …Medicare programs as well as Marketplace. + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems. + Understanding ... waste, and abuse. Duties include performing accurate and reliable medical review audits that may also include coding and...Health Care Fraud Investigator (AHFI). + Certified Fraud Examiner (CFE). To all current Molina employees: If you… more