- Sedgwick (Raleigh, NC)
- …as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Auto Liability Are you looking for an opportunity to join ... and gathering information to determine the exposure on the claim . Negotiating settlement of claims within designated...exposure on the claim . Negotiating settlement of claims within designated authority. Communicating claim activity… more
- Utilities Service, LLC (Willow Grove, PA)
- Description " Corporate Claims Examiner Job Type :Exempt Pay : Salary Benefits: Benefits Available and vary per position and location. Are you a real go-getter ... liability. Investigation, evaluation, and settlement of workers' compensation and liability claims Direction of legal counsel, and third-party claim … more
- UPMC (Pittsburgh, PA)
- …departmental needs-giving you the best of both worlds. Why this role matters As a Claims Examiner , you'll play a key role in helping our members live healthier, ... We're looking for detail-oriented problem solvers to join our Claims team. This is a full-time hybrid position based...more independent lives. By accurately processing claims , you ensure that people receive the care they… more
- Molina Healthcare (Phoenix, AZ)
- …7am-3:30pm PST M-F Job Summary Responsible for conducting various healthcare Healthcare claim audits including, but not limited to; vendor, focal, audit the auditor. ... clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains… more
- Sedgwick (Oklahoma City, OK)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... with management projects for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- Overview BroadPath is hiring a work from home, detail-oriented medical Claims Examiner looking to make a significant impact in the healthcare industry. Join our ... remote team as a Claims Examiner and play a crucial role...with Customer Service and Provider Services departments on large claim projects and adjustments Interpret benefit and plan details… more
- Sedgwick (Boston, MA)
- …accredited college or university preferred. Experience 2-3 years experience processing work comp claims as an examiner . Familiar with CPT, DRG and resources ... Best Workplaces in Financial Services & Insurance Work Comp Claims Negotiator PRIMARY PURPOSE : To negotiate Out of...other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating… more
- Sedgwick (Dublin, OH)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... with management projects for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes… more
- Sedgwick (Pittsburgh, PA)
- …established policies within assigned group. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Completes examiner update reports, claim adjustments, provider requests and ... Coordinator PRIMARY PURPOSE : To support and maintain the claims management system for a local office or multiple...operational expense check requests. Queues claims for Managed Care; transfers payment allocations; and runs… more
- Sanford Health (Fargo, ND)
- …Accredited Health Care Fraud Investigator (AHFI) certification or Certified Fraud Examiner (CFE) preferred Nursing or other clinical experience highly preferred Job ... Summary Responsible for conducting audits and investigations of potentially fraudulent claim activity. Will plan, develop, and implement investigative processes and… more
