• Workers Compensation Claims Examiner…

    Sedgwick (Knoxville, TN)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | WV, PA. VA, TN, KY jurisdictional knowledge ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
    Sedgwick (07/25/25)
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  • Liability Claims Examiner…

    Sedgwick (Hunt Valley, MD)
    …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | Dedicated Client | MD Jurisdiction | Hybrid Schedule ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
    Sedgwick (07/23/25)
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  • Claims Examiner - Workers…

    Sedgwick (Jackson, MS)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation REMOTE | California Experience Are you ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
    Sedgwick (07/15/25)
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  • Workers Compensation Claims Examiner…

    Sedgwick (Buffalo, NY)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing Preferred Are you ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
    Sedgwick (07/10/25)
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  • Medical Claims Examiner

    CHS (Clearwater, FL)
    **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training On Site - 90 days - Remote position after training in FL)** **Must live within a ... FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims based on… more
    CHS (05/07/25)
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  • Remote Claims Examiner with TPA

    NTT DATA North America (Decatur, IL)
    …. Contact providers and case management company for information regarding problem claims . . Print/mail EOBs and claim forms requested by providers and ... commitment of our employees are key factors in our company 's growth, market presence and our ability to help...the people who work here. NTT DATA seeks a ** Claims Examiner ** on a **project** basis to… more
    NTT DATA North America (06/19/25)
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  • Senior Claims Examiner

    ICW Group (Sacramento, CA)
    …conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage ... to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex ...timely manner to ensure reserving activities are consistent with company policies. + Resolves claims fairly and… more
    ICW Group (07/23/25)
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  • Claims Examiner

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    …The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary ... Medical Policies and Payment procedures as well as capable of manually processing claims according to all outlined Policies and Procedures. This job description is… more
    Brighton Health Plan Solutions, LLC (06/12/25)
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  • Claims Examiner

    NTT DATA North America (Plano, TX)
    …inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Claims Examiner to join our team in Plano, Texas (US-TX), United ... States (US). + Processing of Professional claim forms files by provider + Reviewing the policies...+ Reviewing the policies and benefits + Comply with company regulations regarding HIPAA, confidentiality, and PHI + Abide… more
    NTT DATA North America (07/22/25)
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  • Claims Examiner II

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and ... adjusting claims and other duties as necessary. Key Responsibilities: +...Ensure that the proper benefits are applied to the claim using the appropriate tools (eg CMS guidelines) +… more
    DOCTORS HEALTHCARE PLANS, INC. (07/31/25)
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