- Robert Half Office Team (Roseburg, OR)
- Description We are looking for a skilled Medical Claims Examiner II to join our team in Roseburg, Oregon. This Contract-to-permanent position involves analyzing ... internal teams, such as billing, collections, and compliance, to resolve escalated claims and investigate claim histories. * Maintain comprehensive electronic… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- Sedgwick (Plano, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (Agile/Hybrid Schedule - TX or WI) Are you ... Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. +...RESPONSIBLITIES MAY INCLUDE** + Evaluate commercial auto bodily injury claims and ensure claim files are properly… more
- ADP (San Dimas, CA)
- …to orchestrate evaluation and analysis of claims to meet department and company goals. + Monitor and ensure qualitative claim handling through TPA and ... ADP is hiring a ** Claims Lead Examiner ** . **_RESPONSIBILITIES:_** +...reviews and provide feedback and recommendations for resolution of claim files as needed. **_REQUIRED SKILLS:_** + Possesses professional… more
- 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
- Penske (Reading, PA)
- **Position Summary:** The Liability Claims Examiner is responsible for investigating, documenting, managing, directing, and resolving a variety of claims ... + Investigate and resolve auto liability, property, cargo, brokerage, and subrogation claims , including alleged vehicle defects. + Analyze claim data and… more
- ICW Group (Pleasanton, 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
- Philadelphia Insurance Companies (Melville, NY)
- …member of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Examiner - PIP to join our team! Summary: Analyze insurance claims to ... service calls, mediations, and other legal proceedings. Evaluates each claim in light of facts; Affirm or deny coverage;...Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company … more
- 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
- NTT America, Inc. (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 ... candidate will be responsible for:** + 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