- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... medical necessity and appropriateness, eligibility and coordination of benefits + Documents fully claims referred to senior staff for review and determination +… more
- Dignity Health (Bakersfield, CA)
- **Job Summary and Responsibilities** The Claims Examiner III is an advanced-level role responsible for the detailed and accurate processing, review, and ... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most... processing, with at least 2 years in a senior or advanced role + Expert knowledge of CPT,… more
- US Tech Solutions (Whittier, CA)
- …UB-92 and HCFA-1500 forms + Understanding of provider contracts, Medi-Cal, commercial, and senior plan claims + Strong knowledge of timeliness, payment accuracy, ... 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated medical groups… more
- Sedgwick (Sacramento, CA)
- …strong background in insurance coverage analysis? We're seeking an experienced attorney or senior level examiner with a strong background in insurance coverage ... FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional… more
- Patent and Trademark Office (Alexandria County, VA)
- …in the making - and help shape what's next. Learn how to become a patent examiner , explore the patent examiner disciplines crosswalk to find the areas that align ... we will verify your degree before your start date. As a patent examiner , you will: Examine patent applications and protect groundbreaking ideas. You'll review… more
- Patent and Trademark Office (Alexandria, VA)
- …in the making - and help shape what's next. Learn how to become a patent examiner , explore the patent examiner disciplines crosswalk to find the areas that align ... we will verify your degree before your start date. As a patent examiner , you will: Examine patent applications and protect groundbreaking ideas. You'll review… more
- JB Hunt Transport (Lowell, AR)
- …Pre-Law (Required), Doctorate: Law, GED, High School **Work Experience:** Loss Prevention/ Claims Management **Job Opening ID:** 00604206 Litigation Examiner ... **Job Title:** Litigation Examiner **Department:** Insurance **Country:** United States of America...the legal process by thoroughly investigating, reviewing, and assessing claims and legal cases to ensure compliance with applicable… more
- Marriott (Bethesda, MD)
- …via compliance and monitoring of self -insured/administered regulations and/or responsibilities. The Senior Director acts as a liaison between claims department ... promoting service excellence through education, training, and Service Call Program. The Senior Director follows and upholds the applicable claims sections of… more
- CHS (Clearwater, FL)
- **Overview** ** Claims Manager** **Servicing** **Health Insurance Policies or Benefits** **Summary:** Premier Administrative Solutions (PAS) is a Third-Party ... organizations, insurance marketing organizations, and employers. One core service, claims administration, is where submissions for payment/reimbursement/sharing from medical… more
- Wells Fargo (Charlotte, NC)
- …role:** Wells Fargo is seeking a Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking Operations (CSBBO). ... work; interpreting and presenting results of analyses and recommendations to senior management + Ensure adherence to data management/data governance regulations and… more