- MVP Health Care (Schenectady, NY)
- …the accuracy of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess ... Commercial Claims Processing Associate, Claims Examiner...Reviews and ensures the accuracy of all changes to claim line information based on information received from other… more
- FM (Waltham, MA)
- …research assignments, and preparation/ support for reinsurance audits conducted by Senior Claims Examiner . **Qualifications** **5 - 8 years of related work ... for this position **Responsibilities** We are seeking a Financial Claims Examiner II to join our team...evaluate, and dispose of moderately complex insurance and/or reinsurance claims in keeping with sound claim practices… more
- Sedgwick (Roseville, CA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Workers Comp (Hybird Roseville, CA) **PRIMARY PURPOSE** : ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… more
- OneMain Financial (Fort Worth, TX)
- Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... with internal and external customers. + Research additional information to support claim processing. Perform benefit calculations. Conduct claim… more
- State of Montana (Helena, MT)
- …may be covered by a Voluntary Employee Beneficiary Association (VEBA) *JOB DUTIES:* As a Claims Examiner 2 in the call center you will: * Assist the public ... claim process, utilizing the external customer oriented online claims system to file the claim . *...the application process, please contact the HR office. **Title:** * Claims Examiner 2 - Temporary* **Location:** *Helena*… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Sr Claims Examiner **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part ... High School (Required) **Work Experience:** Legal **Job Opening ID:** 00596387 Sr Claims Examiner (Open) **_"This job description has been designed to… more
- ICW Group (Sacramento, CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing ... within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of...coverage concepts, and navigates the legal system with the support of counsel to drive strategic outcomes. **ESSENTIAL DUTIES… more
- 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...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- … Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims ... necessary. Key Responsibilities: + Review, research, analyze and process professional claims by navigating multiple applications and platforms accurately. + Ensure… more
- Molina Healthcare (Orlando, FL)
- …types of complex claims . Procures all medical records and statements that support the claim . + Meets department quality and production standards. + Meet ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records. Monitors and controls backlog and workflow of … more