- State of Massachusetts (Boston, MA)
- *Lead Claims Examiner /Job Service Representative II| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service ... processes within the Department of Family Medical Leave (DFML). The Lead Claims Examiner /Job Service Representative II will review, analyze and evaluate… more
- JB Hunt Transport (Lowell, AR)
- …of exposure and documentation of all findings for each claim within the claims matter management system for management review as well as internal and ... **Job Title:** Casualty Claims Examiner I **Department:** Insurance **Country:**... investigations to determine liability exposure of each assigned claim . This investigation includes analysis of state and federal… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner /Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service Representative I ... for supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review claims escalated… more
- State of Georgia (Fulton County, GA)
- UI Claims Examiner Georgia - Fulton -...day. + Enters all fact-finding information onto the mainframe system . + Adjudicates claims with an 80% ... Date Apply for Job Share this Job Sign Up for Job Alerts UI Claims Examiner (UI Claims Examiner 2) Job Code: RCP071 Pay Grade: G The Georgia Department… more
- Cedars-Sinai (CA)
- **Job Description** The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and ... required. Three (3) years of experience on an automated claims processing system (Epic Tapestry preferred) preferred....and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** :… more
- OneMain Financial (Fort Worth, TX)
- ** Claims Examiner ** The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all ... functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence to internal/external customers. **In… 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
- 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
- ADP (San Dimas, CA)
- …state-of--the art predictive modeling, and metrics, data analytic tools and HRIS and claims systems . + Requires comprehensive knowledge of CA and western region ... ADP is hiring a ** Claims Lead Examiner ** . **_RESPONSIBILITIES:_** +...department and company goals. + Monitor and ensure qualitative claim handling through TPA and other vendor partners. +… more
- NTT DATA North America (Ontario, CA)
- **Senior Claims Examiner (Xcelys System )** **NTT DATA Services currently seeks a Senior Claims Examiner to join our team working 100% Remote and work ... relations, legal, IT, compliance teams -Support internal initiatives related to claims systems / operational improvements **Required Qualifications and skills:**… more