- MetLife (Oriskany, NY)
- …provisions and manually adjudicate complex FEGLI Life claims to make claim determinations. . Provide UAT support for system enhancements. Typical ... and input information into a Power Builder computer claim system computer system ..... Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. . Work… more
- Kelly Services (Roseville, CA)
- …work style isn't always easy. That's where Kelly(R) comes in. We're seeking a ** Claims Examiner - Workers' Compensation** to work with a leading organization ... your career. **Why you should apply to be a Claims Examiner - Workers' Compensation:** + Competitive...and pursuing recoveries, including subrogation and Second Injury Fund claims + Communicating claim status with claimants… more
- Equitable (Charlotte, NC)
- Sr. Group Life Claims Examiner (Remote) ( 250000E7 ) **Primary Location** : UNITED STATES-Remote **Other Locations** : UNITED STATES-NY-New York, UNITED ... potential? Equitable is seeking an influential and dynamic Senior Claims Examiner to join our Group Life...Gain an understanding and working knowledge of the Equitable claim and other applicable systems , policies, procedures,… more
- Insight Global (Irvine, CA)
- …of medical terminology. Previous experience as a medical claims examiner or auditor preferred. Experience with claim investigation, quality assurance ... An employer in the Irvine area is seeking a Claims Examiner II. This is a hybrid...working with excel In the job experience of EHR systems and medical insurance claims management softwares… more
- TEKsystems (Northridge, CA)
- Job Title: Claims Examiner Location: 8510 Balboa Blvd...Must-Have Skills + HMO Claims Processing + Claim Denials and Resubmissions + EZCap System ... the Role We are seeking a detail-oriented and experienced Claims Examiner to join our team in...system design, and managing special projects related to claim denials and auto-adjudication. You'll work under limited supervision… more
- MVP Health Care (Rochester, 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 ... improvement. To achieve this, we're looking for a Medical Claims Examiner to join #TeamMVP. This is...experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills… more
- OneMain Financial (Fort Worth, TX)
- Job Description ** Claims Examiner Intermediate** The Claims Examiner Intermediate is responsible for evaluating and processing claims on primarily ... line by performing all functions required to determine if the claim is or is not payable/deferred/or cancelled. This position provides correspondence… more
- TEKsystems (Los Angeles, CA)
- …Skills & Qualifications 5 years working knowledge of claims processing and system configuration, preferably EZCap or like systems in the healthcare system ... Urgently hiring a short term Claims Examiner /Processor for a well known...responsible for performing activities related to benefit analysis and system design, managing special projects, claim denials,… more
- JB Hunt Transport (Lowell, AR)
- **Job Title:** Claims Examiner II **Department:** Insurance **Country:** United States of America **State/Province:** Arkansas **City:** Lowell **Full/Part ... Company. Record and document vital information in Company information systems * Maintain a suspense system to...School (Required) **Work Experience:** Legal **Job Opening ID:** 00599177 Claims Examiner II (Evergreen) (Open) **_"This job… 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