- State of Wisconsin Division of Personnel Management (Madison, AL)
- …medical and legal terminology and hazardous duty disability (230.36) benefits. The examiner thoroughly investigates claims and makes a timely recommendation of ... prepares draft responses to applications for hearings on disputed claims for review by the claim 's supervisor...the ability to use the electronic Risk Management Information System . The examiner performs all aspects of… more
- The Jonus Group (Chicago, IL)
- We are seeking an experienced and detail-oriented Senior Claims Examiner specializing in Cyber, Technology, Media, and Crime claims . This role involves ... high-severity cases. Excellent negotiation, communication, and analytical skills. Proficiency in claims management systems and Microsoft Office Suite. Ability to… more
- Chubb (Chesapeake, VA)
- …of claims . Establish and monitor accurate reserves for each claim . Identify and pursue recovery opportunities where applicable. Comply with all statutory ... Together, let's shape a safer, more secure world. Overview: The Property Claims Adjuster is responsible for managing and resolving residential and commercial… more
- NTT DATA Services (Plano, TX)
- In this Role the candidate will be responsible for: Processing of Professional claim forms files by provider Reviewing the policies and benefits Comply with company ... Work independently to research, review and act on the claims Prioritize work and adjudicate claims as...applications using a keyboard, navigating multiple screens and computer systems , and learning new software tools High school diploma… more
- Guidewell (San Antonio, TX)
- …work experience. Claims examiner /adjudication experience on a computerized claims payment system in the healthcare industry. High school diploma or ... customized health plans. What is your impact? As a Claim Examiner , you will handle processing and...claims research where applicable and a range of claim complexity. What Will You Be Doing: The essential… more
- Chubb (Los Angeles, CA)
- …Recovery and Claims Ops Exercise leadership by conducting reviews of examiner and technical assistant work product and teamwork efforts to deliver well written, ... benefit/bill payment, coding, reserves, and inventory management and then impact of claims transactions on customers Advanced understanding of Claim Best… more
- TradeStation (Chicago, IL)
- …the playing field for self-directed investors and traders, empowering them to claim their individual financial edge. At TradeStation, we're continuously pushing the ... assess risk alerts and action timely to prevent fraud and misuse of the company systems and market access by customers Lead the collaboration efforts and system … more
- 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...experience required + Knowledge of CPT, HCPCS, ICD-9-CM coding systems and Medical terminology preferred. + Strong PC skills… more
- State of Montana (Helena, MT)
- …over the phone in the claim process, utilizing the external customer oriented online claims system to file the claim . * Explain the rights and ... 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… 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
