- Cedars-Sinai (CA)
- **Job Description** The Claims Examiner is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures and ... throughout Los Angeles and beyond. **Req ID** : 11588 **Working Title** : Claims Examiner - Managed Care **Department** : MNS Managed Care **Business Entity** :… more
- ICW Group (Pleasanton, 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 ... conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage… more
- Sedgwick (Syracuse, NY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction | NY Licensing Preferred Job ... hybrid schedule** We are seeking a highly motivated and experienced Workers' Compensation Claims Adjuster/ Examiner to join our team. The ideal candidate will… more
- Sedgwick (Lansing, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Commercial Trucking | Remote Are you looking for an ... YOU AN IDEAL CANDIDATE?** If you have 5+ years of experience as a Claims Examiner working on Complex Commercial Bodily Injury Trucking Claims and would like… more
- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a Claims Examiner to join #TeamMVP. If you have a passion for medical ... of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess systems strongly… 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
- Raphael and Associates (Rutherford, NJ)
- …a fast-paced environment. We are currently growing and are looking for a TPA Property Claims Examiner with a minimum of five years of experience in this ... Senior Property Desk Examiner (remote) Company Overview: Raphael & Associates is...(remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company… 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 ... knowledge of claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most challenging cases, mentor junior staff, and… 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 ... correspondence to internal/external customers. **In the Role** + Evaluate claims against eligibility requirements, provisions and applicable processes. + Enter… more
- Sedgwick (Plano, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...AN IDEAL CANDIDATE?** To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication… more