- Sedgwick (Dublin, OH)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... with management projects for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles, reviews, and analyzes… more
- Robert Half (Los Angeles, CA)
- …you will oversee the management of workers' compensation lost time claims , ensuring compliance with statutory regulations and delivering exceptional customer service ... throughout the claims process. This is a Long-term Contract position requiring...handling. Requirements - Proven experience as a lost time examiner or in a similar role handling workers' compensation… more
- Molina Healthcare (Bellevue, NE)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... resolution within 30 days of error issuance. Evaluates the adjudication of claims using standard principles and state specific policies and regulations in order… more
- Sedgwick (Austin, TX)
- …Services & Insurance OSS Coordinator PRIMARY PURPOSE : To support and maintain the claims management system for a local office or multiple office locations; and to ... policies within assigned group. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Completes examiner update reports, claim adjustments, provider requests and operational… more
- Molina Healthcare (Phoenix, AZ)
- …to law enforcement or for payment recovery. KNOWLEDGE/SKILLS/ABILITIES Reviews post pay claims with corresponding medical records to determine accuracy of claims ... of experience working in the group health business preferred, particularly within claims processing or operations. A demonstrated working knowledge of Local, State &… more
- Centene Corporation (Frankfort, KY)
- …teams as needed. Supports the provider escalation project team to resolve claims and payment issues. Identifies root-cause issues to ensure enterprise solutions and ... best practice and quality standards. Applies a comprehensive knowledge of claims processing, provider customer service and payment knowledge to escalated provider… more
- Molina Healthcare (Louisville, KY)
- …abuse, and over utilization by providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare ... Preferred Experience Healthcare Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Examiner (AHFI) and/or Certified Fraud Examiner (CFE) preferred. To… more
- MTA (Brooklyn, NY)
- Claims Examiner Series - Law Job ID: 12387 Business Unit: MABSTOA Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: Torts Date Posted: ... and four years of full-time experience investigating and settling liability claims ; or Senior Claim Examiner One (1) year of permanent service in the title of… more
- Adecco US, Inc. (Washington, DC)
- Adecco is assisting a local client recruiting for ** Claims Examiner Workers Compensation** opportunities in **Remote** . This is an excellent opportunity to join ... in the door with a Company that inserts company selling points. If ** Claims Examiner Workers Compensation** sounds like something you would be interested in, and… more
- Kelly Services (Rancho Cucamonga, CA)
- …your lifestyle isn't always easy.** That's where Kelly(R) comes in. We're seeking a ** Claims Examiner - Workers Compensation** to work remotely within CA. Sound ... **Pay Rate:** $49.07 per hour **Why you should apply to be a** ** Claims Examiner - Workers Compensation** **:** + Competitive pay rate. + Opportunity to work… more
