- Robert Half Office Team (New Haven, CT)
- …statutory medical and indemnity benefits promptly throughout the duration of the claim . * Set and adjust reserves for medical , indemnity, and expenses within ... Description We are looking for a skilled Claims Examiner specializing in lost time workers' compensation...facts, taking statements, and reviewing policy details to assess claim validity. * Evaluate claim compensability based… more
- State of Minnesota (St. Paul, MN)
- …claims management specialist, you will administer and manage workers' compensation claims by applying the compensation, rehabilitation, and medical provisions ... claims management for a self-insured employer, third party claim administrator, an insurance carrier, governmental employer, or similar environment. Workers'… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical ... Claims Examiner adjudicates medical claims based on health policy provisions and established guidelines. **Essential Duties and Responsibilities:** + Reviews… more
- Sedgwick (Naperville, IL)
- …properly documented, and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim ...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (Phoenix, AZ)
- …FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | Auto NF, PIP, MP | Remote...auto policies, coverage's, principles, and laws + Knowledge of medical terminology for claim evaluation and Medicare… more
- Sedgwick (Irving, TX)
- …properly documented, and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and ... claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim ...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. Sedgwick is… more
- Walmart (Bentonville, AR)
- …caseload of up to 140 **low complexity** workers' compensation or general liability claims . + Secure and review initial claim reports, gather information, facts, ... claims ; Escalate claims to the Claims Manager if claim value exceeds reserve...medical treatment or damages. + Negotiate and resolve claims with associates and customers. + Issue settlement payments… more
- NTT DATA North America (MO)
- …methodology/ fee schedule/ **Required Skills for this role include:** + 2+ year(s) of Medical Claims experience + 2+ year(s) using a computer with Windows ... **Job Title** : Medial Claims Processor **Industry** : Healthcare **FSLA status** :...be responsible for:** + Processing of Professional and Hospital claim forms files by provider + Reviewing the policies… more
- NTT DATA North America (Plano, TX)
- …and for the people who work here. NTT DATA is seeking to hire a **Remote Claims Processing Associate** to work for our end client and their team. **NOTE** : This is ... candidate will be responsible for:** + Processing of Professional claim forms files by provider + Reviewing the policies...Work independently to research, review and act on the claims + Prioritize work and adjudicate claims … more
- ICW Group (Sacramento, CA)
- …technical claims management, and support functions with organizational goals for claims performance. + Drive initiatives that improve claim outcomes through ... to be here! **JOB** **SUMMARY** The Senior Manager of Claims is responsible for leading strategic initiatives that ensure...operational activities. + Partner with senior leadership to resolve claim issues and trends related to legal/ medical … more