- Sedgwick (San Antonio, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Auto/Bodily Injury **PRIMARY PURPOSE** : To analyze and ... process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of… more
- ADP (San Dimas, CA)
- ADP is hiring a ** Claims Lead Examiner ** . **_RESPONSIBILITIES:_** + Assist Claims Manager in monitoring the workers compensation program within the ... that could be problematic and take steps along with Claims Manager to take steps to develop processes to...bonus, equity or commissions. We offer the following benefits: Medical , Dental, Vision, Life Insurance, Matched Retirement Savings, Wellness… more
- Raphael and Associates (Rutherford, NJ)
- Liability Desk Examiner (remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company ... market and we tailor our services to our client's specific needs. As a claims organization, what we do is complex. Our mission is simple: to provide outstanding… more
- Prime Healthcare (Victorville, CA)
- …With Us! (https://careers-primehealthcare.icims.com/jobs/233387/ claims - examiner claims /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... Reimbursement + Many more Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/) Responsibilities Claims Examiner processes routine and non-routine … more
- Philadelphia Insurance Companies (Ewing, NJ)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Claims Examiner - SIU to join our team! Summary : Evaluate referred insurance claims ... potential insurance fraud. Conduct thorough investigations of suspect insurance claims and policy applications. Conduct insurance fraud investigations in accordance… more
- MetLife (Bloomfield, CT)
- …Evaluate claims to identify situations requiring referral to Senior Examiner . 6. Respond to written and/or telephone inquiries from policyholders, employers and ... new and ongoing Total and Permanent and Premium Waiver claims to determine if claim is payable in accordance...in accordance with policy provisions. Initiate investigations to obtain medical and vocational evidence required for approval of claim.… more
- Utilities Service, LLC (Willow Grove, PA)
- **Description** " **Corporate Claims Examiner ** **Job Type** :Exempt **Pay** : Salary **Benefits:** + Benefits Available and vary per position and location. ... **Essential Functions & Responsibilities:** + Handling and monitoring of claims ; worker's compensation, auto, and general liability. + Investigation, evaluation,… more
- Insight Global (Los Angeles, CA)
- …next steps need to be taken. * Assist with research to advise management on medical claims issues and assist with developing guidelines for use by the examiners ... evaluating whether certain types of claims may require review and other medical claims issues. * Work with legal counsel on cases as directed by Management.… more
- AIG (Atlanta, GA)
- Join us as a Senior Claims Adjuster to grow your experience in handling Federal Workers Compensation claims . Make your mark in Claims Our Claims teams ... and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported… more
- US Tech Solutions (Whittier, CA)
- **Duration: 3+ months contract** **Responsibilities:** + Review, adjudicate, and process medical claims for HMO patients + Work closely with affiliated ... medical groups and hospitals + Evaluate provider reimbursement terms...provider reimbursement terms and flag non-contracted providers + Ensure claims are processed accurately and timely per policy guidelines… more