- Sedgwick (Indianapolis, IN)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... Team Lead | Auto Liability Bodily Injury | Remote Are you looking for an opportunity to join...projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles… more
- Sedgwick (Fort Worth, TX)
- …training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a ... | Auto and General Liability | Nationwide Jurisdiction | Remote - Must Reside in Texas Are you looking...projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles… more
- Sedgwick (Carson City, NV)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Remote **PRIMARY PURPOSE** : To ... training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a… more
- Sedgwick (Sacramento, CA)
- …Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an opportunity to join a global industry leader where you ... needs. **ARE YOU AN IDEAL CANDIDATE?** Are you an experienced attorney or examiner with a strong background in insurance coverage analysis? We're seeking an… more
- Sedgwick (Norfolk, VA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | VA Jurisdiction | Remote **Are you looking for ... with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and… more
- Sedgwick (Rancho Cordova, CA)
- …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… more
- Sedgwick (New York, NY)
- …with management projects for the office. + Provides technical/jurisdictional direction to examiner reports on claims adjudication. + Compiles reviews and ... reserve amounts on high cost claims and claims over the authority of the individual examiner...health savings account, and other additional voluntary benefits._ \#LI-BP1 \# claims \#claimsexaminer \# remote \#LI- remote \#hybrid… more
- Molina Healthcare (Ann Arbor, MI)
- …to law enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of ... for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information from a tip, member benefits, and… more
- General Dynamics Information Technology (Fairfax, VA)
- …Trusted Third Party activities. **Roles and Responsibilities** + Reviews and analyzes medical claims to determine accuracy, completeness and compliance with ... reimbursement criteria. + Verifies the accuracy of diagnosis and procedure codes in claims data, ensuring alignment with medical policies and industry coding… more
- STG International (Rockville, MD)
- …hands-on component. May require ACLS training. May be required to have the Medical Examiner 's Certificate for Certified Driver License exams, Proof of annual ... District of Columbia (DC), Maryland or Virginia. The position is fully remote . Job Description: Federal Occupational Health's Medical Employability Program… more