- 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:** +… more
- Sedgwick (Topeka, KS)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner | General Liability BI | Captive | Remote As a ... Claims Examiner at Sedgwick, you'll have the...deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application… more
- Sedgwick (Roseville, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Roseville, CA - Hybrid ** Claims ... for some of the world's best brands? + Apply your workers compensation adjuster, examiner , etc. knowledge and experience to adjudicate complex customer claims in… more
- Sedgwick (Roseville, CA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation - Roseville, CA - Hybrid ** Claims ... **PRIMARY PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the interpretation of Hospital and Ancillary contracts, ... notice. Primary Responsibilities + Research and document pertinent information on claims requiring adjudication. Apply medical policy, contractual provisions,… more
- Amergis (Columbia, MD)
- …Amergis creates unmatched staffing experiences to deliver the best workforce solutions. The Claims Examiner Workers' Comp II monitors claims through ... aspects of assigned claims files + Escalates claims to Claims Examiner II...and we are happy to offer the following benefits: Medical /Prescription, Dental, Vision, Health Advocacy (company paid… more
- State of Montana (Helena, MT)
- …may be covered by a Voluntary Employee Beneficiary Association (VEBA) *JOB DUTIES:* As a Claims Examiner 2 in the call center you will: * Assist the public ... 15 days of military leave with full pay. * Health , dental, vision, life insurance coverage, flexible spending accounts,...the application process, please contact the HR office. **Title:** * Claims Examiner 2 - Temporary* **Location:** *Helena*… more
- Sedgwick (Glendale, CA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Compensation - Dedicated Account - Hybrid **PRIMARY ... properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state and… more
- International Medical Group (Indianapolis, IN)
- …hospital, and other insurance companies; initiating or conducting investigation of questionable claims . + Documents medical claims actions by completing ... values. QUALIFICATIONS + At least 1 year of prior medical claims processing experience OR willing to...SKILLS + Knowledge of ICD-10 + Knowledge of FDA Health and HIPAA Regulations PERKS + Quarterly performance bonus… more
- Sedgwick (Roseville, CA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Examiner | CA Jurisdiction Knowledge Required | Roseville, CA ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. **Skills &… more
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