• Liability Litigation Claims Examiner

    Sedgwick (Cincinnati, OH)
    …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Litigation Claims Examiner | Litigation Experience Required Are you looking for an ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
    Sedgwick (04/19/25)
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  • Claims Examiner - Bodily Injury

    Sedgwick (Seven Hills, OH)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - 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 damages.… more
    Sedgwick (05/09/25)
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  • Claims Examiner - Bodily Injury

    Sedgwick (Seven Hills, OH)
    …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - 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
    Sedgwick (05/07/25)
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  • Claims Examiner

    Intermountain Health (Columbus, OH)
    **Job Description:** The Claims Examiner I is responsible for inbound calls from providers and health plans and adjudicates physician claims , in a timely and ... to and supports the corporation's quality improvement efforts. Processes medical claims (CPT, ICD, and Revenue Coding) at production standards, including timely… more
    Intermountain Health (05/08/25)
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  • Specialist, Claims Recovery

    Molina Healthcare (Cleveland, OH)
    …or GED **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : + 1-3 years' experience in claims adjudication, Claims Examiner II, or other relevant work ... **Job Summary** Responsible for reviewing Medicaid, Medicare, and Marketplace claims for overpayments; researching claim payment guidelines, billing guidelines,… more
    Molina Healthcare (05/10/25)
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  • Claims Team Lead - Liability (GL, Lit, BI…

    Sedgwick (Dayton, 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… more
    Sedgwick (04/26/25)
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  • Absence Management Team Lead

    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… more
    Sedgwick (03/27/25)
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  • Director Complex Claims

    Sedgwick (Toledo, OH)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations ... Bachelor's degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI), or Certified… more
    Sedgwick (05/08/25)
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  • OSS Coordinator

    Sedgwick (Dayton, OH)
    …Suite 100, Austin, TX 78758.** **PRIMARY PURPOSE** : To support and maintain the claims management system for a local office or multiple office locations; and to ... within assigned group. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Completes examiner update reports, claim adjustments, provider requests and operational expense… more
    Sedgwick (04/04/25)
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  • Estimate Review Specialist Sr. (Repair Solutions)

    Sedgwick (Toledo, OH)
    …Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing ... to advance to the next round, a recruiter will be in touch. \#claimsexaminer # claims _As required by law, Sedgwick provides a reasonable range of compensation for… more
    Sedgwick (04/24/25)
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