- Prime Healthcare (Victorville, CA)
- …+ Many more Voluntary Benefit Options! (https://www.primehealthcare.com/careers/benefits/) Responsibilities Claims Examiner processes routine and non-routine ... Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf Connect With Us! (https://careers-primehealthcare.icims.com/jobs/233387/ claims - examiner claims… more
- OneMain Financial (Fort Worth, TX)
- ** Claims Examiner ** The Claims Examiner is responsible for evaluating and processing claims on primarily one business/product line by performing all ... correspondence to internal/external customers. **In the Role** + Evaluate claims against eligibility requirements, provisions and applicable processes. + Enter… more
- Amergis (Columbia, MD)
- …andinnovation, Amergis creates unmatched staffing experiences to deliver the bestworkforce solutions. The Claims Examiner Workers' Comp I monitors claims and ... per the TPA service agreement in consultation with the WC Manager + Coordinates claims with Claims Examiner III or designee in the event of litigation +… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims ... guidelines. **Essential Duties and Responsibilities:** + Reviews and adjudicates medical claims based on health policy provisions and established guidelines +… more
- MVP Health Care (Schenectady, NY)
- …requires innovative thinking and continuous improvement. To achieve this, we're looking for a Claims Examiner to join #TeamMVP. If you have a passion for medical ... of all provider, member and claim line information for all claims for which the examiner is responsible. + Knowledge of Facets and Macess systems strongly… 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...data specific dashboards to orchestrate evaluation and analysis of claims to meet department and company goals. + Monitor… more
- ICW Group (CA)
- …Learn more about why you want to be here! **PURPOSE OF THE JOB** The Senior Claims Examiner handles moderate to complex claims with a focus on providing ... conclusion within Company standards and best practice guidelines. The Senior Claims Examiner works with a sense of urgency, understands insurance coverage… more
- University of Southern California (Los Angeles, CA)
- USC Risk Management and Insurance is seeking a Senior Claims Examiner to join our team! The Opportunity: The Senior Claims Examiner conducts, documents, ... insurance claim management to the point of conclusion. The Senior Claims Examiner also engages with third-party administrators as needed, reviews and evaluates… more
- MTA (Brooklyn, NY)
- Claims Examiner Series - Law Job ID: 12387 Business Unit: MABSTOA Location: Brooklyn, NY, United States Regular/Temporary: Regular Department: Torts Date Posted: ... and four years of full-time experience investigating and settling liability claims ; or Senior Claim Examiner One (1) year of permanent service in the title of… more
- State of Massachusetts (Boston, MA)
- * Claims Examiner /Job Service Representative I| Department of Family & Medical Leave* The Program Integrity Claims Examiner /Job Service Representative I ... supporting processes within the Department of Family Medical Leave (DFML). The Claims Examiner /Job Service Representative I will review claims escalated by… more