Medical Claims Examiner III

We are seeking a highly skilled Senior Claims Examiner to join our team at TheBest Claims Solutions in Long Beach, California. This is an exciting opportunity for a seasoned professional with extensive experience in handling complex workers' compensation claims.About the Job:The ideal candidate will have 3+ years of experience in managing workers'...

Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Long Beach Office to work on a remote basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Required Qualifications:3+ years of experience handling Workers' Compensation claims in California.Ability to negotiate settlement of claims...

Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Long Beach Office to work on a remote basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Is this your next job Read the full description below to find out, and do not hesitate to make an application.Required Qualifications:3+ years...

POSITION: Commercial Auto, GL & Property Claims Examiner III (It is complex auto and general liability property damage and bodily injury claims, subrogation/recoveries, and first-party property claims desk) FULLTIME LOCATION: West Palm Beach, FL SCHEDULE: Monday-Friday  PAY RANGE: $85K-95K/yr. (Exact compensation may vary based on skills, experience, and...

Description:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...

Scroll down to find the complete details of the job offer, including experience required and associated duties and tasks. Description:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of...

Description:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...

We are seeking an experienced Insurance Claims Examiner to join our team at Wellington Regional Medical Center in Wellington, Florida.The estimated annual salary for this position is $55,000-$65,000 depending on experience. Job Description:The Insurance Claims Examiner will be responsible for verifying patient demographic, medical and financial information...

About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Our mission is to help our clients protect their brand, minimize business interruptions, and provide exceptional customer experiences. Job Description: Claims Team Lead - Workers CompensationPrimary Responsibilities:Supervise multiple...

About UsThe Children's Clinic dba TCC Family Health is a unique leader in the greater Long Beach community, addressing disparities in health by providing quality care for the under-served of all ages. We offer a comprehensive range of healthcare services, including well-child visits, acute and chronic care, adult clinic, community outreach and education,...

We are currently hiring for a Claims Customer Service Advocate III to join BlueCross BlueShield of South Carolina. In this role as a Claims Customer Service Advocate III, you will provide prompt, accurate, thorough, and courteous responses to all com Customer Service, Claims, Advocate, Service, Processing, Retail, Healthcare, Customer

Job DescriptionCompany OverviewAdvanced Medical Manage is a leading healthcare management company seeking an experienced Healthcare Claims Processing Lead to join our team.Estimated Salary:$80,000 - $110,000 per yearJob SummaryWe are looking for a skilled and detail-oriented Healthcare Claims Processing Lead to oversee the claims processing workflow and...

Job OverviewThe Medical Claims Review Specialist will be responsible for reviewing facility claims to ensure compliance with medical necessity and billing standards. This role involves conducting retrospective utilization reviews, preparing cases for medical director oversight, and ensuring adherence to regulatory and accreditation requirements.Key...

Description:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...

Job DescriptionJob DescriptionPOSITION SUMMARY Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits. Works closely with all departments necessary to ensure that processes, programs and services are accomplished in a timely and efficient manner in accordance with AMM policies and procedures and in compliance...

*Schedule:* During training 8Am -5PM but once trained can arrive at 7AM.The schedule would be On-site Monday thru Friday.• Monday, Tuesday, and Thursday 8:30AM to 5:00PM (with 30 min lunch).• Wednesday and Friday 7:30AM to 4:00PM (with 30 min lunch).• 7.5 hours a day, up to 8 hours and some OT (if needed) based on the business need, and how quickly the...

About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Our purpose is to take care of people, and we strive to make a positive impact on the world through the people and organizations we serve.Job DescriptionWe are seeking a skilled Compensation Claims Adjudicator to join our team. As a...

Description: Remote - Candidate has to be in CA. Min 5 years of CA claims handling experience is mandatory. SIP is preferred. PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of...

Claims Casualty AdjusterJob SummaryThe Claims Senior Casualty Adjuster handles moderate to high complexity claims involving material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage...

Job SummaryWe are seeking a Claims Resolution Specialist to join our team at TAJ Technologies Inc. This role is responsible for analyzing and resolving workers' compensation claims, ensuring compliance with company standards and industry best practices.About the RoleThis position involves managing workers' compensation claims from start to finish,...