Examiner Claims

About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing General Liability claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.Key...

About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing low-mid level General Liability claims on behalf of our valued clients. Your primary goal will be to determine benefits due while ensuring ongoing adjudication of claims within service expectations,...

Optum Job DescriptionAt Optum, we deliver care and technology to help millions of people live healthier lives. We're seeking a Senior Claims Examiner to join our team in reviewing, analyzing, and researching complex health care claims. As a Senior Claims Examiner, you will be responsible for identifying discrepancies, verifying pricing, confirming prior...

Job SummaryAt University Health, we are seeking a skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for the adjudication of medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements. Your expertise in claim processing and billing will ensure that our patients...

Job SummaryAt University Health, we are seeking a skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for the adjudication of medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements.ResponsibilitiesPerform adjudication of medical claims for Medicaid,...

Job SummaryOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and...

Job Title: Medical Claims ExaminerJob Summary:TRIAD is seeking a highly skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for accurately processing health plan delegated claims, addressing provider inquiries, and handling various administrative tasks within the department.Key Responsibilities:Process...

About the RoleUSAA is seeking a highly skilled Injury Examiner to join our team. As a dedicated professional, you will be responsible for adjusting complex bodily injury claims and UIM claims, ensuring timely and accurate resolution of claims in compliance with state laws and regulations.Key ResponsibilitiesAdjusts complex bodily injury claims with...

Claims Analyst OpportunityTPS Group LLC is seeking a skilled Claims Analyst to support their public utilities and energy client. The ideal candidate will have experience in claims investigation, liability analysis, and case management.Key Responsibilities:Investigate and analyze recovery/subrogation and/or liability and property damage claims.Adjust and...

POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by the Department. EDUCATION/EXPERIENCE A high school diploma or GED equivalent is...

Job SummaryWe are seeking a highly skilled Field Claims Examiner to join our team at CCMS & Associates. As a Field Claims Examiner, you will be responsible for investigating claims, inspecting damages, and recommending claim reserves based on thorough investigations.Key Responsibilities:Conduct thorough investigations of claims, including inspecting damages...

Reporting to the Manager, Claims, the Claims Examiner is responsible for claims processing, adjudication, and research. You will stay current on claim processing procedures, produce a quality work product, and assist Claims Management with special projects. You will have claims processing experience with the ability to maintain high qualitative and...

POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by the Department. EDUCATION/EXPERIENCE A high school diploma or GED equivalent is...

SWBC is seeking a talented individual to review and evaluate incoming claims for payment or denial and acts as a liaison for the carrier and the financial institution. This role allows you to help those who are dealing with difficult circumstances in their lives. Your help gives them a sense of relief in times of need. You will also have a team who is...

Job SummaryWe are seeking a skilled Insurance Claims Examiner to join our team at Progressive Insurance. As a Claims Adjuster, you will be responsible for managing claims, including the injury portion, and ensuring a swift resolution.Key ResponsibilitiesMaking coverage decisions that determine the extent of Progressive's liabilityGathering details through...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

Claims Adjudicator for Argo GroupWe're seeking a highly skilled Workers' Compensation Claims Adjudicator to join our team at Argo Group. As a Claims Adjudicator, you will be responsible for adjudicating indemnity workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.Key Responsibilities:Adjudicate...

Job Title: Workers Compensation Claims ExaminerJob Summary:Mary Kraft HR is seeking an experienced Workers Compensation Claims Examiner to analyze complex or technically difficult workers' compensation claims. The role involves managing high-exposure claims, including those with litigation and rehabilitation, ensuring adherence to industry best practices,...

KellyMitchell Group is seeking a skilled Claims Analyst to join their team in San Diego, California. The ideal candidate will have a strong background in claims investigation, liability analysis, and case management. Key responsibilities include: * Investigating and analyzing recovery and liability claims * Adjusting and settling claims as necessary *...