Medical Claims Examiner Trainee

Responsibilities:Want to apply Read all the information about this position below, then hit the apply button.* Learn to request information to complete or review claims using standard procedures and letters, and asks questions as needed.* Must demonstrate ability to learn and grow with continuous improvement and ability to increase average daily claim...

Overview: Health Insurance Medical Claims Examiner (Initial Training on Site - 30 days - Remote after training) Must live within a reasonable commuting distance of Clearwater, FL Monday-Friday Schedule with daytime hours Responsibilities: Summary: The Medical Claims Examiner adjudicates medical claims based on health policy provisions and established...

Serving the insurance industry for nearly seven decades, Network Adjusters has built a reputation as a leading provider of insurance claims administration. From our offices in New York, Denver, and Kentucky we help our clients navigate complex and impactful insurance claims in a variety of industries, including transportation, elevator, ocean marine,...

Responsibilities:Parameters of the provider's contract obligations.Audit claims processing quality, develops, maintains and runs standard reportsAssist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and procedural)Coordinating with various departments to resolve disputes or issuesMaintain the Claims department...

Sr. Disability Claims Examiner Work Mode:Hybrid Location:Hybrid - Kohler, WIOpportunityThe Sr. Disability Claims Examiner is responsible for evaluating and authorizing (or denying) associate short-term and long-term disability claims, Family Medical Leaves and other Kohler Co. Paid Leaves. The position is also responsible for communication with associates...

CampusPoint is a leading provider of employer benefit plans, dedicated to delivering innovative solutions for our clients.We are seeking a skilled Medical Administrative Assistant to join our Claims Department, working on a temporary basis from ASAP into early 2025. This role offers an estimated salary of $45,000 - $55,000 per annum, depending on...

Personal Injury Protection Claims Examiner – Melville, NY Salary: $28.29 per hour / $57,000 annually What sets GEICO apart from our competition? One key factor is our ability to provide outstanding customer service during the insurance claims process. We are looking for Personal Injury Protection (PIP) Claims Examiners in our Melville, NY office to deliver...

Examination Role for Nurse PractitionerWe are seeking a skilled Nurse Practitioner to conduct medical examinations related to Veteran’s disability claims in Denton, TX. This is a full-time position requiring a male candidate.Key Responsibilities:Reviewing medical histories and conducting abstracted reviewsProviding examinations to support timely receipt of...

Associate Bond Claims Examiner Apply locations: California - Los Angeles Time type: Full time Posted on: Posted 30+ Days Ago Job requisition id: 2024-896 Claims Examiner Los Angeles, CA - On-site Tokio Marine HCC – Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site...

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...

Position Description The Provider Dispute Resolution Claims Examiner is responsible for: – The accurate analysis and resolution determination of Provider Disputes from all sources.– Assist in the resolution of eligibility, benefit, contracting, and payment schedule issues.– Handle and document resolution to escalated telephone and written appeals.–...

Job Summary: The PACE Claims Examiner/Data Specialist is responsible for processing professional and hospital capitated full risk claims in accordance with the individual provider contract and Medicare and Medi-Cal billing guidelines and processes claims. Initiates check run and performs standard reporting and ensuring audit readiness. Downloads and uploads...

At ICM Claims, we look for the best and brightest talent to join our team of professionals. We're united by a common purpose of delivering exceptional claim handling.Reasons you should consider a career with ICM Claims:Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and...

Our client, one of the Leading Workers' Compensation Claims Organizations, is seeking to add a remote Senior Workers' Compensation Claims Specialist to their Nevada team. This person would be responsible for handling lost time workers' compensation claims from inception to close. Required Qualifications: 2+ years of Workers' Compensation Claims...

Our client, one of the Leading Workers' Compensation Claims Organizations, is seeking to add a remote Senior Workers' Compensation Claims Specialist to their Nevada team. This person would be responsible for handling lost time workers' compensation claims from inception to close. If you are considering sending an application, make sure to hit the apply...

Our client, an A+ rated insurance carrier, is looking to add a Commercial Liability Claims Adjuster to their staff. This is a remote position that requires 5+ years of commercial claims handling experience. Medical, Dental, and Vision coverage 10% STI Bonus 401(k) and company match Generous paid time off (PTO), paid company holidays, paid maternity/paternity...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It's an opportunity to do something meaningful, each and every day. It's having support for your...

Now hiring a Nursing Assistant Trainee in Mercer, Pennsylvania. The Nursing Assistant Trainee under the direct supervision of the Nursing Assistant Instructor performs assigned tasks to meet the basic resident care needs. In addition, the Nursing Assistant Trainee performs non-resident related activities to ensure the effective operations of the nursing...

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for...

Casualty Claims Examiner – Lakeland, FLSalary Range: $51,000K - $95,000K commensurate with experience and location/job marketHybrid structure: Work schedule is 4 days in-office/month Training Schedule (4 – 6 weeks): Monday – Friday, 8am – 4:30pm; 4 days in office/1 day remote Work Schedule: Monday – Friday, 8:00am – 4:30pm; 4 days in...