Claims Examiner

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 High school diploma or GED equivalent is required....

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 High school diploma or GED equivalent is required....

**Salary** - $66,776.32 - $80,633.28 Annually**Location** - San Jose Metropolitan Area, CA**Job Type** - Full-Time**Job Number** - 24-D4M-A**Department** - Valley Health Plan**Opening Date** - 04/19/2024**Closing Date** - 5/3/2024 11:59 PM Pacific**Bargaining Unit** - 02**Description**: Under general supervision, to examine and process medical claims...

Job DescriptionJob DescriptionYou can make a difference in the San Francisco community. San Francisco Health Plan is seeking a full-time Claims Examiner. The Claims Examiner is responsible for claims processing, adjudication, and research. In addition, this position keeps current on claim processing procedures, produces a quality and timely work product, and...

Overview: Administer indemnity claims and handle complex claim issues. Use strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine claims without legal representation. Keenan, an Accretive company, is an insurance brokerage and consulting firm meeting the insurance needs of hospitals, public...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration in...

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create...

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing crea Worker, Compensation, Claims, Examiner, Triage, Benefits, Healthcare

Put your Insurance Experience to work – FROM HOME! At WAHVE, we value significant insurance experience and want to revolutionize the way people think about phasing into retirement by offering qualified candidates the opportunity to continue their career working from home. As we say – retire from the office but not from work . Our unique platform provides...

Are you looking for more than just a job? Do you want to have a voice and feel a sense of belonging? At ICW Group, we hire innovative people who consistently adapt, grow and deliver. We believe in hard work, a fun work environment, and embracing creativity that only comes about when talented people collaborate to develop solutions. Our mission is to create...

**WHAT WE'RE LOOKING FOR** Upon successful completion of the Claims Training program, the Claims Adjuster Trainee will be responsible for management of a caseload of workers compensation claims from inception to resolution. Responsibilities include initial investigation and analysis, strategic planning, management of medical care and legal process, and...

WHAT WE'RE LOOKING FOR Are you searching for a unique opportunity that offers exceptional training and career growth with a dynamic and growing organization? Are you a Spanish speaker looking to apply those skills in a professional environment? Berkshire Hathaway Homestate Companies is searching for bright individuals looking to begin a challenging, yet...

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...

Status: Open Union Code: - Profession: Non-Clinical - Finance/Accounting Specialty: Claims Processor Unit: Claims Examiner/ 110-85300 Shift: Day 5x8-Hour (07:00 - 15:30) Block Schedules: No Start Date: 05/06/2024 Job Duration: 13 # of Positions: 1 Non-Bill. Orientation: Job ID: 2475029 Account Manager: Brittney Clark Email: Brittney.Clark@ayahealthcare.com ...

Qualifications: Investigate, analyze and settle recovery/subrogation and/or liability and property damage claims filed by or against the Company within prescribed monetary limits. Respond to highly sensitive situations, which may involve severe injuries and/or fatalities. Act as a witness at court hearings on behalf of the...

Qualifications: Investigate, analyze and settle recovery/subrogation and/or liability and property damage claims filed by or against the Company within prescribed monetary limits. Respond to highly sensitive situations, which may involve severe injuries and/or fatalities. Act as a witness at court hearings on behalf of the Company....

On-Board Administrative is hiring aClaims Analyst For immediate consideration please send your resume to resumes@onboardusa.com Subject Line: Position Title and State you areLocated About Us: On-Board Services, Incorporated is an on-site contract service provider for a local manufacturing entity providing full time positions to our employees. We offer...

Date Posted: 04/22/2024 Hiring Organization: Rose International Position Number: 462737 Job Title: Claims Analyst Job Location: San Diego, CA, USA, 92123 Work Model: Hybrid Shift: Mondays and Fridays are remote workdays; Tuesday, Wednesday, and Thursdays are in office days Employment Type: Temporary Estimated Duration (In months): 13 Min Hourly Rate ($):...

Date Posted: 04/22/2024 Hiring Organization: Rose International Position Number: 462737 Job Title: Claims Analyst Job Location: San Diego, CA, USA, 92123 Work Model: Hybrid Shift: Mondays and Fridays are remote workdays; Tuesday, Wednesday, and Thursdays are in office days Employment Type: Temporary Estimated Duration (In months): 13 Min...

Job Title: Claims Analyst Location: San Diego, CA 92123 (Hybrid) Duration: Payrate: 12+ Months $36/hr. on w2 without benefits Job Description: Qualifications: Investigate, analyze and settle recovery/subrogation and/or liability and property damage claims filed by or against the Company within prescribed monetary limits. Respond to highly sensitive...