Claims Examiner
4 weeks ago
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. Two or more years of experience claim processing and/or billing experience required. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred. Knowledge of ICD-9, CPT 4 coding and medical terminology is required.
-
Claims Examiner
3 weeks ago
San Antonio, United States Davis Law Firm Full time $16Job description:Bilingual Claims ExaminerDavis Law Firm welcomes your application - Join the 4’s Today!*Join our team of highly skilled and experienced legal professionals!*We offer competitive salaries and benefit packages!*We come together for fun team building events and volunteer/outreach throughout our Texas communities!*Help transform our clients’...
-
Claims Examiner
1 week ago
San Antonio, United States University Health Full timePOSITION 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....
-
Vhp Claims Examiner
1 month ago
San Jose, United States The County of Santa Clara Full time**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...
-
Claims Examiner
1 week ago
San Francisco, United States San Francisco Health Plan Full timeJob 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...
-
Claims Examiner
8 hours ago
San Francisco, United States San Francisco Health Plan Full timeJob 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...
-
Claims Examiner or Senior Claims Examiner
1 week ago
San Jose, United States AssuredPartners Full timeOverview: 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...
-
Claims Examiner or Senior Claims Examiner
24 hours ago
San Jose, United States AssuredPartners Full timeOverview: 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...
-
Claims Analyst
3 weeks ago
San Antonio, United States University Health Full timePOSITION 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...
-
Workers' Compensation Claims Examiner
1 week ago
San Diego, United States Insurance Company of the West Full timeAre 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...
-
Workers' Compensation Claims Examiner
4 weeks ago
San Diego, United States ICW Group Insurance Companies Full timeAre 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
-
Claims Adjuster
5 days ago
San Antonio, United States WAHVE LLC Full timePut 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...
-
Claims Intake
2 weeks ago
San Antonio, United States Davis Law Firm Full time $16Job description:Bilingual Claims ExaminerDavis Law Firm welcomes your application - Join the 4’s Today!Join our team of highly skilled and experienced legal professionals!We offer competitive salaries and benefit packages!We come together for fun team building events and volunteer/outreach throughout our Texas communities!Help transform our clients’...
-
San Diego, United States King's Insurance Staffing Full timeOur client has been experiencing continued growth and seeking to add (2) Senior Auto Liability/Bodily Injury Claims Examiners for their Maryland office. This person would be responsible for handling moderate to complex Auto Liability and Bodily Injury claims for losses throughout the Mid-Atlantic region. Responsibilities of this position include...
-
Medical Only Claims Examiner I
5 days ago
San Diego, United States Insurance Company of the West Full timeAre 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...
-
Claims Examiner
2 weeks ago
San Diego, United States Berkshire Hathaway Homestate Companies Full time**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...
-
Claims Examiner
3 days ago
San Diego, United States Berkshire Hathaway Homestate Companies Full timeWHAT 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...
-
Claims Examiner
6 days ago
San Diego, United States Berkshire Hathaway Homestate Companies Full timeWHAT 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...
-
Claims Examiner
22 hours ago
San Diego, United States Berkshire Hathaway Homestate Companies Full timeWHAT 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...
-
San Diego, United States Sedgwick Claims Management Services, Inc. Full timeTaking 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...
-
San Diego, United States Sedgwick Claims Management Services, Inc. Full timeTaking 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...