Claims Examiner

About the RoleCrawford & Company is seeking a highly skilled Senior Claims Examiner to join our team. As a Senior Claims Examiner, you will be responsible for investigating and settling complex claims, working closely with our clients and stakeholders to ensure timely and equitable resolutions.Key ResponsibilitiesInvestigate and settle advanced, large loss,...

Job Title: Workers' Compensation Claims ExaminerLocation: Fully RemoteJob Summary:ALOIS Solutions is seeking a skilled Workers' Compensation Claims Examiner to join our team. As a key member of our claims management team, you will be responsible for analyzing complex workers' compensation claims, negotiating settlements, and ensuring timely and...

Job SummaryWe are seeking a highly skilled Senior Claims Examiner to join our team at AssuredPartners. As a Senior Claims Examiner, you will be responsible for administering indemnity claims and handling complex claim issues. You will use your strong litigation management experience, lien resolution abilities, and customer service skills to resolve routine...

About the Role:CommonSpirit Health is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in ensuring the accuracy and efficiency of our claims processing operations.Key Responsibilities:Review and adjudicate medical claims in accordance with regulatory requirements, internal standards, and contractual...

About Our OrganizationSERVPRO Global DRT is a leading provider of emergency and reconstruction services. We offer best-in-class solutions to handle complex claims and reconstruction needs 24/7.Job SummaryWe are seeking a highly skilled Property Insurance Claims Examiner to join our Estimating Department. As a key member of our team, you will be responsible...

Job Title: Claims AdjusterJob ID: 80354Rate: $45-$48/hr w2Job Summary: As a Claims Adjuster, you will investigate, analyze, and determine the extent of insurance company's responsibility for lost wages, medical benefits, and permanent impairment.Key Responsibilities:Analyze first reports to determine the nature of loss, coverage provided, and scope of...

Claims Adjuster Job DescriptionWe're seeking an experienced Claims Adjuster to join our team at The Accident Pros in California.About the Role:Investigate and evaluate insurance claims to determine liability and negotiate settlements.Communicate with policyholders, claimants, and attorneys to resolve claims efficiently.Work in a dynamic and innovative...

About the RoleSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. We're seeking a driven individual to join our team as a Liability Litigation Claims Examiner.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve timely and appropriate resolutions.Negotiate...

Job SummaryWe are seeking a highly skilled Medical Claim Analyst to join our team at Crawford & Company. As a Medical Claim Analyst, you will be responsible for processing medical only claims, approving payments and claimant reimbursements, and verifying medical information.Key ResponsibilitiesProcess medical only claims within authority, up to $3,500.Verify...

Senior General Liability Claims Examiner Property & Casualty Insurance IndustryNYCExamine, adjust and defend, general liability claims and lawsuits filed against insureds towards an amicable resolution, where possible. This includes reviewing the terms, conditions and exclusions of the insurance policy to determine whether or not the claim presented is...

About CCMSICCMSI is a leading Third Party Administrator in self-insurance services, dedicated to delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Our employee satisfaction and retention ranks in...

Job Title: Senior Claims Examiner, E&SWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team at Arch Insurance Group Inc. This role involves actively handling and managing an Excess casualty caseload, requiring strong analytical and problem-solving skills.Key Responsibilities:Identify and assess coverage issues, draft coverage...

WellMed is part of OptumCare, a division under the greater UnitedHealthcare Group umbrella. We have a network of doctors, specialists and other medical professionals that specialize in providing the highest level of medical care for more than 1 million older adults with over 16,000 doctors’ offices in Texas and Florida.  We’re growing, and we are...

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,...

Job SummaryWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team. As a key member of our Claims Division, you will be responsible for actively handling and managing an excess casualty caseload, identifying and assessing coverage issues, and developing strategies to resolve matters of liability and damages.Key...

Job SummaryWe are seeking a highly skilled Medical Claims Technician to join our team at Red Rock Behavioral Health Services. As a Medical Claims Technician, you will be responsible for researching insurance claim denials, determining the validity of the claim, and adjusting and resubmitting claims via multiple methods.Key ResponsibilitiesConduct thorough...

About the RoleWe are seeking a highly skilled Senior Claims Examiner to join our Excess Casualty Team at Arch Capital Group. As a key member of our Claims Division, you will be responsible for actively handling and managing an Excess casualty caseload.Key ResponsibilitiesIdentify and assess coverage issues, draft coverage position letters, and retain...

Job SummaryWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team. As a key member of our Claims Division, you will be responsible for actively handling and managing an excess casualty caseload.Key ResponsibilitiesIdentify and assess coverage issues, draft coverage position letters, and retain coverage counsel when...

CompSource Mutual Insurance Company: A Leader in Workers Compensation InsuranceWe are seeking a skilled Claims Adjuster I to join our team in Oklahoma City or Tulsa. As a Claims Adjuster, you will play a critical role in ensuring timely and accurate data management, while providing exceptional service to our policyholders.About the Role:Manage and analyze...

Remote Claims Processing AssociateNTT DATA's Client is seeking a skilled Remote Claims Processing Associate to join their team!Key Responsibilities:Process professional and hospital claim forms files by providerReview policies and benefitsComply with company regulations regarding HIPAA, confidentiality, and PHIAbide by timelines to complete compliance...