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,...

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 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...

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...

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 OverviewAt University Health, we are seeking a skilled Medical Claims Examiner to join our team. This role involves performing adjudication of medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements. ResponsibilitiesAdjudicate medical claims accurately and efficientlyMaintain audit standards as defined by...

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...

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...

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...

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...

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 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,...

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 on complex claim issue resolutions. Work cooperatively with configuration...

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 on complex claim issue resolutions. Work cooperatively with configuration...

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 on complex claim issue resolutions. Work cooperatively with configuration...