Medical Claims Examiner

Job SummaryWe are seeking a skilled Claims Associate to join our team at Sedgwick Claims Management Services. As a Claims Associate, you will be responsible for analyzing low-level Workers Compensation / Medical-Only claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations,...

About the Role:Sedgwick is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing mid-level Workers Compensation claims on behalf of our valued clients. Your goal will be to determine benefits due while ensuring ongoing adjudication of claims within service expectations, industry best...

At Sedgwick, we're committed to taking care of people, and that starts with taking care of our colleagues.As a Claims Examiner - Liability / Litigation Specialist, you'll play a critical role in analyzing complex, litigated commercial General Liability / Bodily Injury claims on behalf of our valued clients.With a focus on empathy, accountability,...

Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions.We are seeking a Claims Examiner - Global Risk Advisor to join our team.The ideal candidate will have a strong background in claims management and experience working with commercial general liability and bodily injury claims.This role will involve...

Job SummaryWe are seeking a highly skilled Medical Insurance Claims Specialist to join our team at Steinberg Diagnostic Medical Imaging. As a Medical Insurance Claims Specialist, you will be responsible for following up on claims submitted to insurance companies, processing explanations of payments received from insurance companies and patients, and working...

Job SummaryCorVel Corporation is seeking a skilled Claims Assistant to support our claims staff in the set-up and administration of workers' compensation claims and case management. This is a hybrid position that requires excellent communication and organizational skills.Key ResponsibilitiesSet up new claims and process mail, handle files, and input...

At Sedgwick, we're committed to providing exceptional care to our clients and their customers. As a Medical Claims Processor, you'll play a vital role in ensuring that complex claims are handled efficiently and effectively.Key Responsibilities:Analyze highly complex, litigated, commercial General Liability / Bodily Injury claims to determine benefits...

Job SummaryWe are seeking a highly skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for compiling, verifying, and sorting information from medical provider bills to prepare source data for computer entry. You will review data for deficiencies or errors, correct incompatibilities, and review output....

The Claims Assistant - Risk Management Specialist will provide support to the claims staff in the set-up and administration of workers' compensation claims and case management. This role will also assist with various tasks as needed, ensuring the efficient processing of claims and excellent customer service.This is a hybrid position that requires strong...

Job OverviewWe are seeking a highly skilled Medical Biller to join our team at SNOHC. As a Medical Biller, you will play a crucial role in ensuring accurate and timely processing of medical claims, maintaining excellent customer service, and collaborating with healthcare professionals to resolve billing inquiries.Key ResponsibilitiesProcess and manage...

Job SummaryWe are seeking a highly skilled Claims Manager to join our team at Shook and Stone CHTD. As a key member of our legal team, you will play a crucial role in managing and overseeing all aspects of workers' compensation claims for our clients.Key ResponsibilitiesManage a caseload of workers' compensation claims, ensuring all documentation is accurate...

Claims SpecialistMoveDocs is seeking a highly motivated and detail-oriented Claims Specialist to join our growing Operations team. As a key member of our team, you will be responsible for delivering exceptional customer service to various parties within the medical and legal community.Key Responsibilities:Manage high-volume inbound calls from insurance...

Job SummaryWe are seeking a skilled Property Claims Adjuster to join our team at American Family Mutual Insurance Company. As a Property Claims Adjuster, you will be responsible for investigating and maintaining property claims, determining liability, securing information, reviewing coverages, arranging appraisals, and settling claims.Key...

Why USAA?At USAA, we have a mission to facilitate the financial security of millions of U.S. military members and their families. We believe in our core values of honesty, integrity, loyalty, and service. These values guide everything we do, from how we treat our members to how we treat each other.The OpportunityAs a Property Claims Adjuster, you will work...

Job OverviewWe are seeking a highly skilled Medical Biller to contribute to the success of our team at SNOHC. As a Medical Biller, you will play a critical role in ensuring the accuracy and efficiency of our billing processes.Key ResponsibilitiesProcess and manage medical claims through private insurance and Medicaid/Medicare/Medicare Advantage.Coordinate...

Job SummaryWe are seeking a highly skilled Construction Liability Claim Representative to join our team at Travelers Insurance. As a key member of our claims department, you will be responsible for investigating, evaluating, and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims.Key ResponsibilitiesDirectly handle...

Job SummaryUnitedHealth Group is seeking a skilled Clinical Claims Review RN to join our team. As a key member of our Clinical Claims Review team, you will play a critical role in ensuring the accuracy and quality of medical claims reviews.Key ResponsibilitiesConduct retrospective reviews of medical claims to ensure appropriateness of diagnostic procedures,...

Job DescriptionCorVel Enterprise Comp, Inc. is seeking a Senior Liability Claims Specialist to manage complex and non-complex Liability claims within company best practices. The successful candidate will work within delegated authority to achieve the best possible outcomes for CorVel and our clients.The position is premise liability focused, requiring...

Job OverviewPouya Mohajer M D LTD is seeking a skilled Medical Lien Specialist to join our team. This role involves managing and processing medical liens associated with personal injury and workers' compensation cases.Key ResponsibilitiesMedical Lien ManagementOversee all aspects of medical lien case processing, including creation, tracking, and...

Job SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at Quality Medical Imaging. As a key member of our billing department, you will be responsible for processing and collecting insurance claims, as well as assisting patients with inquiries regarding their healthcare insurance coverage.Key ResponsibilitiesPrepare and submit...