Medical Claims Adjuster

Job Description**About Alacrity Solutions**Alacrity Solutions is a leading provider of end-to-end insurance claims services, delivering streamlined solutions for property, auto, heavy equipment, and casualty claims management. Our comprehensive services include staffing capabilities, temporary housing, managed repair networks, and subrogation services,...

Job Description**About Us**Property Claim Professionals is a dynamic organization that supplies quality claims outsource solutions to insurance carriers nationwide. We are seeking experienced multi-line claims adjusters to join our team.Job SummaryWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe...

Senior Liability Claims AdjusterGallagher Bassett is seeking a highly skilled Senior Liability Claims Adjuster to join our team. As a key member of our claims team, you will be responsible for investigating, evaluating, and resolving commercial liability claims with moderate supervision.Key Responsibilities:Investigate and evaluate commercial liability...

Job Title: Workers Compensation Claims Adjuster IIIWe are seeking an experienced and detail-oriented Senior Workers' Compensation Claims Adjuster to join our team at The Jonus Group. The ideal candidate will have a thorough understanding of workers' compensation laws and regulations, and a proven track record of managing complex claims from inception to...

Job SummaryWe are seeking a skilled Medical Claims Adjustor to join our team at CVS Health. As a Medical Claims Adjustor, you will play a critical role in reviewing and adjusting SF, FI, Reinsurance, and/or RX claims, ensuring that they are processed in accordance with claim processing guidelines.Key ResponsibilitiesReview and adjust claims to ensure...

Job SummaryLHH Recruitment Solutions is seeking a skilled Medical Claims Examiner to join our team in Sacramento, CA. As a Medical Claims Examiner, you will be responsible for analyzing claims to determine the appropriate payer based on coding, medical group service areas, and Division of Financial Responsibility (DoFR) guidelines.Key...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Benefit & Risk Management Services, Inc. As a Medical Claims Examiner, you will be responsible for ensuring that claims are processed correctly and efficiently, while meeting production requirements.Key Responsibilities:Review and analyze claims data to ensure accuracy and...

About the RoleNORCAL Ambulance is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a critical role in ensuring the accurate and timely submission of medical claims to insurance and private payors.Key ResponsibilitiesConduct thorough insurance verification and validation to ensure benefits are...

Job SummaryWe are seeking a skilled Claims Examiner II to join our team at Ultimate Staffing. As a Claims Examiner II, you will be responsible for analyzing claims for appropriate payer based on a combination of coding, medical group's service area, and contract per the Division of Financial Responsibility (DoFR) document.Key ResponsibilitiesAnalyze claims...

Job SummaryWe are seeking a skilled Claims Examiner II to join our team at Ultimate Staffing. As a Claims Examiner II, you will be responsible for analyzing claims for appropriate payer based on a combination of coding, medical group's service area, and contract per the Division of Financial Responsibility (DoFR) document.Key ResponsibilitiesClaims Analysis:...

About the RoleAlacrity Solutions is seeking a skilled Daily Property Field Adjuster to join our team. As an independent contractor, you will be responsible for providing excellent claim handling services for our clients regarding daily claim work within your area.Key Responsibilities:Provide timely and accurate claim handling services to clientsConduct...

Job SummaryThe Sacramento County CA is seeking a highly skilled Workers' Compensation Claims Examiner to join our team. As a key member of our compensation team, you will be responsible for administering the County's self-insured Workers' Compensation Program.Key ResponsibilitiesAdminister indemnity workers' compensation cases from inception to...

About the PositionThis is a continuous filing exam. Next filing cut-offs are at 5:00 pm on: 6/28/24, 7/19/24 (Final)Job SummaryUnder direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the County's self-insured Workers' Compensation Program. Incumbents in this class administer the indemnity workers'...

Job SummaryThe Sacramento County CA is seeking a highly skilled Workers' Compensation Examiner to join our team. As a key member of our compensation team, you will be responsible for administering the County's self-insured Workers' Compensation Program.Key ResponsibilitiesAdminister indemnity workers' compensation cases from inception to closure.Attend...

Job DescriptionRole OverviewNational General Insurance is a leading provider of specialty personal lines insurance products. As a Claims Investigator, you will play a critical role in investigating and confirming the facts of loss for basic to advanced automobile accidents.Key Responsibilities:Investigate all aspects of auto claims, including coverage,...

About the RoleThis is a 100% outsourced claims and claims data management position available for a single client. Both the client and the brokerage team are 100% remote. As a Claims Expert, you will be the architect of protection, safeguarding businesses and empowering their ambitions.Key ResponsibilitiesHandle litigated files, arbitration, and mediations...

Job Title: Claims / SIU InvestigatorJob Summary:Allied Universal Compliance and Investigations is seeking a skilled Claims / SIU Investigator to join our team. As a Claims / SIU Investigator, you will be responsible for investigating suspected fraudulent insurance claims and gathering information to determine the validity of claims.Responsibilities:Conduct...

About HUB InternationalHUB International is a leading insurance brokerage firm that advises businesses and individuals on how to prepare for the unexpected. With a focus on providing peace of mind, our team of experts helps clients navigate the complexities of the insurance industry and find tailored solutions that meet their unique needs.The OpportunityWe...

Job SummaryWe are seeking a highly skilled Claims Review Representative to join our team at Humana. As a Claims Review Representative, you will play a critical role in analyzing overpaid claims and making determinations based on strong knowledge of claims procedures, contract provisions, and CMS guidelines.Key ResponsibilitiesClaims Analysis: Conduct...

Job Title: Claims Operations SpecialistCentene Corporation is seeking a highly skilled Claims Operations Specialist to join our team. As a key member of our operations team, you will play a critical role in ensuring the smooth operation of our claims processing system.Key Responsibilities:Maintain collaborative relationships with physicians, hospitals, and...