Claims Examiner
2 days ago
At ICONMA, we are seeking a skilled Claims Examiner - Lost Time Specialist to join our team. As a Claims Examiner - Lost Time Specialist, you will be responsible for handling all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process.
Key Responsibilities:- Investigation and Analysis: Conduct thorough investigations of lost time claims, gathering facts and taking statements as necessary, to determine compensability.
- Claim Management: Evaluate the facts gathered to determine the validity of claims, and inform insureds, claimants, and attorneys of claim denials when applicable.
- Reporting and Communication: Prepare reports on investigation, settlements, denials of claims, and evaluations of involved parties, and communicate with stakeholders to ensure timely administration of statutory medical and indemnity benefits.
- Collaboration and Teamwork: Work with attorneys to manage hearings and litigation, and collaborate with vendors, nurse case managers, telephonic case managers, and rehabilitation managers on medical management and return to work initiatives.
- Compliance and Regulatory: Comply with customer service requests, including Special Claims Handling procedures, file status notes, and claim reviews, and ensure compliance with statutory regulations by filing workers' compensation forms and electronic data with states.
We are looking for a highly skilled and detail-oriented Claims Examiner - Lost Time Specialist to join our team. If you have a strong background in workers' compensation and excellent communication skills, we encourage you to apply.
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Claims Examiner
1 week ago
New Haven, Connecticut, United States ASB Resources Full timeJob SummaryWe are seeking a skilled Claims Examiner to join our team at ASB Resources. As a Claims Examiner, you will be responsible for handling all aspects of workers' compensation lost time claims from setup to case closure, ensuring strong customer relations are maintained throughout the process.Key ResponsibilitiesInvestigate claims and gather facts to...
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Claims Examiner
1 week ago
New Haven, Connecticut, United States ICONMA Full timeJob Title: Claims Examiner - Lost Time SpecialistAt ICONMA, we are seeking a skilled Claims Examiner - Lost Time Specialist to join our team. As a Claims Examiner - Lost Time Specialist, you will be responsible for handling all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained...
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Claims Examiner
1 week ago
New Haven, Connecticut, United States ICONMA, LLC Full timeJob SummaryWe are seeking a skilled Claims Examiner - Lost Time to join our team at ICONMA, LLC. As a Claims Examiner - Lost Time, you will be responsible for handling all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process.Key ResponsibilitiesReview claim and...
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Claims Investigator
22 hours ago
New Haven, Connecticut, United States ICONMA, LLC Full timeJob SummaryWe are seeking a skilled Claims Examiner-Lost Time to join our team at ICONMA, LLC. As a Claims Examiner-Lost Time, you will be responsible for handling all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process.Key ResponsibilitiesReview claim and...
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Healthcare Coding and Billing Specialist
4 weeks ago
New Haven, Connecticut, United States Yale School of Medicine Full timePosition Overview: As a vital contributor to the Yale School of Medicine's Coding and Billing Services division, you will be instrumental in enhancing the precision and efficiency of documenting, coding, and processing billable healthcare services. Your role will encompass the formulation and execution of strategies aimed at optimizing charge capture...
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Clinical Utilization Analyst
4 weeks ago
New Haven, Connecticut, United States Saint Francis Health System Full timeCurrent Saint Francis Employees - Please click HERE to login and apply. Position Type: Full Time Shift: 11:00 PM - 7:00 AM Work Arrangement: Fully Onsite Job Overview: The Clinical Utilization Analyst will evaluate patient documentation to assess the validity of hospital admissions, treatments, and the appropriate level of care required. This role will...
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Care Coordination Specialist
4 weeks ago
New Haven, Connecticut, United States Saint Francis Health System Full timeCurrent Saint Francis Employees - Please click HERE to login and apply. Position Type: Full Time Shift: 11:00 PM - 7:00 AM Work Arrangement: Fully Onsite Job Overview: The Care Coordination Specialist will evaluate patient documentation to assess the validity of hospital admissions, treatments, and the appropriate level of care required. This role will...
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EHS Specialist
1 week ago
New London, Connecticut, United States Synerfac Full timeHiring Opportunity:London, OhioOur client, a leading supplier to Honda, is seeking a highly skilled EHS Engineer to join their team in London, Ohio. This is a fantastic opportunity to work with a company that values safety and excellence.Job Requirements:To excel in this role, you will need to:Develop and propose preventative countermeasures to improve...
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Occupational Health Nurse Practitioner
2 weeks ago
New London, Connecticut, United States Pivot Onsite Innovations Full timeJob SummaryUnder the direction of the Medical Director and Overseeing Physician, the Nurse Practitioner will manage the day-to-day operations of the onsite healthcare clinic. This role will provide coverage as needed at our client's site in Dayville, Connecticut.Key ResponsibilitiesPerform post-offer physicals and non-work-related/return-to-work medical...
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Physician Assistant
1 week ago
New London, Connecticut, United States Pivot Onsite Innovations Full timeJob SummaryUnder the direction of the Medical Director and Overseeing Physician, the Physician Assistant will manage the day-to-day operations of the on-site healthcare clinic. This role will provide coverage as needed at our client's site in Dayville, Connecticut.Key ResponsibilitiesPerform post-offer physicals, non-work-related return to work medical...
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Occupational Health Physician Assistant
2 weeks ago
New London, Connecticut, United States Pivot Onsite Innovations Full timeJob SummaryUnder the direction of the Medical Director and Overseeing Physician, the Physician Assistant will manage the day-to-day operations of the on-site healthcare clinic. This role will provide coverage as needed at our client's site in Dayville, Connecticut.Key ResponsibilitiesPerform post-offer physicals, non-work-related return to work medical...
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Occupational Health Nurse Practitioner
1 week ago
New London, Connecticut, United States Pivot Onsite Innovations Full timeJob SummaryUnder the direction of the Medical Director and Overseeing Physician, the Nurse Practitioner will manage the day-to-day operations of the onsite healthcare clinic. This includes providing patient care, case management, physicals and clearance exams, injury assessment, and minor procedures.Key ResponsibilitiesPerform post-offer physicals and...
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Occupational Health Physician Assistant
2 weeks ago
New London, Connecticut, United States Pivot Onsite Innovations Full timeJob SummaryUnder the direction of the Medical Director and Overseeing Physician, the Physician Assistant will manage the day-to-day operations of the on-site healthcare clinic. This role will provide patient care, including case management, physicals, and clearance exams, as well as injury assessment and minor procedures.Key ResponsibilitiesPerform...
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Claims Examiner-Lost Time
2 weeks ago
New Haven, United States Kelly Full timeFinding a hybrid job that fits your lifestyle isn't always easy. That's where Kelly comes in. We're seeking a Claims Examiner-Lost Time to work at a premier client in New Haven CT USA 06511 Pay rate and Shift l Job Duration: 4+ month (Temp to hire) l Shift: 8:30am-5:00pm Duties and Responsibilities: l HandlesÂ...
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Claims Examiner-Lost Time
2 weeks ago
New Haven, United States Robert Half Full timeJob DescriptionJob DescriptionWe are inviting applications for a Claims Examiner-Lost Time role based in New Haven, Connecticut. This role resides in the insurance industry and provides an opportunity to work in a hybrid workplace. The position offers a short-term contract employment opportunity and involves handling all aspects of workers' compensation...
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Claims Examiner
4 weeks ago
New York, New York, United States Tandym Group Full timeA professional services organization, Tandym Group, is seeking a skilled Claims Examiner to join their team.Responsibilities:Review and determine the compensability of workers' compensation claims in the electrical industry.File necessary forms in a timely manner.Manage the medical aspects and investigations of claims.Calculate payroll and compensation based...
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Senior Claims Examiner
3 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full time{"h1": "Senior General Liability Claims Examiner", "p": "At C. Winchell Agency, Inc., we are seeking a highly skilled Senior General Liability Claims Examiner to join our team. As a key member of our claims department, you will be responsible for examining, adjusting, and defending general liability claims and lawsuits filed against our insureds.Your primary...
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Senior Claims Examiner
1 week ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior General Liability Claims ExaminerWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc.Key Responsibilities:Examine and adjust general liability claims to ensure fair and timely resolutions.Conduct thorough investigations of claims, reviewing policy terms, conditions, and...
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Senior Claims Examiner
2 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior General Liability Claims ExaminerWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc.Key Responsibilities:Examine and adjust general liability claims and lawsuits to achieve an amicable resolution.Review insurance policies to determine coverage and investigate claims to gather necessary...
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Senior Claims Examiner
2 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior General Liability Claims ExaminerWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc.Key Responsibilities:Examine and adjust general liability claims to ensure fair and timely resolutions.Conduct thorough investigations of claims, reviewing policy terms, conditions, and...
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Senior Claims Examiner
2 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior General Liability Claims ExaminerWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. in NYC. As a key member of our Property & Casualty Insurance team, you will be responsible for examining, adjusting, and defending general liability claims and lawsuits filed against our insureds.Key...
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Senior Claims Examiner
3 days ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior General Liability Claims ExaminerJob Summary:We are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. The ideal candidate will have a strong background in insurance claims handling, with a focus on general liability claims.Key Responsibilities:Examine and adjust general liability claims to...
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Senior Claims Examiner
1 day ago
New York, New York, United States C. Winchell Agency, Inc. Full timeSenior General Liability Claims ExaminerJob Summary:We are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. The ideal candidate will have a strong background in insurance claims handling, with a focus on general liability claims.Key Responsibilities:Examine and adjust general liability claims to...
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Senior Claims Examiner
3 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full timeJob SummaryC. Winchell Agency, Inc. is seeking a highly skilled Senior General Liability Claims Examiner to join our team. As a key member of our claims department, you will be responsible for examining, adjusting, and defending general liability claims and lawsuits filed against our insureds.Key Responsibilities:Examine the terms, conditions, and exclusions...
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Litigation Claims Examiner
4 weeks ago
New York, New York, United States Brown & Brown Full timeJob Summary:We are seeking a skilled Litigation Claims Examiner to join our team at Brown & Brown. As a Litigation Claims Examiner, you will play a critical role in the adjustment of all litigation losses.Key Responsibilities:Conduct thorough investigations and evaluations of litigation claims to determine coverage and liabilityAssess and manage the...
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Complex Claims Examiner
1 week ago
New Hartford, New York, United States Utica National Insurance Group Full timeAbout the RoleWe are seeking a highly skilled Complex Claims Examiner to join our team at Utica National Insurance Group. As a key member of our claims team, you will be responsible for handling and resolving complex claims with a high level of technical expertise.Key ResponsibilitiesInvestigate and Resolve Complex Claims: You will be responsible for...
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Auto Claims Examiner
2 weeks ago
New York, New York, United States Brown & Brown Full timeAuto Claims Examiner Job DescriptionBuilt on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. We are seeking a skilled Auto Claims Examiner to join our team in Garden City, New York. As a leading provider of claims administration, risk management & loss control, underwriting &...
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Claims Examiner-Lost Time
2 weeks ago
New Haven, United States ICONMA Full timeHandles all aspects of workers’ compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process. Reviews claim and policy information to provide background for investigation. Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured,...
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Auto Claims Examiner
4 weeks ago
New York, New York, United States Brown & Brown Full timeJob Summary:Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. We are seeking a highly skilled Auto Claims Examiner to join our team in a dynamic and fast-paced environment.About the Role:Coverage assessment and verificationInvestigate, evaluate, and bring to a...
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Senior Claims Examiner
4 weeks ago
Hauppauge, New York, United States Crawford & Company Full timeJob SummaryCrawford & 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 promptly and equitably under minimal supervision.Key ResponsibilitiesInvestigate and settle advanced, large loss, complex claims using independent judgment and...
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Senior Claims Examiner
3 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full timeJob SummaryWe are seeking a highly skilled Senior General Liability Claims Examiner to join our team at C. Winchell Agency, Inc. As a key member of our claims department, you will be responsible for examining, adjusting, and defending general liability claims and lawsuits filed against our insureds.Key ResponsibilitiesExamine and investigate general...
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Senior Claims Examiner
3 weeks ago
New York, New York, United States C. Winchell Agency, Inc. Full timeJob Summary: We are seeking a highly skilled Senior Claims Examiner to join our team at C. Winchell Agency, Inc. as a General Liability Claims Examiner.Key Responsibilities:Examine and adjust general liability claims and lawsuits to achieve an amicable resolution.Review insurance policies to determine coverage and investigate claims to secure necessary...
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Workers' Compensation Claims Examiner
2 weeks ago
New York, New York, United States Swoon Full timeSwoon is seeking an experienced Workers Compensation Claims Examiner to assist on claims investigations and take charge of settlement negotiations. The ideal candidate will have at least 3 years of relevant claims and workers compensation experience, a Bachelor's Degree, and an Active NY Insurance Adjusters' License. Key responsibilities include analyzing...