Medical Claims Examiner

Ethos Risk Services is looking for a highly skilled Claims Examiner to join our team. As a Claims Examiner for Insurance Companies, you will be responsible for reviewing and analyzing claims to ensure they meet the necessary requirements for payment. You will also investigate suspicious claims to prevent potential losses.Responsibilities and...

PMA Companies is seeking a skilled Litigation Claims Examiner to join our team. As a key member of our claims handling unit, you will be responsible for investigating, evaluating, and resolving complex workers' compensation claims.Key Responsibilities:Evaluate assigned claims and establish strategies to mitigate exposure and ensure timely disposition in...

Job OverviewMedPOINT Management is seeking a skilled Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for managing the entire claims process from start to finish, ensuring accuracy and efficiency in our billing operations.About the RoleThe ideal candidate will have at least 5 years of experience in medical...

Responsibilities and QualificationsAs a Workers' Compensation Claims Adjuster at Argo Group, your responsibilities will include: Investigating claims promptly and thoroughly, including interviewing all involved parties. Analyzing claims forms, policies, and endorsements to determine whether the loss falls within the policy coverage. Reporting to senior...

Are you passionate about ensuring the accuracy of pharmacy claims? Do you have a strong background in pharmacy regulations and industry standards? If so, we encourage you to apply for our Pharmacy Claims Auditor position at Conduent Payment Integrity Solutions.About the RoleThe Pharmacy Claims Auditor is responsible for conducting thorough reviews of...

About the RoleAt Ultimate Staffing, we are seeking a detail-oriented and experienced Claims Specialist to join our team. The ideal candidate will have a strong background in workers' compensation and excellent analytical skills.Key Responsibilities:Evaluate claims from initial filing through resolution, ensuring compliance with state and federal workers'...

Job OverviewArgo Group is a leader in specialty insurance with a culture that values respect, equality, wellness, and opportunity. We're an innovative organization that's agile and impactful in our industry.Our collaborative workplace is designed to ensure all employees feel comfortable bringing their whole selves to work, confident in respectful treatment,...

At Advantage Surveillance LLC, we are seeking a highly skilled Part-Time SIU Claims Investigator to join our Operations Team in the Los Angeles, CA Area.Job Responsibilities:Our ideal candidate will be responsible for conducting thorough investigations of auto, property, homeowner liability and worker's compensation insurance claims.Key...

Sedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our team of experts works tirelessly to help organizations like yours regain health and productivity, guide their consumers through the claims process, protect their brand, and minimize business interruptions.About UsWe're proud of our commitment to...

About Our FirmWilshire Law Firm is a distinguished, award-winning legal practice with over 15 years of experience, specializing in Personal Injury, Employee Rights, and Consumer Class Action lawsuits. We are committed to upholding the highest standards of Excellence and Justice, united in our dedication to achieving the best outcome for our clients.Job...

Job SummaryThis role involves analyzing and negotiating settlement of workers' compensation claims, communicating with claimants and clients, and reporting claims to excess carriers. To succeed in this position, you must embody our caring counts model and core values, including empathy, accountability, collaboration, growth, and inclusion.Key...

Key ResponsibilitiesIndependently investigate suspected fraudulent insurance claims for various coverage types, including workers' compensation, general liability, property, and casualty.Acquire and gather information through data collection, interviews, research, and collaboration with other SIU entities, law enforcement, and state Departments of...

Job Title: Medical Claims Resolution Specialist    Company OverviewMEDPOINT MANAGEMENT is a reputable healthcare management company seeking an experienced Medical Claims Resolution Specialist to join our team. As a Medical Claims Resolution Specialist, you will play a crucial role in ensuring timely and accurate resolution of provider...

Job OverviewWe are seeking a skilled Personal Injury Case Manager to join our team at California Law Group.This is an exciting opportunity for a motivated individual with a strong background in claims management and Spanish language skills to contribute to the success of our organization.

About the JobThis is an exciting opportunity to work as a Claims Processor Analyst at MedPOINT Management. As a key member of our team, you will be responsible for running reports for FFS claims monthly, cross-training on other tasks and reporting requirements within the unit, and ensuring that claims are submitted to the Health Plan electronically monthly...

Job OverviewWe are seeking an experienced Medical Claims Project Coordinator to join our team at Regal Medical Group in Southern California. As a key member of our operations team, you will be responsible for processing and releasing professional claims according to established policies and procedures.In this role, you will identify procedural and system...

Job Summary  We are seeking a skilled Medical Claims Project Coordinator to join our team at Regal Medical Group. As a key member of our staff, you will be responsible for processing and releasing professional claims according to established policies and procedures. This role requires strong analytical and problem-solving skills, as well as excellent...

Job Description:Key Responsibilities:Review and adjust medical claims to ensure accuracy and compliance with regulatory requirements.Research and resolve issues related to claims processing.Collaborate with internal teams to facilitate efficient claim resolution.Maintain accurate records and reports to track claim status and performance metrics.Stay...

Title Examiner Job DescriptionTitle Examination: We need an experienced real estate attorney to examine public records, abstracts of title, leases, contracts, and other legal documents to determine land ownership and lien position of residential property.Document Drafting: You will draft legal documents regarding property ownership and opinions on...

About the RoleWe are seeking a highly skilled and experienced Claims Operations Generalist to join our team at MedPOINT Management. In this role, you will be responsible for assisting Claims Operations in various functions to maintain compliance with regulatory and contractual standards.The ideal candidate will have 3 years of experience as a Claims Examiner...