Claims Examiner
6 days ago
Capstone ISG Inc is a dynamic organization seeking an experienced Claims Examiner to join our team. This is an exciting opportunity to leverage your skills and expertise in claims handling.
Compensation PackageWe offer a comprehensive compensation package, including an annual salary of $80,000, plus additional benefits such as medical, dental, vision, and retirement plans.
Main Responsibilities- Interpret policy provisions and investigate claims to determine coverage.
- Conduct thorough investigations to assess damages and develop recommendations for resolution.
- Negotiate settlements with claimants and ensure compliance with company policies and procedures.
- Maintain accurate records and provide timely updates to clients.
- A bachelor's degree in a relevant field or equivalent experience.
- At least 5 years of experience in Commercial and Personal Liability claims handling.
- State licenses, certifications, and continuing education requirements for adjusting insurance claims.
- Effective communication and negotiation skills.
- Ability to work independently and manage multiple tasks simultaneously.
- Proficiency in using claims handling software and systems.
-
Healthcare Claims Examiner
5 days ago
Fort Walton Beach, Florida, United States Orthopaedic Associates, P.A. Full timeAbout the Role:At Orthopaedic Associates, P.A., we are seeking a highly skilled Healthcare Claims Examiner to join our team. This individual will play a critical role in ensuring that claims are processed accurately, efficiently, and swiftly while advocating for patients and their practices.The ideal candidate will possess previous health insurance...
-
Senior Workers Compensation Claims Adjuster
2 months ago
Long Beach, United States TheBest Claims Solutions Full time $40 - $45Our client, is in need of a Temporary Workers' Compensation Claims Examiner for their Long Beach Office to work on a remote basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Is this your next job Read the full description below to find out, and do not hesitate to make an application.Required Qualifications:3+ years...
-
Senior Workers Compensation Claims Adjuster
5 days ago
Long Beach, United States TheBest Claims Solutions Full timeOur client, is in need of a Temporary Workers' Compensation Claims Examiner for their Long Beach Office to work on a remote basis. The ideal candidate will have 3+ years of California Workers Compensation Experience.Is this your next job Read the full description below to find out, and do not hesitate to make an application.Required Qualifications:3+ years...
-
Dispute Resolution and Claims Examiner
4 days ago
Long Beach, California, United States Advanced Medical Manage Full timeClinical Dispute Resolution SpecialistWe are seeking an experienced Clinical Dispute Resolution Specialist to join our team at Advanced Medical Manage. As a key member of our organization, you will be responsible for managing and resolving disputes between our company and healthcare providers regarding reimbursement, claims processing, and contractual...
-
Claims Examiner
1 month ago
long beach, United States Nesco Resource Full timeDescription:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...
-
Claims Examiner
1 month ago
long beach, United States Nesco Resource Full timeDescription:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...
-
Commercial Auto Examiner Specialist
2 weeks ago
West Palm Beach, Florida, United States Flex Employee Services Full timeJob Summary: We are seeking a highly skilled Commercial Auto Examiner Specialist to join our team at Flex Employee Services. As a key member of our claims team, you will be responsible for examining commercial auto claims and determining liability and damages. If you have a keen eye for detail and excellent analytical skills, we encourage you to apply!Key...
-
Nesco Resource | Claims Examiner
4 weeks ago
Long Beach, United States Nesco Resource Full timeDescription:PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...
-
Audiologist
3 weeks ago
Virginia Beach, United States Trusted Medical, LLC Full timeAudiologist Trusted Medical, PLLC About us Trusted Medical, PLLC is the clinical care delivery affiliate of Edera (www.edera.com). We specialize in serving Veterans by reducing wait times for them to gain access to disability screens and separation health assessments required by the Veteran Affairs (VA) to receive benefits. Help serve those who have served...
-
Assoc Analyst, Data
3 weeks ago
Long Beach, United States Molina Healthcare Full time $21 - $40JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and...
-
Assoc Analyst, Data
3 weeks ago
Long Beach, United States Molina Healthcare Full time $21 - $40JOB DESCRIPTION Job Summary Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and...
-
Pharmaceutical Sales Representative, CNS
1 month ago
Virginia Beach, United States Otsuka Full timeOtsuka America Pharmaceutical, Inc. has launched a new customer engagement approach designed to better deliver on patient, caregiver and HCP expectations in an evolving healthcare environment. The new model is built around where patients get their care-locally, with the intent to better serve patients, caregivers, and healthcare providers, delivering a...
-
Clinical Dispute Resolution Expert
4 days ago
Long Beach, California, United States Advanced Medical Manage Full timeJob Title: Clinical Dispute Resolution ExpertJob Summary:We are seeking a highly skilled Clinical Dispute Resolution Expert to join our team at Advanced Medical Manage. As a key member of our organization, you will be responsible for managing and resolving disputes between our company and healthcare providers regarding reimbursement, claims processing, and...
-
Human Resources Specialist
1 month ago
Atlantic Beach, United States Orbis Corporation Full timeJob Description:Location: Remote (preferable in Jacksonville, FL but will consider all candidates)Part Time Position This position supports the Naval Sea Systems Command (NAVSEA) Deputy Commander, Total Force/Corporate Operations (SEA 10). NAVSEA is the Department of Navy's (DON's) central activity for designing, engineering, integrating, building, and...
-
Litigation Research Analyst
1 month ago
Miami Beach, United States Robert Half Full timeJob DescriptionJob DescriptionWe are looking to add a Litigation Research Analyst to our team located in Miami Beach, Florida, United States. As a Litigation Research Analyst, you will be involved in examining vast amounts of information to determine the narrative for our client base. This role is crucial in our efforts to expand our operations in the Latin...
-
Personal Injury Claims Associate
1 week ago
North Myrtle Beach, South Carolina, United States George Sink, P.A. Injury Lawyers Full timeCompensation: $18+ per hour, based on experience, for this role in the Myrtle Beach, SC area.About the Role: We are seeking a reliable pre-litigation legal assistant/paralegal to join our high-volume, fast-paced plaintiff law firm. As a legal assistant/paralegal, you will be the primary point of contact for the client, guiding them through the case process....
-
Medical Coding Manager
1 week ago
Long Beach, California, United States Advanced Medical Manage Full timeResponsibilitiesIn this pivotal role as Risk Adjustment Coder- Admin, you will be responsible for several critical tasks:Reviewing medical record information to identify, collect, assess, monitor, and document claims and encounter coding information related to Hierarchical Condition Categories (HCC)Auditing provider documentation of CPT, ICD-9, and ICD-10...
-
Physician (Cardiology Non-Invasive)
5 days ago
West Palm Beach, United States Veterans Affairs, Veterans Health Administration Full timeSummary The West Palm Beach VA Medical Center is seeking a Physician (Cardiology Non-Invasive) to provide comprehensive patient care in the form of non-invasive, consultative, and inpatient care. Physician is accountable to the Chief of Medicine Service assuring the most effective delivery of care in cardiology services and provides evaluation and treatment...
-
Certified Medical Assistant, Employee Health
5 days ago
Springfield, Virginia, 22161, Fairfax County, VA, United States Greenspring Village by Erickson Senior Living Full timeLocation:Greenspring Village by Erickson Senior LivingJoin our team as a full-time Certified Medical Assistant in our Employee Health and Well-Being Center (EHWC). The position serves as primary clinical and administrative support for the employee health clinician and performs delegated medical assistant tasks under the supervision of the EHWC Nurse...
-
Nurse Practitioner
2 months ago
Monmouth Beach, United States Pivot Onsite Innovations Full timePosition Overview Pivot Onsite Innovations is now hiring an experienced and passionate Nurse Practitioner (NP) for a PRN position at our on-site healthcare clinic located at our client's site in South Brunswick, NJ. This is your opportunity to step out of a traditional nurse setting and make your impact on employee health, wellness and safety! Greater...