Senior Claims Examiner

At 052 SLIC Insurance Agency, LLC, we are seeking a skilled Claims Examiner II to join our team. As a Claims Examiner II, you will play a critical role in assessing and reviewing incoming claims for payment or denial, serving as a liaison between the carrier and the financial institution.This role provides the opportunity to make a meaningful impact on...

Job SummaryUniversity Health System is seeking a highly detail-oriented and analytical Claims Examiner to play a critical role in ensuring the accuracy and fairness of medical and hospital claims for Medicaid, Commercial, and CHIP programs.Key ResponsibilitiesAdjudicate medical (HCFA) and hospital (UB 92) claims in accordance with departmental and regulatory...

Job SummarySWBC Real Estate, LLC is seeking a skilled Claims Adjuster to investigate, evaluate, and negotiate auto claims, CPI and GAP, to determine the extent of liability by interpreting and calculating settlement. Responsible for issuing settlement payments to the Named Insured.Key ResponsibilitiesGathers and assembles pertinent claim information by...

Job OverviewOptum is a worldwide leader in healthcare services, leveraging technology to enhance the well-being of millions. The contributions you make will significantly influence health outcomes by linking individuals with essential care, pharmacy benefits, data, and resources necessary for optimal health. Our culture is rooted in diversity and inclusion,...

Job OverviewOptum is a leading global organization dedicated to enhancing health outcomes through innovative technology and comprehensive care solutions. Our mission is to empower individuals to achieve optimal health by providing essential resources, pharmacy benefits, and data-driven insights. We foster a culture of diversity and inclusion, offering...

POSITION OVERVIEW/RESPONSIBILITIES Frontier Management is seeking skilled CLAIMS Analysts to join our dynamic team, focusing on our comprehensive healthcare programs. The CLAIMS Analysts will evaluate intricate issues related to claim settlements, eligibility criteria, supplementary insurance, transplant cases, and system-related challenges that exceed...

Job SummaryWe are seeking a highly skilled and experienced Senior Claims Representative to join our team at The Hartford. As a key member of our claims department, you will be responsible for investigating and managing Workers' Compensation claims to ensure fair and timely resolutions for our customers.Key ResponsibilitiesInvestigate and manage complex...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors, emphasizing a physician-led approach that prioritizes patient care. Our focus is on fostering health and wellness among our patients through comprehensive care management.The Senior Claims Examiner plays a crucial role in supporting our operations by meticulously reviewing,...

Job OverviewOptum is a worldwide leader in healthcare solutions, leveraging technology to enhance the well-being of millions. The contributions made by our professionals significantly impact health outcomes by linking individuals with essential care, pharmacy benefits, data, and resources necessary for optimal health. Our culture is rooted in diversity and...

Job OverviewOptum is a leading global entity dedicated to enhancing healthcare delivery through innovative technology, assisting millions in achieving better health outcomes. The role you will undertake is pivotal in connecting individuals with essential care, pharmacy benefits, and vital resources, fostering a healthier community. Here, you will be part of...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors, focusing on a patient-centered approach that prioritizes well-being. Our commitment to excellence drives us to support our patients through tailored healthcare solutions.The Senior Claims Examiner plays a pivotal role in our operations by delivering comprehensive claims support....

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors through innovative care models. Our focus is on enhancing the health and well-being of our patients by providing comprehensive support and services tailored to their needs.The Senior Claims Examiner plays a crucial role in our operations by delivering essential claims support....

About the RoleAs a Senior Claims Adjuster, you will play a critical role in ensuring the financial security of USAA's members by effectively managing and resolving bodily injury and UM claims. This position requires a high level of expertise in claims handling, negotiation, and settlement, as well as excellent communication and interpersonal skills.Key...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors, ensuring they receive the necessary care from compassionate professionals. Our innovative care model focuses on enhancing the health of our patients while collaborating with various Medicare Advantage health plans.The Senior Claims Examiner plays a pivotal role in our operations...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors through a physician-led approach. Our commitment is to ensure that our patients receive the necessary care from compassionate healthcare professionals. We collaborate with various Medicare Advantage health plans and are poised for ongoing expansion.The Senior Claims Examiner plays...

Job OverviewOptum is dedicated to transforming healthcare delivery for seniors through a physician-led approach. Our mission is to enhance the health of our patients by ensuring they receive the necessary care from compassionate professionals. We collaborate with various Medicare Advantage health plans and are committed to expanding our services.The Senior...

Job OverviewOptum is a worldwide leader in healthcare solutions, leveraging technology to enhance the well-being of millions. The contributions you make will significantly influence health outcomes by connecting individuals with essential care, pharmacy benefits, data, and resources necessary for optimal health. Our culture is deeply rooted in diversity and...

About the RoleAs a Senior Injury Claims Adjuster at USAA, you will play a critical role in ensuring the financial security of our members who have been involved in accidents. Your expertise in adjusting complex claims will be essential in delivering a concierge-level of service to our members.Key ResponsibilitiesAdjust attorney-involved moderately complex...

Job OverviewOptum is a worldwide organization dedicated to enhancing health outcomes through innovative technology and comprehensive care solutions. The contributions made by our team play a crucial role in connecting individuals with essential healthcare services, pharmacy benefits, and vital resources to promote well-being. Our workplace fosters a culture...

Position Overview:This role is for a dedicated and experienced Claims Manager within a leading healthcare organization. The ideal candidate will be instrumental in overseeing the medical claims processing operations, ensuring accuracy and compliance with industry standards.About Us:We are a reputable healthcare network committed to delivering exceptional...