Medical Claims Examiner

The New Mexico Municipal League is seeking a skilled Claims Examiner to join their team. As a Claims Examiner, you will be responsible for reviewing, processing, and investigating claims for Fund policies and programs.The ideal candidate will have a strong understanding of general liability, civil rights, law enforcement, workers' compensation, life, and...

Network Adjusters, Inc. is seeking an experienced Claims Adjuster for a file review position.We have continued to expand our network, creating an opportunity for seasoned adjusters to operate in a file review role. The Disposition Analyst has two main objectives: assisting in onboarding triage and reviewing new claim programs, and reviewing files for closure...

Job Summary: At Synectics Inc., we are seeking a skilled Claims Examiner - Workers Compensation to ensure the ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.Identify and negotiate subrogation of claims.Manage claim recoveries, including subrogation, Second Injury Fund excess...

Job Summary:The Senior General Liability Examiner is responsible for managing basic to high exposure/complex claims, including investigation and timely resolution of cases in alignment with risk finance objectives. This position makes assessments on coverage, risk transfer, reserve levels, damages, settlement value, subrogation, and notice to insurer.Key...

Job Title: Medical Claims SpecialistPurpose: As a Medical Claims Specialist at Three Point Solutions, you will be responsible for reviewing and adjudicating paper/electronic claims. Your primary goal will be to ensure that claims are handled according to organizational policies and procedures.Key Responsibilities:60%: Examine and resolve non-adjudicated...

Job Title: Claims SpecialistAt Crawford & Company, we are seeking a highly skilled Claims Specialist to join our team. As a Claims Specialist, you will be responsible for administering and resolving non-complex short-term claims of low monetary amounts, including medical-only claims.Key Responsibilities:Claims Investigation: Conduct thorough investigations...

Job SummaryThe Senior Claims Adjuster, Specialty Claims will be responsible for handling claims nationwide. This position will complement the existing specialty claims team that supports the underwriting unit. The successful candidate will be able to provide insight and analysis on Professional Lines, E & O claims and other claims assigned.Key...

Job SummaryNew Mexico Municipal League/New Mexico Self-Insurers' Fund is seeking an experienced Claims Supervisor to oversee and manage the review, processing, investigation, and disposition of claims related to various Fund policies and programs.The ideal candidate will have expertise in claims management, including workers' compensation, property,...

Job Summary:As a Claims Specialist - Workers Compensation Professional at Crawford & Company, you will be responsible for administering and resolving non-complex short-term claims of low monetary amounts, including medical-only claims. Your duties will include documenting and monitoring open case inventory, ensuring proper and timely closing of files, and...

About ECBM Insurance Brokers and ConsultantsWe are a family-owned and operated insurance broker and consulting firm based in Media, PA. Our mission is to put people - our clients and employees - first. We specialize in high-risk industries that require dedicated, client-based broker services in the areas of Commercial Insurance, Workers' Compensation,...

Workers Compensation Claims Adjuster Job DescriptionWe're seeking an experienced and motivated Workers Compensation Claims Adjuster to join our team at Intercare Holdings Insurance Services. As a Claims Adjuster, you'll work within a team of professionals to ensure exceptional claim handling and adherence to company standards and regulations.Our Mission:To...

The Settlement Services Team is seeking a skilled Paralegal to support attorneys in crafting and monitoring policies & procedures that mitigate risk to the company. Key responsibilities include reviewing and analyzing title to real property, interacting with title insurance underwriters, and researching and resolving title insurance claims. The ideal...

Clinical Auditor Job DescriptionWe are seeking a skilled Clinical Auditor to join our team at Medical Mutual. As a Clinical Auditor, you will be responsible for auditing complex outpatient, inpatient, and professional claim irregularities, overpayments, and provider appeals from a clinical coding perspective.Key Responsibilities:Audit outpatient, inpatient,...

Job SummaryAt the University of Maryland Medical System, we are seeking a skilled Diagnostic Medical Sonographer to join our team. As a Diagnostic Medical Sonographer, you will play a critical role in assisting physicians with diagnosis and treatment of pathologies by performing a variety of obstetric and gynecological examinations utilizing diagnostic...

About the Role:We are seeking a highly skilled Senior Medical Malpractice Attorney to join our team at OnPoint Search Consultants.Key Responsibilities:Lead medical malpractice and insurance coverage claims for hospitals and physiciansDraft motions and investigate medical malpractice claimsCollaborate with healthcare professionals to resolve complex...

Senior Pricing Actuary OpportunityParker B Associates is seeking a highly skilled Senior Pricing Actuary to join our team. As a key member of our actuarial team, you will play a crucial role in driving business decisions and leading strategic projects.Key Responsibilities:Conduct thorough pricing evaluations for auto and homeowners' insurance...

IDR, Inc. is seeking a Revenue Cycle and Coding Specialist. The ideal candidate will have experience in medical coding, medical auditing, or billing, with a strong understanding of governmental and contractual regulations.Key Responsibilities:Support all revenue cycle functions from coding to billing.Collect medical claims from physicians and conduct chart...

Company OverviewColman Perkins Law Group is a reputable AV-rated law firm specializing in insurance defense cases. Our team excels in fraud prevention and education, utilizing various methods to investigate suspicious claims, including examinations under oath and coverage analysis.Role SummaryThis is a full-time remote position for a Senior Litigation...

Job SummaryThe Quality Assurance Specialist I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines. This role involves fairly and consistently reviewing team interactions with both internal and external parties to ensure accuracy and support success in executing superior service and...

Job Summary:Insight Global is seeking a detail-oriented medical coding professional to work as an acute care inpatient facility coder at a healthcare system in Florida. This role involves applying the correct codes to patient charts for data collection, analysis, and claims processing.Key Responsibilities:Apply accurate codes to patient chartsMaintain an...