Claims Examiner

Job Title: Claims ExaminerAt Maltos Law Firm PLLC, we are seeking a highly skilled Claims Examiner to join our team.About the Role:We are looking for an experienced Claims Examiner to manage and maintain client cases in our Case Management Software. The successful candidate will be responsible for preparing and sending letters of representation, obtaining...

**Job Summary:**We are seeking a skilled Claims Examiner to join our team at Argo Group. This role will involve adjudicating workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.The successful candidate will have a minimum of two years' experience adjudicating workers' compensation claims in one or...

Job TitleInsurance Claim Examiner: We are seeking an experienced Insurance Claim Examiner to join our team at Tri-Starr Talent. The ideal candidate will have a strong analytical and investigative background, with proficiency in claims management, reserve setting, and settlement negotiations.As an Insurance Claim Examiner, you will investigate incidents where...

Why USAA?USAA's mission is to provide financial security to U.S. military members and their families. As a dedicated injury examiner, you will adjust complex bodily injury claims and UIM claims, ensuring compliance with state laws and regulations.

**Job Description**We are seeking a highly skilled Healthcare Insurance Claim Examiner to join our team at University Health. As a key member of our claims processing team, you will be responsible for examining complex claims issues and determining their validity.The ideal candidate will have five years of experience in HMO/PPO claims and a strong...

Job SummaryThe LeadingEdge Personnel is seeking a skilled Compensation Claims Examiner to investigate asset damage and determine coverage for each claim submitted. As a key member of our team, you will evaluate findings, establish reserves, issue payments, negotiate settlements, and document file activities.In this role, you will have the opportunity to work...

About the RoleAre you looking for a challenging and rewarding career in medical claims processing? Optum is seeking a Senior Claims Examiner to join our team. This role offers a unique opportunity to grow your career while making a positive impact on people's lives.Job DescriptionWe are responsible for providing claims support to our teams in reviewing,...

**About USAA**At USAA, we have a vital mission: providing financial security to millions of U.S. military members and their families. We are committed to giving back to those who served.**Job Summary**We are seeking a dedicated Injury Adjuster Specialist to join our team. This hybrid role requires adjusting complex bodily injury claims, investigating loss...

About USAAUSAA is a mission-driven organization that provides financial security to millions of U.S. military members and their families.Job DescriptionWe are seeking a dedicated Medical Claims Examiner - Risk Management Specialist to join our team. This hybrid role requires an individual to be in the office 3 days per week, where you will adjust complex...

About the RoleAs an SIU/Claims Investigator with Lemieux & Associates LLC, you will be responsible for conducting complex investigations, obtaining written and recorded statements, and performing scene investigations. The ideal candidate will have experience in claims investigation and possess excellent communication skills.

What We OfferAt USAA, we offer a comprehensive compensation package, including an estimated salary range of $ $64,000 - $90,000 per year, depending on experience and location. In addition, our benefits include medical, dental, and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays...

Job SummaryAs a Workers' Compensation Claims Adjuster at Argo Group, you will play a critical role in ensuring that our clients receive fair and timely resolutions to their workers' compensation claims.About the Team:You will be part of a dynamic and collaborative team that is passionate about delivering exceptional customer service and finding creative...

Position Summary: Analyze intricate claim-related problems that extend beyond the scope of claim examiners and senior claim examiners. Provide expert guidance to claims staff on resolving complex claim issues, collaborating closely with configuration teams for contract testing in business operations and reporting.">Key Responsibilities:Analyze complex...

Company Overview:USAA is a mission-driven organization that serves the financial security of millions of U.S. military members and their families. As a dedicated injury examiner, you will play a vital role in adjusting complex bodily injury claims and UIM claims to ensure timely and fair resolutions. This hybrid role requires an individual to be in the...

About the RoleThe Senior Claims Examiner role at University Health is an exciting opportunity for a motivated and detail-oriented individual to join our team.In this role, you will work closely with healthcare providers, patients, and internal stakeholders to ensure accurate and timely claim resolutions.Key Responsibilities:Conduct thorough reviews of claims...

About USAAUSAA has a crucial mission: providing financial security to millions of U.S. military members and their families. While not all employees served in the military, we all share the goal of giving back to those who did. As a dedicated injury examiner, you'll play a key role in adjusting complex bodily injury claims and UIM claims. This hybrid role...

Job SummaryThis role involves analyzing intricate claim payment issues, eligibility, and system problems beyond the scope of claims examiners. The ideal candidate will act as a consultant to claims staff in resolving complex claim matters.Key ResponsibilitiesAnalyze complex claim payments, eligibility, and system issues that affect claims payment.Act as a...

Benefits and PerksAs a Senior Claims Examiner at University Health, you will enjoy a range of benefits and perks that support your career growth and well-being.Key Benefits:A generous salary range of $75,000 - $100,000 per yearA flexible work environment that supports work-life balanceOpportunities for professional development and advancement within the...

Job DescriptionAt LeadingEdge Personnel, we are committed to providing exceptional service to our clients and customers. As a Compensation Claims Examiner, you will play a vital role in ensuring that claims are handled efficiently and fairly.Your primary responsibilities will include investigating claims, establishing reserves, issuing payments, negotiating...

Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details: This is a Full time in office position: 19100 Ridgewood Pkwy San Antonio, TX 78259 What is your impact? As a Claim Examiner, you will handle...

Job DescriptionGet To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details: This is a Full time in office position: 19100 Ridgewood Pkwy San Antonio, TX 78259 What is your impact? As a Claim Examiner, you...

Are you a skilled Insurance Claims Examiner looking for a new challenge?We are currently seeking an experienced claims examiner to join our team at Alacrity Solutions.The successful candidate will have a strong background in property field adjusting with a minimum of 2-3 years experience.You will be responsible for examining insurance claims and determining...

POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by the Department. EDUCATION/EXPERIENCE A high school diploma or GED equivalent is...

Shared Services: Risk Management- (Full-Time, Day Shift) - Job Summary: The Claims Examiner-HP Enrollment role coordinates all aspects of eligibility and enrollment for the health plans administered by Risk Management. Performs other duties as needed.Education and Experience: High School Diploma or GED required. Associate‘s Degree preferred. Minimum two...

POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Children’s Health Insurance Program) according to departmental and regulatory requirements. Maintains audit standards as defined by the Department. EDUCATION/EXPERIENCE A high school diploma or GED equivalent is...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

POSITION SUMMARY/RESPONSIBILITIES Performs review, analysis, and adjudication of all claim types including coordination of benefits and DME claims. Performs analysis of provider appeals and documents outcome determination via correspondence. Acts as a provider liaison for claim issue resolution by utilization of appropriate corporate functionalities. ...

Job Title: Commercial Property Claims ExaminerDescription: At CCMS & Associates, we are dedicated to solving the challenges of complex claims in the property and casualty insurance industry. As a Commercial Property Claims Examiner, you will play a critical role in investigating claims, preparing reports, and recommending claim reserves. With at least 1 year...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff on complex claim issue resolutions. Work cooperatively with configuration...

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments, eligibility, other insurance, transplants and system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff in complex claim issue resolution. Work cooperatively with Configuration...

Direct Hire California Workers Compensation Examiner /  Adjuster remote opportunity in state of California .   Must reside in California and have experience handling CA Workers Comp indemnity claims In this position you will : Investigate high exposure indemnity California Arizona workers comp claims/ Hire outside vendors if necessary Analyze applicable...

Shared Services: Risk Management- (Full-Time, Day Shift) - Job Summary: The Claims Examiner-HP Enrollment role coordinates all aspects of eligibility and enrollment for the health plans administered by Risk Management. Performs other duties as needed. Education and Experience: High School Diploma or GED required. Associate's Degree preferred. Minimum two...

About the RoleWe are seeking a highly skilled Complex Claims Examiner to join our team at Heritage MGA LLC.Job SummaryThe Complex Claims Examiner will analyze and review claims for accuracy, completeness, and eligibility. This role requires a strong ability to investigate losses, calculate and negotiate settlements, and prepare reports and records for...

Key Responsibilities:We are seeking a highly skilled Field Adjuster to join our team at CCMS & Associates in California. As a Field Adjuster, you will play a critical role in resolving insurance claims through investigation and negotiation.About the Job:Conduct comprehensive investigations of property damage claims, gathering evidence and interviewing...

**Job Overview:**We are seeking an experienced Claims Investigator to join our team at Command Investigations. As a Claims Investigator, you will be responsible for conducting investigations into insurance claims, gathering evidence, and writing detailed reports.The ideal candidate will have a strong background in insurance investigations, excellent...

h2>Why USAA?At USAA, we have an important mission: facilitating the financial security of millions of U.S. military members and their families. Not all of our employees served in our nation’s military, but we all share in the mission to give back to those who did. p style="text-align:inherit">The OpportunityAs a dedicated injury examiner, you will adjust...

Description: 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 subrogation of...

About the RoleWe are seeking highly skilled and experienced individuals to join our team as Daily Property Field Adjusters. In this role, you will be responsible for providing excellent claim handling services for our clients, working closely with them to ensure that their needs are met.As a Daily Property Field Adjuster, you will have the opportunity to...

Job DescriptionThis role involves providing excellent claim handling services for our clients regarding daily claim work within your area. This may include multiple perils such as wind, hail, theft, fire, and water losses.You will be responsible for examining property damage, assessing losses, and determining fair compensation for our clients.The ideal...