Medical Claims Examiner
7 days ago
At USAA, our mission is to provide financial security to millions of U.S. military members and their families.
We're committed to giving back to those who have served.
In this role as a Medical Claims Examiner - Auto Injury Specialist, you'll adjust complex bodily injury claims and UIM claims, confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations.
This hybrid position requires spending 3 days a week in the office.
Key Responsibilities:
- Adjusting complex bodily injury claims with significant demonstrable injuries (e.g. traumatic brain injury, disfigurement, fatality) and UIM claims, as well as all auto physical damage associated with those claims.
- Identifying, confirming, and making coverage decisions on complex claims.
- Investigating loss details, determining legal liability, evaluating, negotiating, and arriving at claim settlement within appropriate authority guidelines.
- Clearly documenting thought process, investigation, evaluation, negotiation, and settlement decisions.
- Prioritizing and managing assigned claims workload to keep members and other involved parties informed, providing timely claims status updates.
- Partnering and/or directing vendors and internal business partners to facilitate timely claims resolution.
- Serving as a resource for less experienced team members on complex claims.
Required Skills and Qualifications:
- Expert knowledge and understanding of the auto claims contract, as well as application of case law and state laws and regulations.
- Aquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts.
- Experience handling UM/UIM injury claims.
- College Degree (Bachelor's or higher).
Benefits:
- Comprehensive medical, dental and vision plans.
- 401(k) and pension.
- Life insurance.
- Parental benefits.
- Adoption assistance.
- 16 paid volunteer hours.
Estimated Salary: $65,000 - $85,000 per year.
-
Phoenix, Arizona, United States Swift Transportation Full timeAccelerate your career with Swift Transportation as a Claims Service Examiner. This role offers competitive salaries, opportunities for growth, and a comprehensive benefits package.About the Job:We are seeking a highly skilled Claims Service Examiner to join our team. As a key member of our claims handling department, you will be responsible for initiating...
-
Auto Claims Adjuster for Insurance Company
5 days ago
Phoenix, Arizona, United States TheBest Claims Solutions Full timeWe are seeking an experienced Auto Bodily Injury Adjuster to join our team in Phoenix. The ideal candidate will have a strong background in handling 3rd Party Auto Bodily Injury claims from inception to close, with excellent communication and customer service skills.The successful candidate will have a minimum of 2 years of experience in a fast-paced claims...
-
Medical Claims Specialist
6 days ago
Phoenix, Arizona, United States WeCare Medical Specialty Group Full timeJob OverviewWeCare Medical Specialty Group is seeking a highly skilled and detail-oriented Medical Claims Specialist to manage and process medical claims in a timely and accurate manner.Estimated Annual Salary: $55,000 - $65,000Key Responsibilities:Review and verify medical records for accurate coding and billing.Prepare and submit clean claims to insurance...
-
Medical Claims Specialist
6 days ago
Phoenix, Arizona, United States UnisLink Full timeAbout UnisLinkFounded in 2009, UnisLink is a leading provider of medical billing and revenue cycle management solutions. We help healthcare providers optimize their revenues, improve outcomes, and reduce costs through better process management, data analytics, and outsourcing.Job OverviewWe are seeking a highly skilled Medical Claims Specialist to join our...
-
Medical Claims Specialist
1 day ago
Phoenix, Arizona, United States LHH Recruitment Solutions Full timeJob Summary LHH Recruitment Solutions is seeking a highly motivated Medical Claims Specialist to join their team. This role involves processing and managing medical claims related to Arizona State Medicaid, contacting insurance companies to follow up on claims, filing appeals for denied claims, and resolving billing discrepancies.About the Role As a Medical...
-
Medical Claims Specialist
5 days ago
Phoenix, Arizona, United States UnisLink Full time**Company Overview**UnisLink is a dynamic and innovative company founded in 2009, specializing in medical billing/RCM, data analytics, product development, account management, and customer service. Our mission is to help medical providers optimize revenues, improve outcomes, and reduce costs through better process management, data analytics, and...
-
Claims Service Professional
1 day ago
Phoenix, Arizona, United States Swift Transportation Full timeClaims Examiner RoleWe are seeking a highly skilled Claims Service Examiner to join our team at Swift Transportation.The ideal candidate will possess exceptional customer service and insurance/claims expertise, with the ability to handle complex claims calls and issues.This role involves working closely with internal and external contacts to respond to...
-
Supervisor Integrated Claims Specialist
1 week ago
Phoenix, Arizona, United States Reliance Matrix Full timeJob OverviewWe are seeking a skilled Supervisor Integrated Claims Specialist to join our team at Reliance Matrix.About the RoleThis is a key leadership position responsible for supervising a team of claims examiners and ensuring the timely evaluation of Disability and Leave of Absence claims.The successful candidate will be responsible for:Team Management:...
-
Claims Handler | Global Industry Leader
5 days ago
Phoenix, Arizona, United States Sedgwick Full timeOverviewSedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. We help organizations protect their employees, clients, and reputation while minimizing business interruptions.About the RoleWe are seeking skilled Claims Handlers to join our team. In this role, you will analyze low to high-level Workers...
-
Medical Claims Printing Specialist
5 days ago
Phoenix, Arizona, United States Unislink Full timeUnisLink is currently seeking a full-time Medical Claims Clerk to join its dynamic and passionate team.Job OverviewWe offer a competitive salary and benefits package, as well as opportunities for growth and development within the organization.Our total rewards package reflects our commitment to creating a diverse and supportive workplace with passionate...
-
Medical Examiner for Veterans
5 days ago
Phoenix, Arizona, United States MRG Exams Full timeAs a leading provider of independent medical examinations, MRG Exams is dedicated to supporting United States Veterans through the VA's disability benefits process.We are seeking a qualified and experienced Physical Medicine and Rehabilitation (PM&R) Physician to conduct thorough, objective, and compassionate medical assessments that contribute to timely and...
-
Medical Claims Specialist
1 day ago
Phoenix, Arizona, United States LHH Recruitment Solutions Full timeMedical BillerJob DescriptionWe are seeking a highly skilled Medical Biller to join our team in Phoenix, AZ. The successful candidate will be responsible for handling hospital billing responsibilities, working with claim denials, and providing financial counseling to patients.Responsibilities:Hospital Billing ResponsibilitiesWorking with Claim Denials...
-
Phoenix, Arizona, United States TEEMA Full timeJob SummaryWe are seeking a skilled Claims Reviewer to join our dynamic team. As a Claims Reviewer, you will play a crucial role in ensuring accurate claims processing by applying clinical and coding knowledge.The ideal candidate will have a strong foundation in medical claims and be passionate about quality. If you have 2+ years of experience in medical...
-
Claims Representative for Insurance Claims
5 days ago
Phoenix, Arizona, United States USAA Full time**Company Overview:**USAA is a leading provider of insurance and financial services to the military community. We are committed to serving our members with integrity, honesty, and loyalty.**Salary:The salary for this role is $43,750 to $45,750 per year, based on market data and experience.**Job Description:**We are seeking a Claims Representative to join our...
-
Medical Forensic Nurse Examiner
6 days ago
Phoenix, Arizona, United States Phoenix Children's Hospital Full timeAt Phoenix Children's Hospital, we are committed to delivering exceptional patient care and promoting a safe and healthy environment for our patients and families.About the RoleWe are seeking a highly skilled Medical Forensic Nurse Examiner to join our team. This is an exciting opportunity to work in a dynamic and collaborative environment where you will...
-
Auto Claims Adjuster
6 days ago
Phoenix, Arizona, United States USAA Full timeJob DescriptionWe are seeking a highly skilled Auto Claims Adjuster to join our team at USAA. As a key member of our claims handling process, you will be responsible for adjusting complex auto insurance claims presented by or against our members.About the RoleInvestigate and determine coverage and liability, evaluates, negotiates, and settles auto claims...
-
Risk Management Strategist
6 days ago
Phoenix, Arizona, United States LESLIES POOLMART INC Full timeJob DescriptionDive into a new career with Leslie's PoolMart Inc.We are the "World's Largest Retailer of Swimming Pool Supplies." With over 1,000+ retail stores in 39 states plus PRO, Service, E-Commerce, Production, and Distribution divisions, there are many career opportunities at Leslie's. Our company values include the development and growth of our team,...
-
Senior Auto Claims Adjuster
7 days ago
Phoenix, Arizona, United States USAA Full timeRole Overview:A challenging and rewarding opportunity has arisen for a skilled Senior Auto Claims Adjuster to join our team at USAA. As a key member of our complex claims unit, you will be responsible for investigating and resolving highly complex auto claims, providing exceptional customer service, and working closely with external and internal stakeholders...
-
Claims Documentation Specialist
4 days ago
Phoenix, Arizona, United States Unislink Full timeAbout the RoleWe are seeking a meticulous and detail-oriented Claims Documentation Specialist to join our team at UnisLink. In this role, you will be responsible for ensuring the accurate and timely printing and processing of healthcare claims.Key Responsibilities:Printing and Assembly: Accurately print and assemble healthcare claims documents, adhering to...
-
Claims Adjuster Senior
5 days ago
Phoenix, Arizona, United States USAA Full timeUSAA's Mission-Driven TeamWe're seeking an experienced Claims Adjuster Senior to join our team. In this role, you'll be responsible for investigating and determining coverage and liability for complex auto claims, as well as evaluating, negotiating, and settling highly complex claims.Key Responsibilities:Investigate and determine coverage and liability for...