Injury Claims Examiner

Job DetailsJob Title: Claims ExaminerLocation: RemotePay: $20 per hourWe are seeking a detail-oriented Claims Examiner to review, process, and resolve insurance claims. For analyzing and evaluating insurance claims, ensuring compliance with company policies and guidelines, and maintaining accurate records of all claim transactions.Key...

About the RoleSedgwick is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will play a critical role in analyzing complex workers' compensation claims and determining benefits due. Your expertise will ensure that claims are resolved in a timely and cost-effective manner, while maintaining a high level of customer satisfaction.Key...

Senior Claims Examiner - Claims Specialist Richmond, VA, USA * Virtual Req #127 Wednesday, August 7, 2024 Come grow with James River Insurance! James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. and operates on an approved non-admitted basis in 50 states and Washington, DC. Since 2003,...

Senior Claims Examiner - Claims Specialist Alpharetta, GA, USA * Raleigh, NC, USA * Richmond, VA, USA * Scottsdale, AZ, USA * Virtual Req #127 Wednesday, August 7, 2024 Come grow with James River Insurance! James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. and operates on an approved...

Job SummaryThe Senior Disability Claims Examiner is responsible for evaluating and authorizing associate short-term and long-term disability claims, Family Medical Leaves, and other Kohler Co. Paid Leaves. This role requires strong analytical and communication skills to ensure compliance with both the Summary Plan Descriptions and local leave law...

About the OpportunityAt USAA, we're committed to delivering exceptional service to our members. As a Senior Injury Claims Adjuster, you'll play a critical role in ensuring that our members receive fair and timely resolutions to their bodily injury and UM claims. Your expertise will be essential in navigating complex claims, investigating loss details, and...

About SedgwickSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. Our mission is to help organizations protect their employees, customers, and assets while minimizing business interruptions.Job SummaryWe are seeking a highly skilled Claims Adjuster to join our team in Las Vegas, NV. As a Claims...

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. As a dedicated injury examiner, you will adjust complex bodily injury claims and UIM claims to...

Job OpportunityInsure National, a national staffing firm, is partnering with a leading insurance carrier to fill a Bi/Casualty Claims Adjuster position in Tampa, FL. This role involves handling attorney-represented injury claims, including coverage investigation, liability disputes, and bodily injuries. The majority of claims are auto-related, with 90% being...

Compensation Claims RoleThis position is responsible for the analysis and management of complex workers' compensation claims. The successful candidate will review, investigate, and make decisions regarding coverage, compensability, and appropriateness of claims.Key Responsibilities5-7 years of experience with complex claims, particularly in UtahUtah claims...

Job Title: Medical Claims AdjudicatorJob Summary:This position is responsible for the accurate and timely adjudication of medical and non-medical provider claims, as well as the submission of enrollments and disenrollments to Florida Medicaid and CMS. The successful candidate will play a key role in PACE's revenue and expense process, ensuring compliance...

Job SummaryThis position plays a critical role in ensuring the accuracy and efficiency of medical and non-medical provider claims processing for Florida Medicaid and CMS.Key ResponsibilitiesAdjudicate medical claims twice monthly, verifying referrals/authorizations, and ensuring timely remittance notices and check requests.Obtain DDE rates for claims system...

Job Title: Billing Review SpecialisteTeam Inc. is seeking a highly skilled Billing Review Specialist to join our team.Job Summary:The Billing Review Specialist will be responsible for ensuring that all assigned reviews and company projects are completed timely and accurately according to the scope of work. This includes reporting any issues or concerns to...

About the RoleWe are seeking a highly skilled Dental Service Analyst to join our team at Elevance Health. As a key member of our team, you will be responsible for performing utilization review of dental claims, ensuring consistent application of policy, departmental guidelines, and client contracts.Key ResponsibilitiesInterpret radiographs, patient...

NRS Injury Law: A Full-Service Injury Law FirmNRS Injury Law is a reputable and experienced full-service injury law firm with a focus on workers compensation and personal injury claims. Our team of 30+ attorneys and over 70 legal assistants, paralegals, and administrative staff operate statewide with regional offices in Cleveland, Euclid, Cincinnati,...

We are seeking a seasoned Claims Manager to lead our claims department in the Coral Gables, FL area. This is an on-site position available with one of our top clients in the insurance services industry.In this role, you will oversee and manage day-to-day claims operations, ensuring quality and compliance with industry standards and state regulations. Your...

Personal Injury Attorney Job DescriptionLeeds Professional Resources is seeking a skilled Personal Injury Attorney to handle plaintiff experience cases. The ideal candidate will have a strong understanding of personal injury law, tort law, and medical terminology.Key Responsibilities:Manage personal injury case files from start to finish, including drafting,...

Propel Insurance, an Alera Group Company is looking for a Claims Administrator to join their team! . The Claims Administrator position is the first step in a Claims career at Propel. The ideal candidate will have some office/clerical experience, as well as customer service experience.  Intake, review, and assign claims/tasksSet up and report new claims...

About ReservReserv is an insurtech company that specializes in creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in 2022. We are focused...

Personal Injury Attorney OpportunityDe Novo Review Inc is seeking a seasoned Personal Injury Attorney to join their team. The ideal candidate will have a strong track record of success in personal injury litigation and a proven ability to work in a team atmosphere.Responsibilities:Manage a caseload of personal injury matters from inception to...