Medical Claims Examiner

Job SummaryThe Medical Claims Examiner will be responsible for ensuring claims are processed correctly and efficiently. This role requires a strong understanding of employee benefits and the ability to analyze data to determine the validity of claims.Key Responsibilities:Compare claim data with internal policy and company records to ensure completeness and...

About the PositionThis is a continuous filing exam. Next filing cut-offs are at 5:00 pm on: 6/28/24, 7/19/24 (Final)Job SummaryUnder direction, the Workers' Compensation Examiner performs specialized claims service in the administration of the County's self-insured Workers' Compensation Program. Incumbents in this class administer the indemnity workers'...

Job SummaryThe State of California is seeking a highly skilled Associate Field Examination Compliance Officer to join our team. As a key member of our Consumer Services & Market Conduct Branch, you will play a critical role in ensuring that insurance companies comply with California law and protect consumers from unfair claims settlement practices.Key...

Job Summary:The State of California is seeking a highly skilled Associate Field Examination Compliance Officer to join our team. As a key member of our department, you will conduct complex and varied field claims examinations of property & casualty or life & health insurers to protect the insurance consumer from unfair claims settlement practices and to...

Job SummaryCVS Health is seeking a skilled Medical Claims Adjustor to join our team. As a Medical Claims Adjustor, you will be responsible for reviewing and adjusting SF, FI, Reinsurance, and/or RX claims, as well as adjudicating complex, sensitive, and/or specialized claims in accordance with claim processing guidelines.Key ResponsibilitiesPerform...

Job SummaryWe are seeking a skilled Medical Billing Specialist to join our team at NORCAL Ambulance. As a Medical Billing Specialist, you will be responsible for the accurate and timely submission of medical claims to insurance and private payors, contracted facilities and/or Medicare, Medi-Cal and all other government programs.Key Responsibilities•...

Job Title: Physician Assistant - Medical ExaminerQTC Company is seeking a highly skilled Physician Assistant to join our team as a Medical Examiner. As a Physician Assistant, you will conduct medical examinations for a variety of customers, including federal and defense agencies.Key Responsibilities:Conduct medical examinations for customers, including...

At George Hills Company, we are seeking a highly skilled Insurance Claims Adjuster to join our team. As an Employer of Choice, we offer a positive and collaborative culture that builds relationships based on pride and respect.As a Claims Adjuster, you will investigate, evaluate, and adjust General and Automobile Liability claims. You will interact with field...

Job SummaryThe Senior Claims Representative is responsible for handling complex and mid-to-high exposure claims under Ryder's self-administered liability program. This role involves investigating and adjusting claims, as well as directing defense counsel, independent adjusters, experts, and other vendors in the claims-handling processes.Key...

About the RoleWe are seeking a highly skilled and detail-oriented Dental Claims Specialist to join our team at Image Specialty Partners. As a key member of our dental service organization, you will play a critical role in ensuring the accuracy and efficiency of our billing processes.Key ResponsibilitiesVerify patient insurance coverage and benefits,...

Image Specialty Partners is a leading dental service organization dedicated to delivering exceptional oral health care to our patients. Our team values integrity, efficiency, and collaboration to create a positive experience for both our clients and staff. We are seeking a motivated and detail-oriented Dental Claims Specialist to join our dynamic...

NORCAL Ambulance is seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in ensuring the accurate and timely submission of medical claims to insurance and private payors.Key Responsibilities:Prepare, review, and transmit claims electronically or via paper, both timely and within...

In partnership with our client, Randstad is currently hiring for a Medical Authorizations Specialist. We are seeking candidates with a background in the healthcare field and excellent data entry skills. ***Candidates MUST have production data entry and healthcare experience to be considered for this role.***Pulling claim forms via electronic faxReviewing and...

Job SummaryAs a seasoned Contract and Claims professional in the Heavy Civil market, you will be part of a high-performing project controls team that plays a critical role in ensuring the profitable execution of our projects. Your expertise will be instrumental in analyzing pre-bid proposals and contract documents to identify, evaluate, and mitigate risks...

Job SummaryThe State of California is seeking a highly skilled Program Technician II to join our team in the Unclaimed Property Division. As a key member of our team, you will be responsible for processing claims, researching ownership, and providing excellent customer service to the public.Key Responsibilities* Receive and log claims into UPS2000 and...

We are seeking a highly skilled Physician Assistant to join our team at All Inclusive Medical Services Urgent Care, Inc. The ideal candidate will have extensive experience in Internal medicine and be able to diagnose and treat health conditions in an Urgent Care facility.Key Responsibilities:Provide medical care to patients ages two years and olderConduct...

Unlock Your Potential as a Clinical ProfessionalAt Centene Corporation, we're looking for a skilled Medical Management Coordinator to join our team. As a clinical professional on our Medical Management/Health Services team, you'll have the opportunity to make a real difference in the lives of our 28 million members.Key Responsibilities:Analyze and resolve...

Job SummaryWe are seeking a highly skilled Medical Biller/Coder to join our team at TRANSITIONS BUPRENORPHINE CLINIC OF SACRAMENTO. As a Medical Biller/Coder, you will be responsible for processing insurance claims, collecting necessary documentation from clients, and accurately recording patient information. You will also assist other Medical Billers with...

Job SummaryThe State of California is seeking a highly skilled Program Technician II to join the Unclaimed Property Division. As a key member of the team, you will be responsible for processing claims, researching ownership, and providing technical support to the public.Key ResponsibilitiesReceive and log claims into UPS2000 and CANotice systemsEvaluate and...

About the Role:We are seeking a skilled Nurse Practitioner or Physician Assistant to join our team at All Inclusive Medical Services Urgent Care, Inc.Key Responsibilities:Diagnose and treat health conditions in an Urgent Care facilityProvide medical care to patients ages two years and olderExpertise in Acute care, VA ExaminationsKnowledge of health and...