Claims Examiner

Job Title: Medical DoctorLifeHealth is seeking a highly skilled Medical Doctor to join our team as a Compensation Examiner. In this role, you will be responsible for conducting one-time, non-treatment exams for veterans related to their disability claims.Job Summary:The ideal candidate will have a strong background in Physical Medicine and Rehabilitation or...

Minimum 3years of relevant CA WC claims experience is mandatoryCalifornia WC Claims handling experiencePrimary Purpose 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...

Key Responsibilities:Conduct thorough reviews of departmental charges and medical documentation to ensure accuracy and compliance.Verify that all office visits, in-patient services, tests, and procedures are properly documented and correctly billed.Reconcile reports to ensure professional and clinical billing is accurate and up-to-date.Requirements:Strong...

About the RoleSedgwick is a leading global provider of technology-enabled risk, benefits, and integrated business solutions. We're seeking a driven individual to join our team as a Liability Litigation Claims Examiner.Key ResponsibilitiesAnalyze and process claims through well-developed action plans to achieve timely and appropriate resolutions.Negotiate...

Senior General Liability Claims Examiner Property & Casualty Insurance IndustryNYCExamine, adjust and defend, general liability claims and lawsuits filed against insureds towards an amicable resolution, where possible. This includes reviewing the terms, conditions and exclusions of the insurance policy to determine whether or not the claim presented is...

Job Title: Senior Claims Examiner, E&SWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team at Arch Insurance Group Inc. This role will involve actively handling and managing an excess casualty caseload, with a focus on identifying and assessing coverage issues, developing and implementing strategy, and resolving matters of...

Job Title: Senior Claims Examiner, E&SWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team at Arch Insurance Group Inc. This role involves actively handling and managing an Excess casualty caseload, requiring strong analytical and problem-solving skills.Key Responsibilities:Identify and assess coverage issues, draft coverage...

WellMed is part of OptumCare, a division under the greater UnitedHealthcare Group umbrella. We have a network of doctors, specialists and other medical professionals that specialize in providing the highest level of medical care for more than 1 million older adults with over 16,000 doctors’ offices in Texas and Florida.  We’re growing, and we are...

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,...

Job SummaryWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team. As a key member of our Claims Division, you will be responsible for actively handling and managing an excess casualty caseload, identifying and assessing coverage issues, and developing strategies to resolve matters of liability and damages.Key...

Insurance Placement Solutions has an immediate opening for a Remote Workers’ Compensation Claims Team Lead with our client. As a member of our client’s claims team, utilize your knowledge of workers’ compensation to independently investigate, evaluate, and resolve assigned claims in order to achieve appropriate outcomes. In this position, you will...

Job SummaryWe are seeking a highly skilled Medical Claims Technician to join our team at Red Rock Behavioral Health Services. As a Medical Claims Technician, you will be responsible for researching insurance claim denials, determining the validity of the claim, and adjusting and resubmitting claims via multiple methods.Key ResponsibilitiesConduct thorough...

Job SummaryWe are seeking a highly skilled Senior Claims Examiner to join our E&S Casualty Team. As a key member of our Claims Division, you will be responsible for actively handling and managing an excess casualty caseload.Key ResponsibilitiesIdentify and assess coverage issues, draft coverage position letters, and retain coverage counsel when...

Remote Claims Processing AssociateNTT DATA's Client is seeking a skilled Remote Claims Processing Associate to join their team. As a key member of the team, you will be responsible for processing professional and hospital claim forms files by provider, reviewing policies and benefits, and ensuring compliance with company regulations regarding HIPAA,...

CompSource Mutual Insurance Company: A Leader in Workers Compensation InsuranceWe are seeking a skilled Claims Adjuster I to join our team in Oklahoma City or Tulsa. As a Claims Adjuster, you will play a critical role in ensuring timely and accurate data management, while providing exceptional service to our policyholders.About the Role:Manage and analyze...

Remote Claims Processing AssociateNTT DATA's Client is seeking a skilled Remote Claims Processing Associate to join their team!Key Responsibilities:Process professional and hospital claim forms files by providerReview policies and benefitsComply with company regulations regarding HIPAA, confidentiality, and PHIAbide by timelines to complete compliance...

Job SummaryWe are seeking a highly organized and detail-oriented Insurance Clerk II to join our team at Swope Health Services. As an Insurance Clerk II, you will play a critical role in validating patient information and preparing and filing insurance claims in accordance with regulatory and contractual requirements.Key ResponsibilitiesValidate patient...

CompSource Mutual Insurance CompanyWe are seeking a skilled Claims Adjuster I to join our team in Oklahoma City or Tulsa.About the Role:Timely data management and attention to detail are essential for success in this position.Our company is an AM Best A-rated leader in the industry.As a Claims Adjuster I, you will be responsible for managing workers...

Job Title: Insurance Clerk IAs an Insurance Clerk I at Swope Health Services, you will play a vital role in ensuring the accuracy and efficiency of our insurance claims process.We are seeking a highly organized and detail-oriented individual to join our team. If you have a passion for providing excellent support and are known for your organizational skills,...

About the RoleWe are seeking a highly organized and detail-oriented Insurance Clerk II to join our team at Swope Health Services. As an Insurance Clerk II, you will play a critical role in validating patients' information and preparing and filing insurance claims in accordance with insurance carrier's regulatory and contractual...

About First Acceptance Insurance CompanyWe are a growing organization that continues to evolve and positively impact the lives of our team members and customers.Job SummaryWe are seeking a highly motivated and detail-oriented Insurance Claims Adjuster to join our team. As a Claims Examiner, you will be responsible for investigating and resolving insurance...