Medical Claims Examiner

Job SummaryAt University Health, we are seeking a skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for the adjudication of medical claims for Medicaid, Commercial, and CHIP according to departmental and regulatory requirements.ResponsibilitiesPerform adjudication of medical claims for Medicaid,...

Job SummaryOptum 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...

Job Title: Medical Claims ExaminerJob Summary:TRIAD is seeking a highly skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for accurately processing health plan delegated claims, addressing provider inquiries, and handling various administrative tasks within the department.Key Responsibilities:Process...

About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing General Liability claims to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.Key...

About the Role:Sedgwick is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing and processing low-mid level General Liability claims on behalf of our valued clients. Your primary goal will be to determine benefits due while ensuring ongoing adjudication of claims within service expectations,...

Optum Job DescriptionAt Optum, we deliver care and technology to help millions of people live healthier lives. We're seeking a Senior Claims Examiner to join our team in reviewing, analyzing, and researching complex health care claims. As a Senior Claims Examiner, you will be responsible for identifying discrepancies, verifying pricing, confirming prior...

About the RoleUSAA is seeking a highly skilled Injury Examiner to join our team. As a dedicated professional, you will be responsible for adjusting complex bodily injury claims and UIM claims, ensuring timely and accurate resolution of claims in compliance with state laws and regulations.Key ResponsibilitiesAdjusts complex bodily injury claims with...

Job SummaryWe are seeking a highly skilled Claims Recovery Specialist to join our team at Alternative Claims Management. As a key member of our team, you will be responsible for negotiating and settling claims on behalf of our clients.Key Responsibilities:Recover claims through direct contact with responsible partiesReview and evaluate new damage recovery...

Claims Adjudicator for Argo GroupWe're seeking a highly skilled Workers' Compensation Claims Adjudicator to join our team at Argo Group. As a Claims Adjudicator, you will be responsible for adjudicating indemnity workers' compensation claims of higher technical complexity for our customers in the states of AR, LA, MA, and TX.Key Responsibilities:Adjudicate...

Job Title: Manager, Claims OperationsJob Summary: We are seeking a dedicated Manager, Claims Operations to lead a team of Auto Injury Examiners at USAA. The successful candidate will have a strong background in claims handling and leadership experience.Key Responsibilities:Lead and Manage Team: Direct a team of Auto Injury Examiners responsible for...

Creative Financial Staffing has partnered with a reputable healthcare provider to find a skilled Medical Biller to join their team. This opportunity offers a chance to work in a dynamic healthcare environment and contribute to the organization's financial success.About the Role:The Medical Biller will be responsible for processing and submitting medical...

Job DescriptionClearsight Billing is seeking a skilled Medical Billing Specialist to contribute to our team's success. Key responsibilities include:Managing insurance accounts receivable and resolving claim denials, EDI rejections, and unpaid claims.Processing electronic claim files and posting payments.Providing exceptional customer service and support for...

Job Title: Manager, Claims OperationsAt USAA, we're seeking a dedicated Manager, Claims Operations to lead a team of Auto Injury Examiners. As a Manager, Claims Operations, you will be responsible for leading and being accountable for auto, property, and other claims operations member service employees who investigate, evaluate, and negotiate claims.Key...

Job Title: Director of Claims OperationsAt USAA, we're committed to delivering exceptional service to our members. As a Director of Claims Operations, you'll play a critical role in leading our claims contact center teams to achieve business results and drive member satisfaction.About the RoleWe're seeking a seasoned leader with a strong background in claims...

About the RoleUSAA is seeking a highly skilled and experienced Senior Injury Claims Adjuster to join our team. As a key member of our claims resolution team, you will be responsible for adjusting attorney-involved moderately complex bodily injury and UM claims, as well as catastrophic auto PIP/MP medical claims.Key ResponsibilitiesIdentify and manage...

Job SummaryWe are seeking a highly motivated and customer-focused Insurance Claims Adjuster to join our team at Fred Loya Insurance. As an Insurance Claims Adjuster, you will be responsible for investigating and verifying coverage, determining liability, and providing exceptional customer service to all parties involved in the claims process.Key...

About the OpportunityAs a dedicated Injury Adjuster at USAA, you will play a critical role in facilitating the financial security of millions of U.S. military members and their families. Your expertise in adjusting non-attorney involved soft tissue bodily injury or auto PIP/MP medical claims will be essential in ensuring that our members receive the best...

Job SummaryWe are seeking a skilled Workers' Compensation Claims Representative to join our team at The Hartford. As a Claims Representative, you will be responsible for investigating and resolving workers' compensation claims in a timely and accurate manner.Key ResponsibilitiesInvestigate and analyze workers' compensation claims to determine liability and...

Job SummaryFlooring Services is a trusted industry leader in the home building industry, committed to integrity and respect for clients, employees, and the environment. We seek a highly motivated and positive individual to join our team as a Claims Specialist.Key Responsibilities:Handle claims notifications of defective materials and/or installationVerify...

Job SummaryAt Crossroads Hospice & Palliative Care, our office teams play a vital role in ensuring the compassionate care we provide to our patients and their families. While our caregivers deliver medical support, we address all aspects of our patients' needs. Our relationships, founded on trust, are the cornerstone of communication within our...