Medical Claims Examiner III

Job DescriptionRole OverviewThe Claims Examiner III is a critical role within the Advanced Medical Manage team, responsible for ensuring the quality and accuracy of claims processing. This position requires a strong analytical mind, excellent problem-solving skills, and the ability to work effectively in a fast-paced environment.Key ResponsibilitiesAudit...

Job Title: Medical Claims ExaminerWe are seeking a highly skilled Medical Claims Examiner to join our team at Ultimate Staffing. As a Medical Claims Examiner, you will be responsible for reviewing and processing medical claims to ensure accuracy and compliance with industry guidelines.Responsibilities:Review and process medical claims to ensure accuracy and...

This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area!Responsibilities:Parameters of the provider's contract obligations.Audit claims processing quality, develops, maintains and runs standard reportsAssist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and...

This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area! Responsibilities:Parameters of the provider's contract obligations.Audit claims processing quality, develops, maintains and runs standard reportsAssist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and...

This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area! Responsibilities:Parameters of the provider's contract obligations.Audit claims processing quality, develops, maintains and runs standard reportsAssist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and...

This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area! Responsibilities:Parameters of the provider's contract obligations.Audit claims processing quality, develops, maintains and runs standard reportsAssist the Claims Supervisor/Director in reviewing the quality auditing tracking/reporting (financial and...

Job Title: Medical Claims ExaminerThis is an exciting opportunity to join our team as a Medical Claims Examiner in the greater Long Beach/Los Angeles area. As a key member of our Claims department, you will play a crucial role in ensuring the accuracy and efficiency of our claims processing.Responsibilities:Audit claims processing quality and develop reports...

Job OverviewAdvanced Medical Manage is seeking a skilled Government Client Claims Examiner to join our team. As a key member of our Administration Department, this role is essential to our organization's success.Key Responsibilities:Process claims with accuracy and efficiency, ensuring compliance with program rules and regulations.Review and adjudicate...

Job Title: Claims Examiner - Workers CompensationMary Kraft HR is seeking an experienced Claims Examiner - Workers Compensation to analyze complex workers' compensation claims and determine benefits due. The ideal candidate will have expertise in workers' compensation principles, insurance laws, recoveries, claim durations, and cost containment practices.Key...

### Job Summary We are seeking a highly skilled Claims Service Representative III to join our team. As a Claims Service Representative III, you will be responsible for handling complex claims matters involving potential fraud indicators. Your primary functions will include investigation, evaluation, and negotiation of claims. You will use discretion and...

Job DescriptionJob DescriptionBCforward is currently seeking a highly motivated Claims Examiner - Workers Compensation in Remote . Position Title: Claims Examiner - Workers Compensation Location: Remote (CA)Anticipated Start Date: ASAPPlease note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start...

VirtualVocations is seeking a skilled Leave and Disability Claims Examiner to join our team. **Key Responsibilities:**• Secure and analyze information for short-term disability and state disability insurance claims• Develop and apply claim management strategies for leave claims like FMLA• Coordinate disability and leave decisions, provide accurate...

Job Title: Workers Compensation Claims Associate LBAt Mary Kraft HR, we are seeking a highly skilled Workers Compensation Claims Associate LB to join our team. As a key member of our claims team, you will be responsible for processing low-level workers' compensation claims, determining compensability and benefits due, and ensuring ongoing adjudication of...

Description:PRIMARY 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 expectations, industry best practices and specific client service requirements; and to identify...

A company is looking for a Leave and Disability Examiner. Key Responsibilities: Secure and analyze information for short-term disability and state disability insurance claims Develop and apply claim management strategies for leave claims like FMLA Coordinate disability and leave decisions, provide accurate claim information, and resolve issues...

{"title": "Commercial Auto GL Claims Examiner", "content": "Job SummaryWe are seeking a highly skilled Commercial Auto GL Claims Examiner to join our team at Flex Employee Services. As a Commercial Auto GL Claims Examiner, you will be responsible for managing a caseload of 150 to 180 auto and general liability files and first-party property claims, including...

Job SummaryProcom is seeking a detail-oriented Claims Assistant to support the administration of workers' compensation claims. As a key member of our team, you will perform clerical and data entry tasks, ensuring accurate and timely documentation.Key ResponsibilitiesSet up new claims in our system and prepare paper files, verifying documentation...

### Job Summary We are seeking a detail-oriented Claims Assistant to support the administration of workers' compensation claims. As a key member of our team, you will perform clerical and data entry tasks, ensuring accurate and timely documentation. ### Key Responsibilities * Set up new claims in our system and prepare paper files, ensuring documentation...

About SedgwickSedgwick is a leading provider of claims management and benefits services. We are committed to delivering exceptional results and exceeding our clients' expectations.Job SummaryWe are seeking a highly skilled Claims Team Lead to join our team. As a Claims Team Lead, you will be responsible for supervising a team of claims examiners and...

Job Title: Claims Team LeadSedgwick is a leading provider of claims management services, and we're seeking a highly skilled Claims Team Lead to join our team. As a Claims Team Lead, you will be responsible for supervising a team of claims examiners and technical staff, ensuring that claims are handled efficiently and effectively.Key...