Hospital Claims Examiner

The Claims Examiner will be responsible for researching and resolving pending claims, reviewing claim denials requiring manual review, and ensuring timely processing in compliance with policies, procedures, and regulatory guidelines. The role involves determining claim payments, maintaining correspondence for procedural and medical coding, and adhering to...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.Newsweek Recognizes Sedgwick as...

POSITION SUMMARYThe Commercial Property Claims Examiner III reviews, evaluates and processes complex commercial insurance claims and makes recommendations for resolution. Additionally, this role will examine and authorize commercial insurance claims investigated by independent adjusters. Lastly, the commercial property examiner will review claim forms and...

Medicare Senior Claims ExaminerDescription:This position is responsible for: researching, correcting and responding to all D-SNP pended claims as well the review of Audit reports in a timely manner; determining whether a claim should be paid (in accordance with the policies and procedures) and maintaining correspondence for document procedure /medical/CPT/...

REPORTS TOAssistant Manager, Claims & AppealsCONTACTS AND RELATIONSHIPSThe position interfaces with department management, department employees, and employees from other departments. The position also requires contact with participants and their families, business managers, other insurance companies, and healthcare providers (e.g. doctors and...

Keenan is a leading insurance brokerage and consulting firm serving hospitals, public agencies, and California school districts. Specializing in employee benefits, workers' compensation, loss control, financial services, and property & liability, Keenan is committed to delivering innovative solutions that protect and empower the communities we serve.As part...

Chubb is currently seeking a Workers' Compensation Lost Time Claim Director for our West Coast/Pacific region. The successful applicant will be handling claims from California. The position will report and reside in our Los Angeles, CA office.Duties & Responsibilities:Handles all aspects of workers' compensation lost time claims from set-up to case closure...

We're looking for a detail-oriented Medical Claims Examiner/Claims Specialist to support a reputable organization in El Monte Area. This is great opportunity to use your claims knowledge and analytical skills in a meaningful way helping ensure accuracy fairness, and efficiency in the claims process.If you enjoy working with data, problem-solving, and...

Chubb is currently seeking an Assistant Vice President, Lost Time Workers' Compensation Claim Manager for our West Region in the Los Angeles office. The AVP Manager will be responsible for leading a team of Workers' Compensation professionals in the delivery of the highest quality claim work product while meeting all internal and external compliance...

What you can expectFind joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experienceUnder the direction of the Covered California Claims (CCA) Manager, the CCA Claims Specialist is responsible for analyzing, managing, and investigating complex and...