- US Tech Solutions, Inc. (Atlanta, GA)
- Job Title: Claims Examiner Location: Remote Duration: 06 months contract (C2H) Job Description: Responsibilities: * Investigate, evaluate, and settle claims , ... made according to company practices and procedures. * Enter claim payments, reserves, and new claims on...* Enter claim payments, reserves, and new claims on computer system, inputting concise yet sufficient file… more
- Nesco Resource (Brea, CA)
- … by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and ... containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.Manages claim recoveries, including but not… more
- CMJobPoster (Ontario, CA)
- Job Title: Claims Team Lead Location (On-site, Remote, or Hybrid?): Ontario, CA (hybrid) Contract Duration: Contract until 11/16/2024 Description: County of Los ... payments process according to procedure Review and approve new claim determinations and provide initial directions as to whether...or staffing of legal issues as they arise with examiner , DA, Director (if needed), County Representative (if needed)… more
- Nesco Resource (Long Beach, CA)
- …and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ... with management projects for the office.Provides technical/jurisdictional direction to examiner reports on claims adjudication.Compiles reviews and analyzes… more
- Option Care Health (Bannockburn, IL)
- …but not limited to HIPAA, Stark Law, Anti-Kickback Statute, and False Claims Act, and ensure that investigative practices remain current and compliant.Respects and ... Qualifications & Interests (PQIs)Certifications in investigation, interview, and/or fraud examiner techniquesAdvanced degree (eg, JD, MBA, MPH) or clinical… more
- MetLife (Oriskany, NY)
- …and customer satisfaction are met. Evaluate life claims to identify claim situations requiring referral to Senior Examiner . Maintain good rapport with ... Group Life Claim Examiner Location(s) + Posting Location:Oriskany,...(BIOS). Interpret policy provisions and manually adjudicate Group Life claims to make claim determinations. + Work… more
- AON (Fort Wayne, IN)
- Participant Accident Claims Examiner / Health Insurance K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, ... recreation, motorsports, and events. As a Claims Examiner , you will report directly to...which benefits are available + Obtain information necessary for claim to be established in the claims … more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claim Examiner - Liability **PRIMARY PURPOSE** : To analyze complex or ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- Randstad US (Brea, CA)
- workers comp claim sr. examiner - california. + brea , california (remote) + posted april 30, 2024 **job details** summary + $40 - $45 per hour + temporary + ... information and facts gathered + Monitoring the course of claims investigations and utilizing resources to reach claim... claims investigations and utilizing resources to reach claim decisions + Thoroughly documenting claims decisions… more
- Lowe's (Mooresville, NC)
- … Claims Examiners on issues that cannot be satisfactorily resolved by the Claims Examiner , this position investigates complaints made by customers or stores ... claimants and witnesses, obtaining official reports, and by comparing claim information with evidence + Serves as an escalation...School or GED and 5-7 Years experience as a Claims Examiner or materially relevant knowledge, skills… more
- Randstad US (El Dorado Hills, CA)
- remote california workers comp sr. claim examiner . + el dorado hills , california (remote) + posted april 29, 2024 **job details** summary + $45 - $50 per hour + ... information and facts gathered + Monitoring the course of claims investigations and utilizing resources to reach claim... claims investigations and utilizing resources to reach claim decisions + Thoroughly documenting claims decisions… more
- Sedgwick (Columbus, OH)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Litigation - REMOTE ** Claims examiner ** Are ... examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- AIG (Jersey City, NJ)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner to play your part in that transformation. It's an opportunity to grow ... in France? This position may be for you. This Claims Examiner position in the International Casualty...Programs issued to large Multinational US insureds. + Conduct Claim Reviews of foreign claims and will… more
- Randstad US (Long Beach, CA)
- california workers compensation claims examiner . + long beach , california + posted may 9, 2024 **job details** summary + $55 - $60 per hour + temporary + ... occupations + referenceAB_4531696 job details Now Hiring: California Workers Compensation Claims Examiner Are you ready for a life-changing opportunity?… more
- AIG (Dallas, TX)
- …way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It's an opportunity to ... of the team. Join us as a Senior WC Claims Examiner to grow your experience in...technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with best claim practice… more
- Sedgwick (Columbus, OH)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Liability IF YOU CARE, THERE'S A PLACE FOR YOU HERE ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- Sedgwick (Long Beach, CA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Long Beach, CA (Hybrid) Are you looking for ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- Sedgwick (Hunt Valley, MD)
- …mainly Australia. If this does not apply to you please use the 'Apply' option.** Claims Examiner - Workers Compensation IF YOU CARE, THERE'S A PLACE FOR YOU ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- Sedgwick (Roseville, CA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Examiner | Roseville, CA (Agile 1-2 Days Onsite) **PRIMARY ... investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and timely… more
- LA Care Health Plan (Los Angeles, CA)
- Claims Examiner II (Temporary) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... net required to achieve that purpose. Job Summary The Claims Examiner II is responsible for the... when indicated. Meeting and exceeding performance measurements for Claim Examiners as required by the department to meet… more
