- 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
- 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
- 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 ... Angeles experience preferred 10 years of experience in workers compensation. Self...payments process according to procedure Review and approve new claim determinations and provide initial directions as to whether… 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 ... discipline, etc.) Basic Education and/or Experience RequirementsBachelor's degree required, preferred in healthcare administration, business administration, legal or justice… more
- New York State Civil Service (Albany, NY)
- …2, G-14, Medicaid Eligibility Examiner 2 (Spanish Language), G-14 or Medicaid Claims Examiner 2, G-14. Preferred Qualifications: Preferred candidates ... NY HELP No Agency Health, Department of Title Medicaid Eligibility Examiner 3 - 79214, 15290, 15291 Occupational Category Other Professional Careers Salary Grade 17… 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...will lead to success + Accident and Health experience preferred either in a claim setting or… more
- Sedgwick (Fayetteville, NC)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claim Examiner - Liability (Complex Litigation with GL/Product Liab Experience ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … 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...required) + OSIP Certificate (4 years of experience is preferred ) + JURIS- Claim System (2 years of… 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
- 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 (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 ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … 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 ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … 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 ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … 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 ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans.... Professional certification as applicable to line of business preferred . **Experience** Five (5) years of claims … 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...claims processing experience in a managed care environment. Preferred : Previous Medi-Cal or Medicare claims processing… more
- Sedgwick (Hunt Valley, MD)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer (Hybrid) Claims Examiner - Workers Compensation/Public Entity | Hunt Valley/Largo, ... This requisition is a pipeline requisition for several WC Claims Examiner opportunities within this office **ARE...and gathering information to determine the exposure on the claim . + Negotiating settlement of claims within… more
- Sedgwick (Coralville, IA)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers' Compensation Claims Examiner | REMOTE **Experience required in handling litigated ... 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
- Sedgwick (Brea, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner Workers Compensation - Hybrid Are you looking for an ... 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
- Maxim Healthcare Services (Columbia, MD)
- The Workers' Compensation (WC) Claims Examiner II understands and participates in every aspect of the WC claim process. Working in a team approach, the WC ... action, and determine the appropriate settlement value. The WC Claims Examiner II also works with the...Maxim in depositions, mediation, and conference calls regarding assigned claim files + Provides, reviews and comments on the… more
