- 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)
- … examiner 's level and ensure appropriate documentation and paperwork is attached to the claim to support payment Ensure claim coding is accurate and ... Job Title: Claims Team Lead Location (On-site, Remote, or Hybrid?):...payments process according to procedure Review and approve new claim determinations and provide initial directions as to whether… more
- HCA Healthcare (Campbell, CA)
- …primary function is to ensure examiner payment accuracy of all claims processing including analysis of support services fulfillment colleagues' workflow and ... Perform concurrent and retrospective review of paper & electronic claims processed and office services fulfillment team Optical Character...claim (s) for accuracy and provides feedback to the examiner . . Review support team workflows to… 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 ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… 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 + ... hours: 8 AM - 5 PM education: Bachelors Responsibilities Support the Workers' Compensation Claims Department dedicated...information and facts gathered + Monitoring the course of claims investigations and utilizing resources to reach claim… 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
- 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 (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 ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… 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 ... by investigating and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans to an appropriate and… 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 ... support the safety net required to achieve that purpose. Job Summary The Claims Examiner II is responsible for the accurate and timely processing of direct… 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
- 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 (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 (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Liability **PRIMARY PURPOSE:** To analyze complex or ... FUNCTIONS and RESPONSIBILITIES** + Processes complex auto commercial and personal line claims , including bodily injury and ensures claim files are properly… more
- ManpowerGroup (Long Beach, CA)
- **Job Title: Workers Compensation Claims Examiner ** **Contract: 6 months** **$45hr** **Location: Onsite preferred, Remote (within CA) or Hybrid considered** ... compensation claims to resolution, coordinate return-to-work efforts, and approve claim payments. - Approve and process assigned claims , determining benefits… more
- Sedgwick (King Of Prussia, PA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Adjuster/ Examiner Liability **PRIMARY PURPOSE:** To analyze mid- and ... do something meaningful, each and every day. It's having support for your mental, physical, financial and professional needs....claim or client contract. + Manages subrogation of claims and negotiates settlements. + Communicates claim … more
- GAF (Parsippany, NJ)
- …material and workmanship concerns. The successful candidate will report to the Commercial Claims Supervisor. The Commercial Claims Examiner will be ... the day-to-day activities related to new and existing commercial claims ,whichincludesbutisnotlimitedtoresearchandinvestigation,assignmentof workorders,preparationofvariouscommunicationsthroughoutthelife-cycleofthe claim , and resolution. + Apply… more
