- US Tech Solutions, Inc. (Atlanta, GA)
- …company practices and procedures. * Enter claim payments, reserves, and new claims on computer system , inputting concise yet sufficient file documentation. * ... Job Title: Claims Examiner Location: Remote Duration: 06...specialists, or employers to get additional information. * Maintain claim files such as records of settled claims… 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 ... Microsoft Office Suite and experience with compliance software, case management systems and data analytics and reporting tools. Physical Demand RequirementsAbility… 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)
- …available + Obtain information necessary for claim to be established in the claims system + Investigate to verify that injury occurred while claimant was ... + Process/move and maintain claims within the claim 's workflow and archival systems Skills and...for claim to be established in the claims system + Investigate to verify that… more
- Randstad US (Brea, CA)
- workers comp claim sr. examiner - california. +...OSIP Certificate (4 years of experience is preferred) + JURIS- Claim System (2 years of experience is ... experience and a minimum of 1 year of JURIS claims management system are required. Accountabilities include:...information and facts gathered + Monitoring the course of claims investigations and utilizing resources to reach claim… 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...frames. Reviewing claims for required information, pending claims when necessary, maintaining a follow-up system ,… 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
- Centers Plan for Healthy Living (Garden City, NY)
- Claims Examiner 990 Stewart Ave, Garden City, NY 11530, USA Req #11656 Monday, April 29, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... Plan for Healthy Living (CPHL) products. Reviews and resolves pended and corrected claims . Analyzes claim resubmissions to determine areas for provider education… more
- Sedgwick (Columbus, OH)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Examiner - Consumer **PRIMARY PURPOSE** **:** To analyze reports ... high value complex cases. + Handles high volume of claims , phone calls and correspondence ensuring claim ...daily workflow in the department and client data tracking system . + Assists with coaching, training and deployment of… more
- Kelly Services (Pasadena, CA)
- …evolving.** We at Kelly(R) hear you, and we're here for you! We're seeking a Claims Examiner to work remotely at a global legal administration and litigation ... + Opportunity to work with cutting-edge technology and automation systems . **What's a typical day as a Production Technician?...in worker's compensation + Bachelor's degree + Workers Compensation Claims Examiner (3+ years of California WC… more
- TEKsystems (Whittier, CA)
- Description: The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, ... adjudication, and payment) of UB-92 and HCFA-1500 claims that are received from PHP affiliated medical groups...affiliated medical groups and hospitals for HMO patients. Skills: Claim Top Skills Details: Claim Additional Skills… more
- Office of Workers' Compensation Programs (IN)
- …final decisions with delegated authority to finalize or modify decisions of the initial claims examiner . This involves screening the case to determine if the new ... serves as the FAB's authority and representative in reviewing claims , conducting hearings, and issuing determinations. Major duties of...and other types of documents submitted to support a claim for benefits) from a variety of sources that… more
- Office of Workers' Compensation Programs (IN)
- …set per the selectee's home worksite. For the GS-0991-15 Supervisory Workers' Compensation Claims Examiner you will: -Direct the work of Senior Workers' ... You must meet the Specialized Experience to qualify for Supervisory Workers' Compensation Claims Examiner , as described below. Time in Grade: For GS-15:… more
- FM Global (Waltham, MA)
- …**Summary:** Investigate, evaluate, and dispose of moderately complex insurance and/or reinsurance claims in keeping with sound claim practices and company ... primary schedule of 6:30 AM - 3:00 PM. Analyzes claims of a basic to intermediate nature and makes...insureds, cedents, reinsurers, brokers, and counsel to secure required claim back-up, pose or respond to inquiries, and resolve… more
- TEKsystems (New York, NY)
- Overview: The Claims Inside Auto Analyst II is responsible for investigating and confirming the facts of loss for automobile accidents. This role determines ... coverage, liability, damages and otherwise adjusts and negotiates claims within authority. Additional Responsibilities: + Handles basic investigation regarding most… more
- TEKsystems (Waco, TX)
- …our clients. If you have experience working within medical insurance roles handling claims , payer portals, appeals, AR follow up, denials or anything within revenue ... working with payers to resolve issues and facilitate prompt payment of claims . Thorough knowledge and understanding of patient billing, claims submission,… more
- Patent and Trademark Office (Alexandria, VA)
- …the first to examine new inventions to determine and grant patents as a Patent Examiner at America's Innovation Agency! >> EXPLORE becoming a patent examiner >> ... >> LEARN key details about the role The Patent Examiner (Computer Science) position may include a $20,000 recruitment...spend your time: Searching prior art using specialized technology systems to ensure that an invention is new and… more
- Patent and Trademark Office (Alexandria County, VA)
- …the first to examine new inventions to determine and grant patents as a Patent Examiner at America's Innovation Agency! >> EXPLORE becoming a patent examiner >> ... >> LEARN key details about the role The Patent Examiner (Electrical Engineer) position may include a $20,000 recruitment...spend your time: Searching prior art using specialized technology systems to ensure that an invention is new and… more
- HCA Healthcare (Campbell, CA)
- …(2) years of experience processing claims , with at least one year of claims examiner experience required . Knowledge of ICD-9, CPT, HCPC and Revenue Coding ... system edits and audits for hardcopy and electronic claims . + Handle Case Log adjustment requests and resolve...well with supervisors and co-workers + Ability to analyze claim issues and "trouble shoot" claims problems… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Disability Examiner Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4503777) Apply Disability Examiner Salary $50,731.20 - $76,502.40 Annually ... to make this a reality. The Bureau is currently seeking to hire Disability Examiner 's to fill this role. Disability Examiner Description of Duties In this… more
