- 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 ... trends and best practices.Experience representing a company and interacting with senior level management, legal counsel, federal and state regulators and law… more
- Sedgwick (Ontario, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Examiner Workers Compensation - Hybrid - Ontario, ... some of the world's best brands? + Apply your examiner knowledge and experience to adjudicate complex customer ...examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +… more
- Sedgwick (Brea, CA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Claims Examiner - Workers Compensation - Hybrid **PRIMARY ... PURPOSE** : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving… more
- Philadelphia Insurance Companies (Charlotte, NC)
- …of Ward's Top 50 and rated A++ by AM Best. Duties We are looking for a Senior Surety Claims Examiner to join our team. Summary: Investigate and analyze ... surety claims to determine extent of Insurer's obligations. Settle claims with surety claimants in accordance with policy provisions and applicable law.… more
- AIG (Dallas, TX)
- …we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that ... skills and experience as a valued member of the team. Join us as a Senior WC Claims Examiner to grow your experience in Defense Base Act Claims . The AIG… 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 ... + High School or GED and 5-7 Years experience as a Claims Examiner or materially relevant knowledge, skills and abilities from other professions (eg,… more
- Crawford & Company (New Orleans, LA)
- …Touch Position Summary Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established ... authority on moderate-to-difficult claims . Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and… more
- Office of Workers' Compensation Programs (IN)
- …selectee's home worksite. For the GS-0991-15 Supervisory Workers' Compensation Claims Examiner you will: -Direct the work of Senior Workers' Compensation ... meet the Specialized Experience to qualify for Supervisory Workers' Compensation Claims Examiner , as described below. Time in Grade: For GS-15: Applicants must… more
- FM Global (Waltham, MA)
- …efforts, various research assignments, and preparation/support for reinsurance audits conducted by Senior Claims Examiners. Also, any assigned tasks that are ... 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… more
- MetLife (Oriskany, NY)
- …met. Evaluate life claims to identify claim situations requiring referral to Senior Examiner . Maintain good rapport with internal and external customers by ... Group Life Claim Examiner Location(s) + Posting Location:Oriskany, New York Country...and obtain missing information required to evaluate Group life claims and input information into a Windows based computer… more
- CVS Health (Tallahassee, FL)
- …recommend solutions.Required Qualifications - 1 plus years knowledge of plan documents, claims research, letter writing. - Understand excel and word. Able to ... interpret benefits. - Healthcare experience. - 1 plus years working with appeals, claims , or compliance. (and/ or) - 1 plus years experience working with documenting… more
- Federal Emergency Management Agency (Washington, DC)
- …management, and customer support, all in support of insurance policyholders during the claims appeals process. Serving as a senior representative for the Federal ... Summary In this position, you will serve as a Supervisory Insurance Examiner for the Federal Insurance & Mitigation Administration, Federal Insurance Appeals Branch.… more
- Bureau of Land Management (Lakewood, CO)
- …laws, policies, and procedures. Serves as the state's authority and senior technical specialist in the solid minerals adjudication program, its functions, ... the following examples: Adjudication or examination of applications and claims for the disposal, use of, or title to...meetings and field visits will be made to mining claims . Incumbent will adhere to all safety rules and… more
- Universal Health Services (Reno, NV)
- …enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Senior Claims Manager will oversee and ensure the efficiency and ... oversees the claims inventory by setting, evaluating, and monitoring the claims inventory and examiner production metrics and is responsible for timely… more
- HCA Healthcare (Campbell, CA)
- …Today! **Job Summary and Qualifications** The Auditor primary function is to ensure examiner payment accuracy of all claims processing including analysis of ... We care like family! Jump-start your career as a(an) Claims Auditor today with HCA Healthcare. **Benefits** HCA Healthcare,...preferred. . 4 - 5 years' experience as a Senior claim examiner in a managed care… 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 ... you have experience with Bodily Injury and Property Damage claims and are looking for something new? Are you...senior management. + Conduct Claim Reviews of foreign claims and will be required to present these … more
- Prime Therapeutics (Columbus, OH)
- …MISCELLANEOUS DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of job duties as assigned. + ... Certified Pharmacy Technician certification. **Responsibilities** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously… more
- Option Care Health (Columbus, OH)
- …including but not limited to HIPAA, Stark Law, Anti-Kickback Statute, and False Claims Act, and ensure that investigative practices remain current and compliant. + ... and best practices. + Experience representing a company and interacting with senior level management, legal counsel, federal and state regulators and law enforcement… more
- New York State Civil Service (Liverpool, NY)
- …Service Law. Eligible titles include, but aren'tlimited to: Auditor 1, Auditor 1 Tax, Senior Accountant, State Program Examiner 1; OR* A bachelor's degree in any ... accurately and timely review of compensation and medical payments generated by claims . The Internal Auditor 1 will be responsible for auditing approximately 25-35… more
- Patent and Trademark Office (Alexandria, VA)
- …method patent reviews and derivation proceedings; hear appeals from adverse examiner decisions in patent applications and reexamination proceedings; and render ... the creation of presentations, reports, and other materials for senior management. You use these tools to analyze data,...days of the date of the alleged discriminatory act. Claims of employment discrimination must be submitted to the… more