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Claim Examiner Jobs

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  • 3.4
    Citibank – Fort Worth, TX
    Est. Salary $35k-$56k
    7 days ago 7d
    equivalent Some claims examining experience required whether from examining or answering calls related to claims Strong math skills… additional information to support claim processing. Perform benefit calculations. Conduct claim investigation. Enter data into…
  • 2.9
    Crawford & Company – Memphis, TN
    Est. Salary $29k-$45k
    8 days ago 8d
    Perform other duties as requested. OFFICIAL JOB TITLE: Claim Examiner - Liability Requirements: A valid driver's license… moderate-to-difficult claims and policy coverages and determines if coverage applies to claims submitted. Investigates claims to determine…
  • 3.3
    AppleOne – Rancho Cordova, CA
    Est. Salary $31k-$52k
    2 days ago 2d
    various types of claims with 400+ claims paid on average per day basis with 98.5% accuracy. The various types of claims include PPO,… of various types of medical claims ·Knowledge of CPT and HCPCS codes ·Knowledge of medical claim payment systems ·Knowledge of…
  • 2.6
    Firstsource Solutions – Fort Scott, KS
    Est. Salary $23k-$39k
    3 days ago 3d
    Claims Examiner JOB DESCRIPTION Now accepting applications for the position of Medical Claims Examiners… compensation system. Following a training period, our Claims Examiners are paid by the transaction, providing an opportunity to…
  • 2.9
    Crawford & Company – Minneapolis, MN
    Est. Salary $31k-$48k
    7 days ago 7d
    Perform other duties as requested. OFFICIAL JOB TITLE: Claim Examiner III - Liability Requirements: A valid driver's license… moderate-to-difficult claims and policy coverages and determines if coverage applies to claims submitted. Investigates claims to determine…
  • Pozent – Philadelphia, PA
    Est. Salary $34k-$56k
    13 days ago 13d
    required. Associate Degree preferred.• One (1) year of prior claims experience preferred.• Knowledge of medical terminology preferred…
  • 2.3
    Matrix Absence Management – Portland, OR
    Est. Salary $37k-$59k
    13 days ago 13d
    to supporting major clients. Position Summary The Claims Examiner will act as a liaison between client, employee and healthcare… ensure appropriate claims transition or facilitate timely return to work. * Document claim updates in the claim database ensuring…
  • 3.6
    UCare Minnesota – Minneapolis, MN
    Est. Salary $33k-$55k
    17 days ago 17d
    do. CLAIMS EXAMINER Position Description Research, resolve, examine and process paper and/or electronic claims submitted… internal customers to obtain needed information for claim processing. Process claims reviewing Policies and Procedures, Coordination…
  • 2.2
    Metroplus Health Plan – New York, NY
    Est. Salary $28k-$48k
    4 days ago 4d
    Claims Examiner Job Ref: 31730 Category: Claims Department: CLAIMS Location: New York, NY Job Type: Regular… of services on claim to determine validity of charges or the presence of errors. Evaluates and examines claims pended by the system…
  • 3.5
    Citi – Fort Worth, TX
    Est. Salary $35k-$55k
    7 days ago 7d
    equivalent Some claims examining experience required whether from examining or answering calls related to claims Strong math skills… additional information to support claim processing. Perform benefit calculations. Conduct claim investigation. Enter data into…
  • 2.9
    Crawford & Company – Tampa, FL
    Est. Salary $37k-$57k
    9 days ago 9d
    TITLE: Sr. Claim Examiner - WC Requirements: Bachelor’s degree or equivalent experience required. Technical claims investigations… information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent…
  • 3.0
    Trion Group, a Marsh & McLennan Agency – King of Prussia, PA
    Est. Salary $41k-$65k
    6 days ago 6d
    final flood claim payments. Role will update System, track claim progress through to completion of all flood claims. Approves documents… Technical Claims and Escalation Management Manage flood claims up to and including complex or high-value claims, providing…
  • 2.9
    Fallon Community Health Plan – Worcester, MA
    Est. Salary $36k-$56k
    20 days ago 20d
    Summary: The Claims Examiner should have thorough claim processing knowledge at a complex level. Knowledge of all Claim Specialist… processing of involved cases and claims (multi-step resolution). Monitors and resolves high volume of claims for all lines of business…
  • 3.2
    Mercer – United States
    Est. Salary $32k-$54k
    6 days ago 6d
    final flood claim payments. Role will update System, track claim progress through to completion of all flood claims. Approves documents… Technical Claims and Escalation Management Manage flood claims up to and including complex or high-value claims, providing…
  • 2.9
    Crawford & Company – Folsom, CA
    Est. Salary $41k-$64k
    8 days ago 8d
    information, arranges property damage appraisals and settles claims utilizing claims best practices. Evaluates and sets reserves using independent… if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs the discovery…
  • 3.4
    McKesson – Pensacola, FL
    Est. Salary $27k-$44k
    2 days ago 2d
    standard scripts or form letters. Calculates amount of claim. Submits claims within assigned limits, for payment. Minimum Requirements… Description Responsible for checking the accuracy and completion of claim forms and attachments; reviews company records to determine…
  • 2.6
    CareWorks – Dublin, OH
    Est. Salary $32k-$52k
    13 days ago 13d
    * Continually analyze workers' compensation claims in order to produce a plan of action that will yield the best financial outcome… group of Ohio employers. Cost control strategies include: * Claim Investigation * Salary continuation * Light duty or transitional…
  • 3.2
    ProMedica – Cleveland, OH
    Est. Salary $27k-$45k
    9 days ago 9d
    team is currently recruiting for a Claims Examiner for their Cleveland team. The Claims Examiner will be the non-case management… RTW) while working within BWC designated guidelines. The claims examiner processes all treatment requests (C-9s) within 72 hours…
  • Cobalt MedPlans – Fort Scott, KS
    Est. Salary $25k-$42k
    3 days ago 3d
    client’s processing guidelines. 2. Claims Pricing Examiner/Specialist – Prices claims and resolves appeals, answering questions… Responsibilities: 1. Health Claims Examiner - Evaluate and determine coverage for benefits based on the member’s plan/client…
  • 3.2
    PreferredOne – Golden Valley, MN
    EASY APPLY
    Est. Salary $28k-$47k
    2 days ago 2d
    Title: Claims Examiner Department: Insurance Operations-Claims Reports To: Director, Claims & Supervisor, Claims Purpose… Duties and Responsibilities · Perform claim examining of all types of medical claims in accordance with established contractual…
  • Terra Health (GCP) – Williamsport, PA
    23 days ago 23d
    GCP-THI is seeking energetic Claims Examiners for full time positions in Williamsport, Pennsylvania. In return for your work skills…
  • 3.4
    Nautilus Insurance Group – Scottsdale, AZ
    Est. Salary $46k-$72k
    14 days ago 14d
    information about Nautilus Insurance Group. Summary: The Claims Examiner primary job function includes efficiently and effectively… attorneys, agents and Regulatory agencies. Proactively manages claim files from inception to closure, including identification and…
  • 2.4
    Tristar Risk Management – Sacramento, CA
    Est. Salary $39k-$64k
    1 days ago 1d
    clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently… regarding claims issues.* Computes and set reserves within Company/Client guidelines.* Settles and/or finalizes all claims and obtains…
  • 3.5
    Prudential – Roseland, NJ
    Est. Salary $39k-$61k
    9 days ago 9d
    Experience. The Claims Examiner is responsible for the end-to-end claims experience of beneficiaries on routine claims. The role provides… Insurance (OSGLI) is interviewing for a Claim Examiner position on the OSGLI Claim’s team. The Office of Servicemembers' Group…
  • 4.2
    Marsh & McLennan Agency – Overland Park, KS
    Est. Salary $32k-$50k
    6 days ago 6d
    Claims Examiner-OVE0001C Description Job Summary: Responsible for independently collecting, accepting, and reviewing… final flood claim payments. Role will update System, track claim progress through to completion of all flood claims. Approves documents…
  • Desert Oasis Healthcare – Palm Springs, CA
    Est. Salary $29k-$48k
    15 days ago 15d
    encounters, ancillary, hospital and specialist claims according to contract. -Adjudicate claims in accordance with Managed Care Operations… status codes and notes affecting the adjudication of the claim. -Submits claims to UM per protocol. -Complete all required fields…
  • Firstsource – Fort Scott, KS
    Est. Salary $33k-$53k
    13 days ago 13d
    Claims Examiner JOB DESCRIPTION Now accepting applications for the position of Medical Claims Examiners… compensation system. Following a training period, our Claims Examiners are paid by the transaction, providing an opportunity to…
  • McGraw Wentworth – Overland Park, KS
    Est. Salary $32k-$51k
    6 days ago 6d
    final flood claim payments. Role will update System, track claim progress through to completion of all flood claims. Approves documents… Technical Claims and Escalation Management Manage flood claims up to and including complex or high-value claims, providing…
  • 3.4
    Aon – Garden City, NY
    Est. Salary $45k-$69k
    8 days ago 8d
    Compares data on claim form with insurance plan to ascertain completeness and validity of the claim. Examines claim form and other… Garden City, NY office. Your Impact As a Claim Examiner Analyze insurance claims to determine the extent of the insurance…
  • 2.6
    MCNA Dental – Fort Lauderdale, FL
    Est. Salary $30k-$47k
    7 days ago 7d
    management company located in Ft. Lauderdale is seeking Claims Examiners. The candidates will complete and oversee a variety of… following claims through adjudication or settlement. Responsibilities: Review and process claims all dental claim types…
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