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Claims examiner i Jobs

295 Jobs

  • 3.2
    Claims Examiner-(Medi-Cal Experience Required)
    Fountain Valley, CA
    5d
    Position Summary The ClaimsExaminerI accurately review, researches and analyzes professional claims. Makes benefit determinations… and Medi-Cal claims. Process HCFA 1500’s, UB 92’s and COB claims. Reviews, processes and adjudicate claims for payment accuracy…
  • 3.2
    Claims Examiner- (Medi-Cal Experience Required)
    Fountain Valley, CA
    $34k-$58k   (Glassdoor Est.)
    5d
    Position Summary The ClaimsExaminerI accurately review, researches and analyzes professional claims. Makes benefit determinations… , and Medi-Cal claims. Process HCFA 1500’s, UB 92’s and COB claims. Reviews, processes and adjudicate claims for payment accuracy…
  • 4.5
    Claims Examiner
    San Diego, CA
    13d
    other positions): ClaimsExaminer II, ClaimsExaminer III (Refer to Career Path Progression for ClaimsExaminers) DUTIES/RESPONSIBILITIES… suna.com Client: American Specialty Health (ASH) Title: ClaimsExaminer Time: 6/7am – 3:30/4:30pm (possibility of 2-3 hours overtime…
  • 4.6
    Claims Examiner I - Auto
    Lake Mary, FL
    $38k-$63k   (Glassdoor Est.)
    24hr
    Job Title: ClaimsExaminerI – Auto P&C Department: Liability Claims, (Orlando, FL) Reports To: P&C Claims Supervisor… Athens Administrators has an immediate need for a full-time ClaimsExaminerI to support our Lake Mary office located on Heathrow Park…
  • 3.2
    Examiner Claims Workers Compensation I (Hourly)
    Pasadena, CA
    $48k-$79k   (Glassdoor Est.)
    7d
    compassion. Job Description Once a claim is settled, the Future Medical Examiner manages the medical care in accordance with… and in a professional manner. KNOWLEDGE: Knowledge of claims handling and settlement procedures in the California Workers…
  • 3.2
    Examiner Claims Workers Compensation I
    Pasadena, CA
    $48k-$79k   (Glassdoor Est.)
    25d
    our mission. Job Description Once a claim is settled, the Future Medical Examiner manages the medical care in accordance with… and in a professional manner. KNOWLEDGE: Knowledge of claims handling and settlement procedures in the California Workers…
  • 3.7
    TDI-Claims Examiner I (Regional Docketing Specialist)
    El Paso, TX
    $27k-$52k   (Glassdoor Est.)
    24hr
    TDI-ClaimsExaminerI (Regional Docketing Specialist) (00008079) Organization : TEXAS DEPARTMENT OF INSURANCE Primary… working for the Texas Department of Insurance (TDI). ClaimsExaminerI (Regional Docketing Specialist) The Regional Docketing…
  • 2.4
    Claims Examiner
    Honolulu, HI
    $29k-$49k   (Glassdoor Est.)
    17d
    Job Description JOB SUMMARY: The ClaimsExaminerI adjudicates health services claims of basic complexity levels. Researches… benefits. Assist with researching claims issues referred to the Claim Department. Maintains all claims records. EDUCATION AND/OR…
  • 3.2
    Voluntary Claims Examiner I
    South Portland, ME
    $27k-$46k   (Glassdoor Est.)
    6d
    Voluntary Benefits ExaminerI evaluates and processes all lines of Voluntary coverage handled in the Life & Voluntary Claims Department… Analysis and Adjudication Processes claims under Wellness and Voluntary Accident and reviews claim documents and proofs to verify eligibility…
  • 3.9
    Workers Compensation Claims Examiner
    Vancouver, WA
    19d
    term project. Prior experience working with Washington state L & I preferred but prior experience working on worker compensation…
  • 3.6
    Claims Examiner II
    Fairfield, CA
    $36k-$61k   (Glassdoor Est.)
    6d
    from ClaimsExaminerI by a higher level of autonomy and experience, as well as an ability to process a wider range of claim types… Routes and tracks claims requiring review by other staff and departments, and processes when possible. ClaimsExaminer II is distinguished…
  • 3.6
    Claims Examiner I
    Scottsdale, AZ
    $42k-$72k   (Glassdoor Est.)
    19d
    ClaimsExaminerI Location Name AZ, Scottsdale - 7233 E Butherus Drive ID 2019-3280 Date Posted… The General Liability ClaimsExaminer is responsible for handling bodily injury and property damage claim files. Responsibilities…
  • 3.4
    Claims Examiner I - HMO Claims Processing
    Mission Hills, CA
    $35k-$60k   (Glassdoor Est.)
    10d
    Description: Providence is calling a ClaimsExaminerI (Full Time/Day Shift) to our Facey HMO Claims Processing location in Mission… Review and process provider claims based on provider and health plan contractual agreement, claims processing and reimbursement…
  • 3.6
    Claims Examiner I
    Fairfield, CA
    $38k-$66k   (Glassdoor Est.)
    21d
    High school diploma or equivalent; prior experience examiningclaims in an automated environment; or equivalent combination… To review, research, and resolve claims for all Medi-Cal claim types within established production and quality standards, including…
  • 3.6
    Auto Claims Examiner II
    Omaha, NE
    $37k-$64k   (Glassdoor Est.)
    21d
    an immediate opening for an Auto Casualty ClaimsExaminer in their Omaha, NE Claims Department. The primary responsibility… jurisdictions. Within a 12-month period, be capable of independent claimexamination with minimal supervision.We’re looking for candidates…
  • Claims Examiner I (Claims Processing)
    Carmel, IN
    5d
    routine home and facility based claims for long-term care (LTC) products Review and pay claims according to claimant's policy… interpersonal skills Ability to investigate and research claims Aptitude to perform benefit calculations Demonstrated ability…
  • 3.4
    Claim Examiner I
    Cranston, RI
    $39k-$69k   (Glassdoor Est.)
    23d
    Responsibilities Confirms coverage of claims by reviewing policies and documents submitted in support of claims Analyzes coverage and communicates… within authority or makes claim recommendations concerning reserve changes to manager Focus on driving claims to a resolution with…
  • 3.4
    Claims Examiner I
    Lowell, AR
    $28k-$50k   (Glassdoor Est.)
    7d
    Job Opening ID: 00320325 ClaimsExaminerI (Open) Job Title: ClaimsExaminerI Department: Insurance Country: United States… other liability) up to $5,000 by ensuring claims against it are thoroughly examined to minimize financial loss and diminished…
  • 3.3
    National Claims Examiner I
    Birmingham, AL
    13d
    KNOWLEDGE AND/OR SKILL REQUIREMENTS: ExaminerI: 1. Minimum four (4) years of claim handling experience and demonstrated proficiency… analyzing and handling claims including bodily injury claim evaluation and methods of negotiation. Examiner II: 1. Minimum of…
  • 3.2
    LTD Claims Examiner I
    South Portland, ME
    $27k-$46k   (Glassdoor Est.)
    10d
    of each claim. • Manages assigned case load of 60-80 simple and some complex cases with oversight from Sr. Examiner or supervisor… with supervisor or Sr. Examiners to develop desk management capabilities and priorities to ensure all claims commitments are met…
  • 3.3
    Claims Examiner I, Long Term Disability
    Phoenix, AZ
    $33k-$53k   (Glassdoor Est.)
    13d
    flexible schedules Monday-Friday. Position Summary The ClaimsExaminer, Long Term Disability will manage an assigned caseload… the decision on the claim. Essential Functions & Qualifications Analyze, approve or deny Disability claims for contestable and…
  • 3.5
    Veterans' Services Claims Examiner
    Sioux Falls, SD
    $28k-$49k   (Glassdoor Est.)
    6d
    incumbent will also perform the initial and final examination of all claims for veterans' benefits by checking for completion,… completion, accuracy, and compliance with regulations to ensure that claims are submitted and calculated correctly. Licenses and Certifications…
  • Claims Examiner
    Harrisburg, PA
    25d
    Examiner I and ClaimsExaminer II.* Settles and/or finalize all claims and obtains authority as designated.* Maintains diary system… clients, claimants on the phone, and with management, other ClaimsExaminers, and other TRISTAR staff. DUTIES AND RESPONSIBILITIES…
  • 3.2
    RETIREMENT CLAIMS EXAMINER I - LIHUE, KAUAI
    Honolulu, HI
    $33k-$57k   (Glassdoor Est.)
    2d
    Duties Summary Receives basic and initial training in the claimsexamining process and familiarization with appropriate laws, rules… INFORMATION The examination for this recruitment will be conducted on an unassembled basis where the examination score is based…
  • 3.2
    Claims Examiner I
    Scottsdale, AZ
    $45k-$75k   (Glassdoor Est.)
    18d
    The General Liability ClaimsExaminer is responsible for handling bodily injury and property damage claim files. Responsibilities… coursework preferred. Must have at least five years’ insurance examiner experience and certificates as required by state(s). CPCU…
  • 3.5
    Claims Examiner
    Long Beach, CA
    $40k-$72k   (Glassdoor Est.)
    30d
    Position Summary The ClaimsExaminerI accurately review, researches and analyzes professional claims. Makes benefit determinations… Medicare Advantage claims. Process HCFA 1500s and COB claims. Reviews, processes and adjudicate claims for payment accuracy…
  • 2.5
    Claims Examiner
    Austin, TX
    28d
    We are looking for a full-time ClaimsExaminer. Primary duties will be to ensure claim payments are issued in a timely and… in Healthcare Administration or Health claims, or 2 years of insurance industry claims processing. Perks/Benefits: Free…
  • Claims Examiner
    Irvine, CA
    12d
    Summary Position reports to Supervisor, Claims in a production environment. ClaimsExaminerI will review and process medical, dental… Responsibilities Claims Processing Examine and process medical, dental, vision claims including: physician claims, Medicaid reclamation…
  • 2.6
    Claims Examiner I- Workers Compensation- TEMPORARY
    Harrisburg, PA
    $27k-$46k   (Glassdoor Est.)
    4d
    ClaimsExaminerI- Workers Compensation- TEMPORARY- Harrisburg, PA Job Details Level Entry Job… whether to accept the claim. Documents all work product and claim activity in the electronic claim file. Prepares and…
  • 2.6
    Claims Examiner I WC
    Alhambra, CA
    $34k-$57k   (Glassdoor Est.)
    27d
    ClaimsExaminerI WC ClaimsExaminerI WC Level Entry Job Location Alhambra 280400 - Alhambra… Clerical ClaimsExaminerI POSITION SUMMARY: Under close supervision manages all aspects of indemnity claims handling from…
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