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Claims Examiner Jobs

4,871 Jobs

  • 2.6
    HealthSmart – Irving, TX
    $36k-$57k(Glassdoor est.)
    HOT
    ob Summary Process claims for employee benefit plans. Essential Functions: Process claims in full accordance with the… retain a copy for our files. Monitor and follow up on pending claim activity timely and accurately. Qualifications: High…
  • 3.6
    Broadspire – Berkeley Heights, NJ
    $63k-$95k(Glassdoor est.)
    HOT
    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…
  • 3.6
    Broadspire – Portland, OR
    $55k-$82k(Glassdoor est.)
    7 days ago 7d
    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…
  • 3.2
    Alignment Healthcare – Orange, CA
    $56k-$87k(Glassdoor est.)
    4 days ago 4d
    Senior ClaimsExaminer - reviews and adjudicates claims based on provider and health plan contractual agreements and claims processing… policies and procedures. Advanced knowledge of claims processing rules, institutional claims payment methodologies, and all provider…
  • 3.8
    Florida Peninsula Insurance – Boca Raton, FL
    HOT
    committed to providing excellence in claim handling. The ClaimsExaminer reviews homeowner property claims that are handled by independent… insured current on claim status, and that adjuster is actively moving claim to conclusion. Upon final examination makes sure all information…
  • 3.6
    Broadspire – Fresno, CA
    $55k-$82k(Glassdoor est.)
    6 days ago 6d
    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…
  • 3.6
    Broadspire – Brookfield, WI
    $40k-$60k(Glassdoor est.)
    15 days ago 15d
    difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned… Responsibilities Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. Interprets and makes…
  • 3.6
    Broadspire – Schaumburg, IL
    $44k-$67k(Glassdoor est.)
    12 days ago 12d
    difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned… Responsibilities Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. Interprets and makes…
  • 3.3
    L.A. Care Health Plan – Los Angeles, CA
    $47k-$71k(Glassdoor est.)
    13 days ago 13d
    :  The ClaimsExaminer is responsible for the accurate and timely processing of direct contract and delegated claims per regulatory… releasing pending claims when indicated. Meeting and exceeding performance measurements for ClaimExaminers as required by department…
  • 3.8
    Philadelphia Insurance Companies – Tualatin, OR
    $55k-$85k(Glassdoor est.)
    NEW
    looking for a Senior ClaimsExaminer - Auto to join our team. Summary: Analyze insurance claims to determine extent of… of Insurer's obligations. Settle claims with first and third party claimants in accordance with policy provisions and applicable…
  • 2.8
    Civil Service Employees Insurance – San Dimas, CA
    7 days ago 7d
    Group! We are currently seeking a Sr. Casualty Examiner to join our Claims team. Our team members play an integral role in the… SUMMARY: The Sr. Casualty Examiner will investigate, negotiate and settle assigned casualty claims within authorized dollar limits…
  • 4.0
    FM Global – Malvern, PA
    $56k-$86k(Glassdoor est.)
    21 days ago 21d
    Boiler Re, a division of FM Global, is seeking a full-time claimsexaminer in our Malvern, PA headquarters. This position will be… assigned equipment breakdown claims. Responsibilities - External Responsibilities include; claims handling activities, including…
  • 2.8
    Sedgwick – Syracuse, NY
    NEW
    ClaimsExaminer Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging… compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 2.8
    Sedgwick – Raleigh, NC
    $38k-$59k(Glassdoor est.)
    NEW
    ClaimsExaminer Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging… compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 2.8
    Sedgwick – Frisco, TX
    $41k-$64k(Glassdoor est.)
    20 days ago 20d
    ClaimsExaminer Liability CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along… liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 2.8
    Sedgwick – Roseville, CA
    $46k-$72k(Glassdoor est.)
    NEW
    ClaimsExaminer Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging… compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 2.8
    Civil Service Employees Insurance – San Dimas, CA
    14 days ago 14d
    Evaluate and settle first-party personal claims by phone. Examine assigned claim files, insurance policies and other documents… Insurance Group! We are currently seeking a Property Examiner to join our Claims team. Our team members play an integral role in the…
  • 3.4
    CRST International – Cedar Rapids, IA
    $30k-$48k(Glassdoor est.)
    8 days ago 8d
    Summary: The claimsexaminer is responsible for mitigating the company's exposure to each claim under the examiner’s control through… Inc. is looking for detail oriented, highly communicable ClaimsExaminer to join their team as part of their Great Plains Casulaty…
  • 2.8
    Sedgwick – Denver, CO
    $40k-$62k(Glassdoor est.)
    NEW
    ClaimsExaminer - General Liability (GL) CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging… liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    $31k-$48k(Glassdoor est.)
    NEW
    medical claims. Familiarity with on-line claims systems processing preferred. Processing basic payments and/or claim denials… information; updating information to claim file with regard to claims status, questions or claim payments. A High School Diploma…
  • 2.8
    Sedgwick – Seattle, WA
    $43k-$67k(Glassdoor est.)
    NEW
    ClaimsExaminer Workers Compensation (WC) WA CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging… compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 2.8
    Sedgwick – Eden Prairie, MN
    $38k-$59k(Glassdoor est.)
    NEW
    ClaimsExaminer Liability CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along… product liability and construction defect claims handling background. Specifically, examiner should be very experienced with interpretation…
  • 2.8
    Sedgwick – Brookfield, WI
    $38k-$59k(Glassdoor est.)
    5 days ago 5d
    ClaimsExaminer Liability CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along… liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 2.8
    Sedgwick – Seven Hills, OH
    $38k-$59k(Glassdoor est.)
    5 days ago 5d
    Consumer ClaimsExaminerCLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along… program claims; to coordinate investigative efforts; to thoroughly review contested claims and negotiate settlement of claims up to…
  • 2.8
    Sedgwick – Marlton, NJ
    $44k-$68k(Glassdoor est.)
    4 days ago 4d
    ClaimsExaminer Liability CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along… liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 3.7
    Dignity Health – Rancho Cordova, CA
    $42k-$65k(Glassdoor est.)
    10 days ago 10d
    disposition of a claim. The contracts can change annually and the examiner must be able to apply the correct terms to the claims. If the… the claim is not appropriate for payment, the examiner is responsible for making sure that the denial is done correctly in the system…
  • 2.8
    Sedgwick – Southfield, MI
    $39k-$60k(Glassdoor est.)
    11 days ago 11d
    ClaimsExaminer Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging… compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 3.4
    Aon – Irving, TX
    $40k-$64k(Glassdoor est.)
    4 days ago 4d
    Compares data on claim form with insurance plan to ascertain completeness and validity of the claim. Examinesclaim form and other… Responsibilities Aon Is Looking For ClaimsExaminers / Claims Specialists As part of an industry-leading team, you will…
  • 2.8
    Sedgwick – Philadelphia, PA
    $44k-$68k(Glassdoor est.)
    6 days ago 6d
    ClaimsExaminer Workers Compensation CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging… compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed…
  • 4.0
    Family Heritage Life Insurance – Broadview Heights, OH
    $43k-$66k(Glassdoor est.)
    NEW
    not the process. The ideal candidate will analyze medical claims for payment. The individual must have a strong attention to… and be able to handle a heavy workload. Prior experience in a claims service environment preferred. Medical terminology/medical office…
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