Claims Examiner Jobs | Glassdoor
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Claims Examiner Jobs

5,115 Jobs

  • 3.1
    Western Growers – Fresno, CA
    EASY APPLY
    $41k-$63k(Glassdoor est.)
    23 days ago 23d
    ClaimsExaminer As the ClaimsExaminer II you will review, process and research all claims assigned including… , accident and TPL claims, MSP and surgery claims. B. Examining and processing medical Blue Card claims in accordance to the…
  • 3.8
    Philadelphia Insurance Companies – Tualatin, OR
    $56k-$88k(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…
  • 2.9
    Sedgwick Claims Management Services Inc – Philadelphia, PA
    $46k-$71k(Glassdoor est.)
    HOT
    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…
  • 3.0
    Civil Service Employees Insurance – San Dimas, CA
    $39k-$60k(Glassdoor est.)
    11 days ago 11d
    We are currently seeking a Material Damage ClaimsExaminer to join our Claims team. Our team members play an integral role in… love our stuff! JOB SUMMARY: The Material Damage ClaimsExaminer will compile information derived from correspondence with…
  • 4.0
    Pharmacists Mutual – Austin, TX
    $36k-$55k(Glassdoor est.)
    9 days ago 9d
    service. ClaimsExaminer I Entry level. Will handle the lower exposure examiner-level claims as assigned by manager… resolve assigned claims in accordance with Company guidelines. The Examiner will provide timely, professional claim handling and superior…
  • 3.8
    Philadelphia Insurance Companies – Leawood, KS
    $54k-$84k(Glassdoor est.)
    18 days ago 18d
    for a Senior ClaimsExaminer - Property to join our team. Summary: Investigate and analyze insurance claims to determine… determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with policy provisions and…
  • 3.5
    Prudential – Portland, ME
    $35k-$53k(Glassdoor est.)
    NEW
    information to make the decision on the claim. Provides technical direction to other claims personnel as needed. Validates payment… assigned caseload of Integrated FMLA and Short Term Disability claims. Interacts with internal and external customers including, but…
  • 3.0
    Crawford & Company – Fresno, CA
    $41k-$63k(Glassdoor est.)
    NEW
    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
    Nautilus Insurance Group – Scottsdale, AZ
    $51k-$77k(Glassdoor est.)
    12 days ago 12d
    information about Nautilus Insurance Group. SUMMARY The ClaimsExaminer primary job function includes efficiently and effectively… attorneys, agents and Regulatory agencies. Proactively manages claim files from inception to closure, including identification and…
  • 3.8
    RLI Corp – Atlanta, GA
    $38k-$58k(Glassdoor est.)
    NEW
    RLI's Transportation Product Group is hiring a ClaimExaminer II to be based in our Atlanta, GA office. Main Duties of the position… Transportation material damage claims proactively to achieve optimum payout results by resolving claims fairly, expeditiously and economically…
  • 3.0
    Crawford & Company – Brea, CA
    $39k-$59k(Glassdoor est.)
    NEW
    difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned… experience. Receives claim assignment, confirms policy coverages and directs acknowledgement of claims. Interprets and makes…
  • 4.0
    York Claims Service – Latham, NY
    $36k-$55k(Glassdoor est.)
    23 days ago 23d
    : This position will handle primary medical claims and some basic lost time claims. The Case Analyst 1 secures administrative forms… transcribes it into the claim file with sufficient detail. Continues to gather all pertinent data as long as claim file remains active…
  • 4.0
    NewYork-Presbyterian Hospital – New York, NY
    $36k-$56k(Glassdoor est.)
    27 days ago 27d
    liability claims. Your knowledge of claims policies and guidelines will be crucial as you review coverage, direct claims investigations… related to claims. You’ll determine exposure and report findings to Associate General Counsel/Vice President of Claims and Litigation…
  • 3.2
    OfficeTeam – Anaheim, CA
    $29k-$47k(Glassdoor est.)
    NEW
    Anaheim area is looking for a ClaimsExaminer to join their their growing team! The ClaimsExaminer will review and processe all… capitated claims and fee-for-service PCP administration fee for-service claims paid and/or denied, review and processe claims acknowledgment…
  • 3.0
    Crawford & Company – Charlotte, NC
    $32k-$49k(Glassdoor est.)
    NEW
    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…
  • 3.0
    Heritage Insurance – Sunrise, FL
    $36k-$65k(Glassdoor est.)
    Today 11hr
    negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer… customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential…
  • 4.6
    Homeowners Choice – Tampa, FL
    $38k-$59k(Glassdoor est.)
    NEW
    Description SUMMARY: The ClaimsExaminer has direct responsibility for homeowners' property and casualty claims, starting with contacting… expeditious adjustments of claims Recommend claim payments to policyholders and claimants Handle claims within policy and corporate…
  • 3.4
    Johns Hopkins Health Care – Glen Burnie, MD
    $31k-$49k(Glassdoor est.)
    4 days ago 4d
    Requires at least one to two years experience as a medical claimexaminer, processing UB and HCFA’s and must have a working knowledge… benefits claims Work requires the ability to organize and prioritize work in order to maintain turnaround time. Examiners must…
  • 3.8
    Philadelphia Insurance Companies – Plano, TX
    $43k-$67k(Glassdoor est.)
    5 days ago 5d
    looking for a ClaimsExaminer - Property to join our team. Summary: Investigate and analyze insurance claims to determine… determine extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with policy provisions and…
  • 4.1
    It Trailblazers – Horsham, PA
    $38k-$62k(Glassdoor est.)
    NEW
    timely daily review of Long Term Care claims and policy provisions to determine appropriate claim eligibility assessments for payment… benefits, eligibility, claim payments, denials and/or explanation of benefits Responsible for any on-going LTC claim/case management…
  • 3.0
    Crawford & Company – Dallas, TX
    $34k-$53k(Glassdoor est.)
    6 days ago 6d
    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…
  • 4.0
    Florida Peninsula Insurance – Boca Raton, FL
    $34k-$52k(Glassdoor est.)
    25 days ago 25d
    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…
  • 5.0
    The Araz Group – Bloomington, MN
    $25k-$41k(Glassdoor est.)
    25 days ago 25d
    Responsibilities: Analyze and determine claims payments of medical, dental and pharmacy claims in an accurate and timely manner.… Identify mispriced and miscoded claims. Find appropriate repricing information for the claims as required. Other duties as…
  • 2.6
    Matrix Absence Management – Phoenix, AZ
    $41k-$62k(Glassdoor est.)
    1 days ago 15hr
    flexible schedules M-F. Position Summary: The ClaimsExaminer will act as a liaison between client, employee and healthcare… flexible schedules M-F. Position Summary: The ClaimsExaminer will act as a liaison between client, employee and healthcare…
  • 2.9
    Innovista Health Solutions – Westchester, IL
    $28k-$45k(Glassdoor est.)
    9 days ago 9d
    operations in Illinois and Texas. We are looking for a ClaimsExaminer in our Westchester, IL office. Innovista Health Solutions… network. JOB SUMMARY: Analyze claims and approve or deny payment. Provide expertise on claims processing issues to co-workers…
  • 3.0
    Crawford & Company – Hauppauge, NY
    $47k-$73k(Glassdoor est.)
    12 days ago 12d
    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…
  • GCP, Inc – Williamsport, PA
    $28k-$46k(Glassdoor est.)
    14 days ago 14d
    Solutions for a ClaimsExaminer. This is a full time position processing Medicare claims. Hours are Monday through Friday 7:30am-4pm… Job Description ClaimsExaminer Opportunity at Novitas Solutions, Williamsport, PA GCP-THM has an opening at Novitas Solutions…
  • 5.0
    TRISTAR Insurance Group, Inc – Santa Ana, CA
    $46k-$70k(Glassdoor est.)
    1 days ago 1d
    Examiner II and ClaimsExaminer III.* Settles and/or finalize all claims and obtains authority as designated.* Maintains diary… clients, claimants on the phone, and with management, other ClaimsExaminers, and other TRISTAR staff in the office; therefore consistently…
  • 2.9
    Sedgwick Claims Management Services Inc – Memphis, TN
    $39k-$60k(Glassdoor est.)
    1 days ago 1d
    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
    Universal Health Services – Reno, NV
    $26k-$42k(Glassdoor est.)
    4 days ago 4d
    individual enters and adjudicates claims for all Health Plans products ensuring that all covered claims are paid in a timely basis.… This individual also resolves questions regarding coverage of claims and benefits, functioning in the role of customer service representative…
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