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Claims examiner Jobs

4,274 Jobs

  • 2.9
    Centene – Rancho Cordova, CA
    $39k-$61k  (Glassdoor est.)
    15 days ago 15d
    Documents provider claims/billing forms to support payments/decisions. Matches authorizations to claims, maintains current desk… HourlyPosition Purpose: Evaluates routine and non-routine claims within various product lines to determine type and amounts of…
  • 2.8
    LiveHealthier – Rancho Cordova, CA
    $31k-$47k  (Glassdoor est.)
    15 days ago 15d
    School Diploma or equivalent required. Three years health claimsexaminer and one year multiple product experience required Government… Documents provider claims/billing forms to support payments/decisions. Matches authorizations to claims, maintains current desk…
  • 2.5
    Arizona Priority Care – Chandler, AZ
    $36k-$56k  (Glassdoor est.)
    5 days ago 5d
    thorough Medical ClaimsExaminer to join our team. This individual works both independently and in conjunction with claim supervisor… Title: Medical ClaimsExaminer Description: The Arizona Priority Care is seeking an extremely detail-oriented…
  • 3.6
    CSI Professional – Jacksonville, FL
    seeking an Entry Level ClaimsExaminer for our client in the Jacksonville, FL area. Details:The ClaimsExaminer is primarily responsible… clients warranty team.Job Duties: Take incoming claim calls using Web Warranty/Web Claim Program Handle customer service questions or…
  • 3.9
    APN Software Services Inc. – Omaha, NE
    9 days ago 9d
    Title: ClaimsExaminer Duration: Direct Hire/ Permanent Location: Omaha, NE Hours: 7.5 hours per day & 5 days a week role… role SHORT DESCRIPTION: ClaimsExaminer (General Liability). Any litigation experience would be really good PRIMARY…
  • 5.0
    AMI Network – Oakland, CA
    $49k-$76k  (Glassdoor est.)
    24 days ago 24d
    the claimsexaminer will utilize appropriate reference materials and policies to research information and process claims accurately… ClaimsExaminer III Compensation: $20-$26/ hour City, State: Oakland, CA Req'd Qualifications: 2+ years…
  • 4.2
    Capstone Search Group – Boca Raton, FL
    19 days ago 19d
    Property ClaimsExaminer- Homeowners Insurance Something I Should Consider? If you have personal lines homeowner’s claims adjusting… Property ClaimsExaminer Homeowners Insurance MNN6644 Boca Raton, FL $55-65,000 About The Company: This Florida…
  • Firstsource – Rockford, IL
    $34k-$55k  (Glassdoor est.)
    ClaimsExaminer JOB DESCRIPTION Job Description Now accepting applications for the position of Medical Claims Examiners… compensation system. Following a training period, our ClaimsExaminers are paid by the transaction, providing an opportunity to…
  • 3.6
    St. Luke's Health System – Boise, ID
    $32k-$49k  (Glassdoor est.)
    24 days ago 24d
    as a Claims Adjuster, Claims Analyst, or ClaimsExaminer with full knowledge of investigation and administration of claims typically… an exciting opportunity for a Sr. ClaimsExaminer to join our team! The Sr. ClaimsExaminer is responsible for the investigation…
  • 4.8
    Agilon Health – Anaheim, CA
    Title : : ClaimsExaminer Job Description : : Position Summary: The ClaimsExaminer is responsible for processing, examining, and… root causes of claims payment errors. The ClaimsExaminer responds to provider inquiries/calls related to claims payments and collaborates…
  • 2.6
    TRISTAR Risk Management – San Diego, CA
    $44k-$68k  (Glassdoor est.)
    14 days ago 14d
    clients, claimants on the phone, and with management, other ClaimsExaminers, and other TRISTAR staff in the office; therefore consistently… Initiates and conducts claims investigation in a timely manner.* Determines compensability of claims and administer benefits…
  • 3.3
    Physicians Mutual Insurance – Omaha, NE
    $38k-$59k  (Glassdoor est.)
    4 days ago 4d
    hiring for a full time ClaimExaminer in our claims area. The selected candidate will be analyzing health claim forms, medical records… records and provider bills to decide whether to pay claims, deny benefits or request additional information. Customer service skills…
  • 4.0
    The Execu|Search Group – Fort Lauderdale, FL
    25 days ago 25d
    as a ClaimsExaminer. In this role, the ClaimsExaminer will be responsible for evaluation of complex represented claims. Apply… The ClaimsExaminer will: Communicate with independent adjusters and other experts to gather information on claims Negotiate…
  • 4.0
    Hylant – Toledo, OH
    $38k-$59k  (Glassdoor est.)
    ClaimsExaminer - Toledo, OH Job Summary The ClaimsExaminer is responsible for providing partners with exceptional claims… will be trained to handle entry-level claims and work his/her way up to more demanding claims. Outcomes Learn and utilize…
  • 4.4
    Canon Recruiting Group LLC – Sacramento, CA
    21 days ago 21d
    The Claims Adjuster is responsible for the prompt and efficient examination, investigation, settlement or declination of worker's… worker's compensation insurance claims through effective research, negotiation, and interaction with insurers, and claimants ensuring…
  • 3.9
    Philadelphia Insurance Companies – Plano, TX
    $42k-$65k  (Glassdoor est.)
    4 days ago 4d
    are looking for a ClaimsExaminer - G/L to join our team. Summary: Investigate and analyze insurance claims to determine extent… extent of Insurer's obligations. Settle claims with first and third party claimants in accordance with policy provisions and applicable…
  • 4.1
    Morgan Hunter – Overland Park, KS
    $32k-$51k  (Glassdoor est.)
    7 days ago 7d
    assisting our client in the hunt for a dedicated and talented ClaimsExaminer with the skills and desire to inspect requests and research… eye for detail. The selected candidate will provide superb claims adjustment, customer interaction, processing and document management…
  • 3.5
    Prudential – Scottsdale, AZ
    $35k-$53k  (Glassdoor est.)
    16 days ago 16d
    The Associate Disability ClaimsExaminer position requires the knowledge and understanding of LTD policies and procedures to… Utilize judgment and assess risk when rendering claim decisions Document all claim information including phone calls and correspondence…
  • 4.1
    CyberCoders – Tamarac, FL
    ClaimsExaminerClaimsExaminer w/ Xactimate Estimating knowledgeLocation: Fort Lauderdale, FLFounded over 25 years ago, we are… Vacation and sick days...and much more!So, if you are a ClaimsExaminer with experience, please apply today! - Applicants must…
  • 4.4
    Canon Recruiting Group LLC – Calabasas, CA
    21 days ago 21d
    research in related claims areas as may be requested by Claims Management. Job Qualifications: 10 years of claims experience… equitable resolutions of all claims assignments. Undertake responsibility for complex and/or high exposure claim assignments in all lines.Essential…
  • 3.8
    Pacific Compensation Insurance Company – Thousand Oaks, CA
    $50k-$78k  (Glassdoor est.)
    23 days ago 23d
    Job Title: ClaimsExaminer Department: Claims Reports To: Claims Supervisor FLSA Status: Non-Exempt Job Status:… responsible for timely and quality claim management of indemnity workers compensation claims. ESSENTIAL DUTIES AND RESPONSIBILITIES…
  • 4.0
    Cedars-Sinai – Encino, CA
    $42k-$65k  (Glassdoor est.)
    21 days ago 21d
    The ClaimsExaminer is responsible for accurately and consistently adjudicating claims in accordance with policies, procedures… policy. Processes claims according to all CMS and DMHC guidelines. Investigate and complete open or pended claims. Meet production…
  • 4.4
    Pro Staff – Alexandria, MN
    11 days ago 11d
    accurate and timely claims processing, supporting all lines of business and all types of health care related claims. Main duties… where you can make a difference! Pro Staff is recruiting a Claims Analyst for our client company in Alexandria that administers…
  • 3.6
    Universal Property & Casualty Insurance – Fort Lauderdale, FL
    $35k-$54k  (Glassdoor est.)
    9 days ago 9d
    The ClaimsExaminers primary responsibility involves the review and evaluation of complex natured claims. This includes reviewing… setting and adjusting reserves and approving payments. The ClaimsExaminer recognizes life events, understands insureds needs and…
  • 3.5
    San Francisco Health Plan – San Francisco, CA
    $48k-$74k  (Glassdoor est.)
    14 days ago 14d
    RESPONSIBILITIES Review and adjudicate claims (paper and EDI) and resolve claim edits, using claims desk level and operational reference… the clearing of claim edits and payment of claims. Meet production and quality standards when processing claims and performing…
  • 3.3
    UnitedHealth Group – San Antonio, TX
    $28k-$44k  (Glassdoor est.)
    The Senior ClaimsExaminer functions as a subject matter expert, and provides guidance to ClaimsExaminers on more complex issues… issues. Examiners are responsible for adjudication of all claims. Examiners are responsible for handling customer service calls…
  • 3.0
    Swift Transportation – Phoenix, AZ
    $51k-$79k  (Glassdoor est.)
    8 days ago 8d
    witnesses, claim representatives, etc. timely to gather additional information relating to claim to determine claim progression… and proper disposition of subrogation claim files involving liability coverage. Review claim files to determine recovery potential…
  • 3.4
    Login Consulting Services – El Segundo, CA
    $52k-$81k  (Glassdoor est.)
    23 days ago 23d
    ClaimsExaminer - Workers Comp Category: ClaimsExaminer - Workmans Comp Type: Employee Description:… Major claims management company in San Diego has a full time position open for an experienced ClaimsExaminer who has Workers…
  • 3.1
    Safety National – Saint Louis, MO
    $40k-$62k  (Glassdoor est.)
    10 days ago 10d
    management of claims. Direct and advise TPAs as to desired claim handling. Communicate with TPAs to obtain necessary claim details… Handle lower exposure Excess WC payout type claims. Notify Manager of any assigned claims with the potential for increased exposure…
  • 3.9
    Florida Peninsula Insurance – Boca Raton, FL
    4 days ago 4d
    to providing excellence in claims 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…
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