Medical Claim Examiner Jobs | Glassdoor
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Medical Claim Examiner Jobs

1,426 Jobs

  • 3.3
    San Francisco Health Plan – San Francisco, CA
    $47k-$74k(Glassdoor est.)
    7 days ago 7d
    applicants with arrest and conviction records. , ClaimsExaminer Job Locations US-CA-San Francisco… manual pricing of claims according to provider contracts and other claims pricing references. Interpret medical group and provider…
  • Penser North America – Anchorage, AK
    EASY APPLY
    $36k-$60k(Glassdoor est.)
    13 days ago 13d
    Medical Only ClaimsExaminer is closely supervised, has a general understanding of department objectives and is sufficiently knowledgeable… only involving medical workers' compensation benefits. The medical only claims adjuster will also establish medical treatment reserves…
  • 3.2
    TIC International Corporation – Overland Park, KS
    $37k-$60k(Glassdoor est.)
    NEW
    for an experienced MedicalClaimsExaminer. Background in medicalclaims processing, knowledge of medical terminology; able to… and Excel as well as other software. Experience with FACETS Claims Adjudication recommended. Requires professionalism and good…
  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    $31k-$49k(Glassdoor est.)
    13 days ago 13d
    Requires at least one to two years experience as a medicalclaimexaminer, processing UB and HCFA’s and must have a working… benefits claims Work requires the ability to organize and prioritize work in order to maintain turnaround time. Examiners must…
  • 3.4
    ACT-1 – Los Angeles, CA
    8 days ago 8d
    Angeles looking to hire a MedicalClaimsExaminer with at least 3 years of DIRECT health care claims processing experience in a… processing a plus. Apply for this great position as a MedicalClaimsExaminer today! Send resume as Microsoft Word attachment to…
  • 3.1
    ICW Group – San Diego, CA
    $50k-$77k(Glassdoor est.)
    9 days ago 9d
    interview claimants, doctors, medical specialists, or employers to get additional information. Examinesclaims investigated by outside… Post Date 10/10/2017 Title ClaimsExaminer Employment Type Full Time City San Diego State CA Description…
  • 4.0
    York Claims Service – East Meadow, NY
    $41k-$65k(Glassdoor est.)
    NEW
    that do not involve any lost time from work. The Medical Only ClaimsExaminer is responsible for maintaining current file documentation… that was injured. Review claims every 30 to 45 days to ensure file progression. Authorize medical treatment, physical therapy…
  • 3.2
    International Medical Group – Indianapolis, IN
    EASY APPLY
    $36k-$55k(Glassdoor est.)
    HOT
    openings for our International MedicalClaimsExaminers at International Medical Group. ClaimsExaminers provide a service to our… investigations. Examiners resolve medical/dental/life/trip cancellation claims; documenting actions; maintaining their imaging…
  • 5.0
    MEDsearch – Long Beach, CA
    $32k-$51k(Glassdoor est.)
    22 days ago 22d
    contracts with various health plans. POSITION SUMMARY ClaimsExaminer Primary Duties Responsible for processing of Medicare… Inpatient UB Claims for Managed Care Health Plan PREFERRED QUALIFICATIONS High School Diploma or GED 3-5 years medical claims…
  • 3.8
    UCARE – United States
    $32k-$52k(Glassdoor est.)
    NEW
    do. CLAIMSEXAMINER Position Description Research, resolve, examine and process paper and/or electronic claims submitted… experience with medicalclaims knowledge. Knowledge of ICD10 and CPT coding and medical terminology experience. Previous claims processing…
  • 4.0
    York Claims Service – Las Vegas, NV
    $35k-$54k(Glassdoor est.)
    8 days ago 8d
    Description The Future MedicalClaimsExaminer manages the medical care in accordance with the Award once a claim is settled, transferring… 1 to 3 years experience handling Med. Only claims & Future Medicalclaims Job Location Las Vegas, Nevada, United States…
  • 3.3
    UnitedHealth Group Inc. – La Palma, CA
    $31k-$48k(Glassdoor est.)
    HOT
    Qualifications: Requires 4 years of healthcare / medicalclaimsexaminer experience Strong proficiency with computer and Windows… start doing your life's best work.(sm) To process the medicalclaims of the company's IPA clients pursuant to designated production…
  • 5.0
    TRISTAR Insurance Group, Inc – San Diego, CA
    $46k-$71k(Glassdoor est.)
    6 days ago 6d
    clients, claimants on the phone, and with management, other ClaimsExaminers, and other TRISTAR staff in the office; therefore consistently… SUMMARY: Under close supervision manages all aspects of Medical Only claims handling from inception to conclusion within established…
  • 3.1
    eviCore healthcare – Franklin, TN
    $30k-$46k(Glassdoor est.)
    7 days ago 7d
    Level Claims Processing, Responsible for the review, evaluation and processing of medicalclaims. Applies proper claim concepts… equivalent Qualifications N/A , ClaimsExaminer I Career Locations US-TN-Franklin…
  • 3.2
    Stillwater Insurance – Omaha, NE
    EASY APPLY
    $48k-$74k(Glassdoor est.)
    HOT
    Posted On09/26/2017 Sr. ClaimsExaminer Omaha, NE, US Salary Range : Worker Category :… Regular Full-Time Job ClassProfessional Sr. ClaimsExaminer ~Telecommute Opportunity~ Join our hardworking, collaborative…
  • 3.2
    Stillwater Insurance – Jacksonville, FL
    EASY APPLY
    $49k-$75k(Glassdoor est.)
    16 days ago 16d
    Posted On10/04/2017 Sr. Property ClaimsExaminer Jacksonville, FL, US Salary Range : Worker… ClassProfessional ~ Sr. Property ClaimsExaminer ~ Telecommute Opportunity Join our hardworking…
  • 2.2
    Patriot National – Greenville, SC
    $35k-$54k(Glassdoor est.)
    NEW
    We are actively seeking to hire a MEDICALCLAIMSEXAMINER for our subsidiary CWI Benefits located in Greenville, South Carolina… one year of experience in health insurance or medical field, or as a ClaimsExaminer or Customer Service Representative preferred…
  • 2.6
    Civil Service Employees Insurance – San Dimas, CA
    NEW
    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…
  • 3.5
    Preferred Mutual – New Berlin, NY
    EASY APPLY
    7 days ago 7d
    for the Claims Unit in handling issues related with claims field, and supports the goals of the Claims Units. The Claims Technician… no-fault regulations Data mining from claim files for submission to ISO Support the Claims and Strategic Business Unit mission…
  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    $31k-$49k(Glassdoor est.)
    NEW
    processing medicalclaims. Familiarity with on-line claims systems processing preferred. Processing basic payments and/or claim denials… Supervisor of Claims Services and is responsible for the analysis, investigation, and adjudication of medicalclaims. Receive requests…
  • 2.7
    Matrix Absence Management – Austin, TX
    EASY APPLY
    $39k-$60k(Glassdoor est.)
    NEW
    flexible schedules M-F. Position Summary: The ClaimsExaminer will act as a liaison between client, employee and healthcare… employee in reporting claim information. Matrix Absence Management offers a full benefit package- Medical, Dental & Vision, including…
  • 2.9
    York Risk Services Group – East Meadow, NY
    $49k-$74k(Glassdoor est.)
    NEW
    that do not involve any lost time from work. The Medical Only ClaimsExaminer is responsible for maintaining current file documentation… that was injured. Review claims every 30 to 45 days to ensure file progression. Authorize medical treatment, physical therapy…
  • 2.9
    Community Health Solutions of America, Inc. – Clearwater, FL
    $34k-$54k(Glassdoor est.)
    15 days ago 15d
    Job Description Summary: The MedicalClaimsExaminer adjudicates claims based on policy provisions and established guidelines… Duties and Responsibilities: Reviews and adjudicates medicalclaims based on health policy provisions and established guidelines…
  • 2.9
    York Risk Services Group Inc. – Las Vegas, NV
    $41k-$62k(Glassdoor est.)
    7 days ago 7d
    The Future MedicalClaimsExaminer manages the medical care in accordance with the Award once a claim is settled, transferring… 1 to 3 years experience handling Med. Only claims & Future Medicalclaims Job Location Las Vegas, NV…
  • 3.4
    Kelly Services – Wichita Falls, TX
    NEW
    Services is hiring MedicalClaims Processors for Blue Cross Blue Shield in Wichita Falls TX! PRIOR CLAIMS EXPERIENCE IS NOT… to be hired direct! The position involves processing medicalclaims that require further investigation, reviewing policies and…
  • 2.8
    Universal Health Services – Reno, NV
    $27k-$43k(Glassdoor est.)
    6 days ago 6d
    individual enters andadjudicates claims for all Health Plans products ensuring that allcovered claims are paid in a timely basis. This… This individual alsoresolves questions regarding coverage of claims and benefits,functioning in the role of customer service representative…
  • 3.1
    ICW Group – San Diego, CA
    $53k-$81k(Glassdoor est.)
    21 days ago 21d
    Post Date 9/28/2017 Title ClaimsExaminer I Employment Type Full Time City San Diego State CA Description… information necessary for processing claims. Contacts and/or interviews claimants, doctors, medical specialists, or employers to get…
  • 2.6
    TRISTAR Risk Management – San Diego, CA
    $43k-$67k(Glassdoor est.)
    6 days ago 6d
    clients, claimants on the phone, and with management, other ClaimsExaminers, and other TRISTAR staff in the office; therefore consistently… SUMMARY: Under close supervision manages all aspects of Medical Only claims handling from inception to conclusion within established…
  • 3.2
    Geico – Marlton, NJ
    $49k-$74k(Glassdoor est.)
    17 days ago 17d
    service during the insurance claims process. As a Personal Injury Protection (PIP) ClaimsExaminer, you deliver on GEICO's promise… throughout the often complicated medical aspects of auto insurance claims. You will investigate medical necessity and determine causality…
  • 3.5
    Cognizant Technology Solutions – Phoenix, AZ
    $35k-$55k(Glassdoor est.)
    6 days ago 6d
    information to claim file with regard toclaims status, questions or claim payments. Examining and entering complex claims forappropriateness… providerrelationships. ESSENTIAL FUNCTIONS: Examining and entering basic claims for appropriateness ofcare and completeness of…
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