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STOP LOSS MEDICAL CLAIMS EXAMINER

Establishes proof of loss by reviewing medical documentation presented, requesting additional information from sources such as administrators, brokers, hospitals, physicians, etc.;. Reviews claims using a variety of file/informati...

CompanyAlliant Insurance Services
AddressSan Diego, CA
CategoryHealthcare
Salary$72,000 - $110,000 a year
Job typeFull-time
Date Posted 2 months ago See detail

Stop Loss Medical Claims Examiner

Alliant Insurance Services

San Diego, CA

$72,000 - $110,000 a year

Establishes proof of loss by reviewing medical documentation presented, requesting additional information from sources such as administrators, brokers, hospitals, physicians, etc.;. Reviews claims using a variety of file/informati...

2 months ago seen See more...

1099 CAT Claims Examiner (Remote)

Ryze Claim Solutions

New Orleans, LA

$48.5K - $61.4K a year

Review adjuster reports and estimates to ensure estimates are technically accurate and meet appropriate industry guidelines and standards for repair. Understand and follow all best-practices guidelines to ensure that all client ex...

2 months ago seen See more...

Claims Examiner

Firstsource Healthcare

Remote

Review and analyze medical claims to determine coverage and eligibility. Investigate and gather information to support claim decisions. Evaluate medical records, bills, and other documentation to ensure accuracy and compliance wit...

2 months ago seen See more...

Medical Claims Examiner

Firstsource Transaction Services, Llc

Remote

$16 an hour

401(k). Dental insurance. Health insurance. Life insurance. Paid time off. Vision insurance. 8 hour shift....

2 months ago seen See more...

Liability & Property Insurance Claims Examiners

West Point Underwriters

Pinellas Park, FL

This is a full-time salary/exempt position with a starting salary range of $60,000-85,000 based on experience. Medical, Dental, and Vision starting day 1 of employment. Multiple plans to choose from in order to fit your needs and...

2 months ago seen See more...

1099 CAT Claims Examiner (Remote)

Ryze Claim Solutions

Jacksonville, FL

$57.1K - $72.2K a year

Review adjuster reports and estimates to ensure estimates are technically accurate and meet appropriate industry guidelines and standards for repair. Understand and follow all best-practices guidelines to ensure that all client ex...

2 months ago seen See more...

1099 CAT Claims Examiner (Remote)

Ryze Claim Solutions

Tampa, FL

$58.4K - $73.9K a year

Review adjuster reports and estimates to ensure estimates are technically accurate and meet appropriate industry guidelines and standards for repair. Understand and follow all best-practices guidelines to ensure that all client ex...

2 months ago seen See more...

CLAIMS EXAMINER LEVEL 1

Davies Us Llc

United States

$19.50 an hour

Process ongoing long-term care insurance claims for either facility or non-facility processing only Review long-term care invoices, Monthly Verification Forms, caregiver logs and/or Statement of Care forms, and all other claims do...

2 months ago seen See more...

1099 CAT Claims Examiner (Remote)

Ryze Claim Solutions

Chicago, IL

$56.2K - $71.2K a year

Review adjuster reports and estimates to ensure estimates are technically accurate and meet appropriate industry guidelines and standards for repair. Understand and follow all best-practices guidelines to ensure that all client ex...

2 months ago seen See more...

1099 CAT Claims Examiner (Remote)

Ryze Claim Solutions

Orlando, FL

$57.1K - $72.2K a year

Review adjuster reports and estimates to ensure estimates are technically accurate and meet appropriate industry guidelines and standards for repair. Understand and follow all best-practices guidelines to ensure that all client ex...

2 months ago seen See more...

Experienced Long Term Disability Claims Examiner

York Life Insurance Co

Remote

$50,000 - $75,000 a year

Proactively manage your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block. Develop and document Strategic Case Plans t...

2 months ago seen See more...

Senior Claims Examiner - Liability

Crawford & Company

New Orleans, LA

$73.1K - $92.6K a year

Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs...

2 months ago seen See more...

L & A Claims Examiner I

National Life Group

Montpelier, VT

$18.27 - $33.65 an hour

Evaluate and assess claims under supervision in an accurate, timely, and fair manner. Enter accurate claim information into systems to assure correct claim or benefit payment, and document cases thoroughly and clearly for review....

2 months ago seen See more...

Sr. Claims Examiner

Steneral Consulting

United States

$90.2K - $114K a year

Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis. Develop and implement strategy relative to cover...

2 months ago seen See more...

Claims Examiner II

Partnership Healthplan Of California

Fairfield, CA

$24.73 - $30.29 an hour

Reviews, researches, and resolves pended claims for Medi-Cal types: medical, ancillary, long term care, CHDP, encounter data, other coverage, and batch claims within established production and quality standards. Completes claims f...

2 months ago seen See more...

Senior Claims Examiner (D&O) EPLI

Nonprofits Insurance Alliance

Remote

$82,000 - $173,000 a year

Determines coverage(s) applicable to loss. Investigates, manages and resolves claims in a timely, unbiased and informed manner in compliance with company policies, state laws and regulatory performance standards. Sets and maintain...

2 months ago seen See more...

Property Claims Examiner

Combined Insurance

Phoenix, AZ

$56.6K - $71.7K a year

Analyze first reports and promptly contact insured/claimants. Effectively evaluate contract language and identify coverage issues. Promptly and appropriately develop the file to provide accurate and timely investigation and loss a...

2 months ago seen See more...

Pet Insurance Claims Examiner/ Adjuster

Administrative Strategies

Remote

$43.3K - $54.8K a year

Minimum of 6 months Pet Insurance claims processing experience preferred with demonstrated quality performance. Veterinary Technician experience required. Property & Casualty Adjuster license will be required; CA, NY and TX are pr...

2 months ago seen See more...

Property Claims Examiner

Chubb

Phoenix, AZ

$63.5K - $80.4K a year

Analyze first reports and promptly contact insured/claimants. Effectively evaluate contract language and identify coverage issues. Promptly and appropriately develop the file to provide accurate and timely investigation and loss a...

2 months ago seen See more...

Claims Examiner

Prudential

Remote

$39,400 - $58,500 a year

Reviews claims and extracts information for processing Collects and processes death and life disability waiver claims Verifies, corrects, and completes claims information by telephone, letter, or personal contact Conducts investig...

2 months ago seen See more...

Claims Examiner

Promisecare Management

Hemet, CA

$17 - $21 an hour

Interprets contract coverage for medical HMO claims. Review and interpret provider contracts to properly adjudicate claims. Review and interpret Division of Financial Responsibility (DOFR) for claims processing. Perform delegated...

2 months ago seen See more...

Claims Examiner - Workers Compensation

Nesco Resource, Llc

Rancho Cucamonga, CA

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of cla...

2 months ago seen See more...

What should I search to find Claim Examiner jobs?

People who searched for Claim Examiner jobs also searched for Claims Resolution Specialist, Medical Record Examiner, Claims Data Analyst, Claim Manager, Accounts Examiner, Tax Examining Technician Roster, Liability Claims Manager, Clinical Claim Review, Claims Service Specialist, Property Claims Adjuster, Medical Claims Auditor, Multiline Claims Adjuster, Gl Claims Adjuster, Bi Claims Adjusters, Claims Litigation Manager, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

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What companies are hiring for Claim Examiner jobs?

The top companies hiring now for Claim Examiner jobs are Abacus Service Corporation., Apidel Technologies, Athens Administrators, BCforward, Berkley, California FAIR Plan Association, Centers Plan for Healthy Living, cesna, CHCS Services, Inc, Clever Care Health Plan, TalentBurst, Inc., TalentBurst, Inc, Tristar Insurance, Wellington Insurance Group, Western Growers Family of Companies,

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