Claim Examiner jobs in Tennessee

Now available 24 results are consistent

Sort by:relevance - date

CLAIMS EXAMINER I

Processes claims accurately and efficiently.. Reviews all incoming claims to verify necessary information.. Determines that correct member and provider records are chosen and utilized to process claims.. Enters claims data and inf...

CompanyAmerican Specialty Health Incorporated
AddressUnited States
CategoryEngineering/Architecture/scientific
Job typeFull-time
Date Posted 3 days ago See detail

Claims Examiner I

American Specialty Health Incorporated

United States

Processes claims accurately and efficiently.. Reviews all incoming claims to verify necessary information.. Determines that correct member and provider records are chosen and utilized to process claims.. Enters claims data and inf...

Group Life Claim Examiner - Central New York

Metlife

Remote - Oregon, United States

Ability to adjust to multiple demands and shifting priorities. Consistently demonstrate the MetLife values. Ability to introduce new ideas to improve work processes. Directs action towards achieving goals that are critical to MetL...

Claims Examiner - Workers Compensation

Iconma, Llc

Remote

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 claims within service...

Medicare Claims Examiner

Ust Healthproof

Remote

$19 - $21 an hour

Be responsible for processing assigned claims based on client-specified guidelines or as directed by the team leader. Be responsible for meeting productivity targets, financial and procedural accuracy standards as established by m...

Workers Compensation Claims Examiner | Dedicated Client | Remote

Sedgwick

California, United States

$78K - $98.8K a year

Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise...

Claims Examiner

Ust

United States

$35,360 - $39,520 a year

Be responsible for processing assigned claims based on client-specified guidelines or as directed by the team leader. Be responsible for meeting productivity targets, financial and procedural accuracy standards as established by m...

Health Claims Examiner

Allegiance Benefit Plan Mgmt.

Remote

$17 an hour

Verifies the accuracy and receipt of all required documentation for each claim submitted. Collaborates with providers, plan participants, other claims payers, or any other party necessary to obtain information necessary to accurat...

Workers Compensation Specialist/Claims Examiner

Leidos

Remote

$49,400 - $89,300 a year

Resolves most problems and work issues without the assistance of a manager, project/program manager, team leader, or more experienced professional. Develops and recommends approaches to address current and anticipated problems and...

CAT Claims Examiners

Vanguard Claims Administration

New Jersey, United States

$48.4K - $61.3K a year

Monitor pending claims moving each towards resolution. Assign Independent Adjusters and direct their investigations; assign an investigator or Counsel to file and maintain constant contact with them, following up for proper report...

Claims Examiner

Ust Healthproof

Remote

$15 - $17 an hour

Be responsible for processing assigned claims based on client-specified guidelines or as directed by the team leader. Be responsible for meeting productivity targets, financial and procedural accuracy standards as established by m...

Claims Examiner I

Versant Health

Remote

$37.4K - $47.4K a year

Researching unidentified claims. Correcting errors for WEB, EDI and Paper claims. Researching provider mismatch. Researching member mismatch. Returning claims to Providers/Members for additional information. Working reports. Meets...

Remote Claims Examiner

Firstsource Healthcare

Remote

$16 an hour

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...

Medical Only Workers Compensation Claims Examiner

Association County Commissioners Of Ga

Remote

$50,000 - $65,000 a year

Supports the Association's "Four Pillars," civic engagement, leadership development, legislative advocacy, and membership services through the support of division or program staff and interaction with local governments and authori...

Claims Examiner II

Ust

United States

$35,360 - $39,520 a year

Be responsible for processing assigned claims based on client-specified guidelines or as directed by the team leader. Be responsible for meeting productivity targets, financial and procedural accuracy standards as established by m...

Claims Examiner, General Liability

Lio Insurance

Remote

$52,000 - $93,000 a year

The General Liability, Claims Examiner will report directly to a Unit Manager.Essential Duties & Functions:General duties will involve handling non-litigated General Liability claims.Enter incident reports in LIO system upon recei...

Pet Insurance Claims Examiner/ Adjuster

Administrative Strategies

Remote

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...

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...

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....

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...

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...

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...

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...

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...

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...