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SENIOR CLAIMS EXAMINER

Adhering to state-specific regulations and K2 Claims Best Practices. Managing a range of liability claims, from straightforward to complex, such as dog bites, slip/falls, and general business disputes. Conducting thorough investi...

CompanyK2 Claims Services, Llc
AddressSan Diego, CA
CategoryInformation Technology
Salary$80,000.00 to $100,000.00 hourly
Job typeFull-time
Date Posted 35 minutes ago See detail

Senior Claims Examiner New

K2 Claims Services, Llc

San Diego, CA

$80,000.00 to $100,000.00 hourly

Adhering to state-specific regulations and K2 Claims Best Practices. Managing a range of liability claims, from straightforward to complex, such as dog bites, slip/falls, and general business disputes. Conducting thorough investi...

35 minutes ago seen See more...

Claims Examiner New

P3 Health Partners

Henderson, NV

High school diploma or GED. Requires a minimum of 4+ years of experience in claims adjudication, in a managed care environment, specializing but not limited to professional claims adjudication and payment. 2 years of Medicare Adva...

10 hours ago seen See more...

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...

4 days ago seen See more...

Claims Examiner - Workers Compensation

Nesco Resource

Long Beach, CA

$40.00 to $47.00 •

Description: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 wi...

5 days ago seen See more...

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...

a week ago seen See more...

Claim Examiner Series

Metropolitan Transportation Authority

New York, NY

Investigate accidents with an eye toward developing effective litigation strategies and liability theories to defeat suits brought against MTA and its agencies and prepare files for trial, coordinating with staff attorneys and ou...

a week ago seen See more...

Claim Examiner Series

Mabstoa

New York, NY

Investigate accidents with an eye toward developing effective litigation strategies and liability theories to defeat suits brought against MTA and its agencies and prepare files for trial, coordinating with staff attorneys and out...

a week ago seen See more...

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...

a week ago seen See more...

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...

a week ago seen See more...

Claims Examiner - Workers Compensation

Nesco Resource

Brea, CA

$35.00 to $46.00 •

Professional certification as applicable to line of business preferred.ExperienceFive (5) years of claims management experience or equivalent combination of education and experience required.Skills & KnowledgeSubject matter expert...

a week ago seen See more...

Claims Examiner - Workers Compensation

Bcforward

Anchorage, AK

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...

a week ago seen See more...

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...

a week ago seen See more...

Medical Only Claims Examiner

Harford Mutual Insurance Group

Bel Air, MD

$56.3K - $71.2K a year

Receive, review and timely process claims. Proper claim coverage and file documentation. Enter and update claims in claim management system. Establish and update claim reserves promptly. Provide prompt claim acknowledgement to the...

a week ago seen See more...

Hospital Claims Examiner - Hybrid role in El Segundo, CA

Optum

El Segundo, CA

$19.47 - $38.08 an hour

Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer. U...

a week ago seen See more...

Claims Examiner

The Nassau Companies Of New York.

Albany, NY

$42,000 a year

Adjudicates Traditional Life, Variable Life, and Annuity death claims. Receives claims calls from customers and resolves inquiries over the phone and in writing. Advocates the use of the Concierge Account for payment to beneficiar...

a week ago seen See more...

1099 CAT Claims Examiner (Remote)

Ryze Claim Solutions

Houston, TX

$57.7K - $73K 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 weeks ago seen See more...

Claims Examiner I (Remote/Hybrid Option)

Marshfield Clinic Health System

Marshfield, WI

$33.5K - $42.5K a year

Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Claims Examiner I (Remote/Hybrid Option)Cost Center:682891379 SHP-ClaimsScheduled Weekly Hours:40Employe...

2 weeks ago seen See more...

Senior Claims Examiner

Alliance Member Servic

Santa Cruz, CA

$82,000 - $176,000 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 weeks ago seen See more...

Claims Examiner 3

Swift Transportation

Phoenix, AZ

$60,000 - $67,000 a year

Studies reports and similar claims to determine validity of the claim. Reviews, evaluates and processes claims and makes recommendations for resolution. Examines and authorizes payments within prescribed fiscal authority. Communic...

2 weeks ago seen See more...

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...

2 weeks ago seen See more...

Claims Examiner - Workers Compensation

Nesco Resource

Orange, CA

$40.00 to $45.00 •

Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. The statements contained in this document are intended to describe the general nature...

2 weeks ago seen See more...

Sr. Claim Examiner

Rga

Minneapolis, MN

$63,400 - $90,050 a year

Under supervision, analyzes and determines eligibility of Group Reinsurance Medical or Managed Care claims; interprets and verifies that the reinsurance claim was properly ceded to RGA Group Re and the proper provisions and limits...

2 weeks ago seen See more...

SR CLAIM EXAMINER TEAM LEAD

Continental General

Austin, TX

$53,000 - $63,000 a year

Join our team to help make a difference in the lives of others.The Continental Insurance family of companies has provided Long Term Care Insurance to individuals and groups for over 30 years and currently provides Long Term Care c...

2 weeks ago seen See more...

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...

3 weeks ago seen See more...

Senior Claims Examiner

Berkshire Hathaway Specialty Insurance

Houston, TX

Responsible for managing and evaluating Life Agent/Broker-Dealer professional liability claims impacting primary and excess policies. Work with manager to evaluate information on coverage, liability and damages to determine the ex...

3 weeks ago seen See more...

Student Summer Externship - Claims Examiner Processing

Kern Health Systems

Bakersfield, CA

$19 an hour

Learn the use of the QNXT Claims Payment System. Learn what is a Medical Claim and the coding/formatting. Utilizing tools, process certain types of Medical Claims. Learn to be a team player and be able to work independently. Must...

3 weeks ago seen See more...

Claims Examiner, Property (Remote)

Arch Capital Group Ltd.

Philadelphia, PA

$107,900 - $145,700 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 coverag...

3 weeks ago seen See more...

Claims Examiner

Sheakley Group, Inc

Toledo, OH

Competitive Pay. Health, dental, vision, and life insurance. Additional insurance options: Critical Illness, Long Term, Short Term Disability, Accidental Death and Dismemberment, Employee Assistance Program, Legal Shield. 401(k) s...

3 weeks ago seen See more...

Property Claims Examiner I - Work from Home

Mercury Insurance Services, Llc

Los Angeles, CA

$25.29 - $44.18 an hour

Provides complete, courteous, and timely customer service to aid in the settlement process and maintain customer satisfaction. Maintains knowledge of current Company policy, claim developments, procedural changes, and current valu...

3 weeks ago seen See more...

Senior Claims Examiner

Texas Windstorm Insurance Association

Austin, TX

$73.3K - $92.9K a year

Demonstrates a customer centric attitude. Analyzes and manages claims by verifying coverage and investigating and gathering pertinent information to determine the exposure on the claim. Maintains well-developed action plans for an...

3 weeks ago seen See more...

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What should I search to find Claims Examiner jobs?

People who searched for Claims 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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