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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 2 weeks 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...

Claims Examiner

Bcforward

Trenton, NJ

Follows adjudication policies and procedures to ensure proper payment of claims. Resolves pending claims based on Medicaid rules and regulation established for final processing. Resolves claims resolution and/or adjustments/voids....

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...

Senior Counsel, Claim Liability (Hybrid)

An Insurance Company

Indianapolis, IN

Litigate cases to verdict demonstrating strong use of trial skills. Specialize in one or more areas of practice. Demonstrate strong legal research, writing and presentation skills. Draft substantive pleadings, motions, briefs, dis...

Senior Claims Specialist - Property

American National Insurance Company

Springfield, MO

What You'll Do: Conduct phone interviews and investigations to determine damages Review loss notices and complex policy forms to determine proper coverage, contact clients, investigate the facts surrounding the loss, while compl...

Senior Property Claims Supervisor

Hca Healthcare

Nashville, TN

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

Senior Claims, Management Liability

York State Department Of Labor

New York, NY

associated with claim. Experience working with internal and external business partners on severity matters, including presentations to senior leaders within Claims and Underwriting. Makes effective recommendations for settlement...

Internal Revenue Agent- Senior Revenue Agent (Examiner), 12-month Roster

Internal Revenue Service

Tyler, TX

Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Specialized experience include: Experience in progressi...

Internal Revenue Agent Senior Revenue Agent (Examiner) (12 MONTH ROSTER)

Internal Revenue Service

Fort Myers, FL

Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Specialized experience for this position includes: Expe...

Internal Revenue Agent Senior Revenue Agent (Examiner) (12 MONTH ROSTER)

Internal Revenue Service

Spokane, WA

Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Specialized experience for this position includes: Expe...

(Senior) Claims Counsel with German

Tokio Marine Hcc

Chatsworth, NJ

Adjusting an international portfolio of Financial Lines (FL) claims, including D&O, E&O, EPL, Crime, Cyber and Warranty & Indemnity claims. File opening and administration in our electronic claims management system. Correspondence...

Senior Property & Builders Risk Claims Adjuster

Liberty Mutual

Baltimore, MD

Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...

Senior Property & Builders Risk Claims Adjuster

Liberty Mutual

Cincinnati, OH

Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...

Senior Property & Builders Risk Claims Adjuster

Liberty Mutual

Allentown, PA

Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...

Senior Property & Builders Risk Claims Adjuster

Liberty Mutual

Akron, OH

Responsibilities: Has technical expertise and experience handling Inland Marine Coverage on project-specific placements and Master Builders Risk programs, contractor's equipment, etc. Potential for pre- and post-loss inspections C...

Claims Examiner

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...

Senior Liability Claims Specialist

Corvel Enterprise Comp, Inc.

Las Vegas, NV

Receives claims, confirms policy coverage and acknowledgment of the claim. Determines validity and compensability of the claim. Investigates claims and handles 1st and 3rd party Auto and General Liability claims. Establishes reser...

REMOTE: Senior Field Claims Specialist - MA

American National Insurance Company

Worcester, MA

We aspire to see people for what they bring to our corporate culture by supporting an inclusive work environment, including an emphasis on a healthy work-life balance, development opportunities, and a casual dress code. American N...

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...

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...

Internal Revenue Agent/ Senior Revenue Agent (Examiner)- (12 Month Roster)- Amended

Internal Revenue Service

Ann Arbor, MI

Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? In addition to the basic requirements, you must have on...

Internal Revenue Agent / Senior Revenue Agent (Examiner)-12 Month Roster AMENDED

Internal Revenue Service

Roanoke, VA

Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT information.WHERE CAN I FIND OUT MORE ABOUT OTHER IRS CAREERS? Specialized experience includes experience in progressi...

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...

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...

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...

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...

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...

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...

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...