Senior Claims Examiner jobs in Kansas

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WORKERS' COMPENSATION CLAIMS EXAMINER II - COLUMBIA, UNITED STATES - MAXIM HEALTHCARE SERVICES

Manages and resolves new, pending, and litigated workers compensation files. Participates in and leads conference calls with local offices, thirdparty administrators (TPAs), medical providers, attorneys, and other Maxim team membe...

CompanyMaxim Healthcare Services
AddressUnited States
CategoryInformation Technology
Date Posted 2 days ago See detail

Workers' Compensation Claims Examiner Ii - Columbia, United States - Maxim Healthcare Services

Maxim Healthcare Services

United States

Manages and resolves new, pending, and litigated workers compensation files. Participates in and leads conference calls with local offices, thirdparty administrators (TPAs), medical providers, attorneys, and other Maxim team membe...

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...

Senior Manager of Claims Operations/Payment Integrity

Xo Health Inc.

Remote

$120,000 - $125,000 a year

Direct day-to-day operations of Claims processing department to ensure that claims are processed within statutory and company guidelines. Ensure procedural and financial claims metrics and service level agreements are met. Involve...

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...

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

Internal Revenue Service

Overland Park, KS

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

Missouri, United States

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...

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...

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...

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...

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...

Senior Claims Specialist - NJ Workers' Compensation

Great American Insurance Company

New Jersey, United States

$100,000 - $110,000 a year

Investigating losses Analyzing coverage, determining compensability and benefits Establishing reserves and negotiating settlements Conducting meetings on the phone with insureds and claimants Preparing large loss reports to both i...

Senior Claims Specialist

Ryze Claim Solutions

Remote

$67.3K - $85.2K a year

Handle complex litigated and non-litigated assisted living and nursing home claims across the United States. This would include investigating, evaluating, and resolving claims and lawsuits of a more severe and complex nature. Inve...

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...

Senior Revenue Cycle Claims Specialist

Azalea Health Innovations Inc

Remote

$37.4K - $47.4K a year

Perform traditional Revenue Cycle Claims Specialist support tasks for assigned accounts Onboard and train new members of the RCM Claims Specialist team and support experienced RCM Claims Specialists as needed Effectively understan...

Senior Liability Claims Adjuster

Davies Us Llc

United States

$70,000 - $81,000 a year

Analyze claims exposures, determining the proper courses of action and appropriately settling claims. Conduct prompt, accurate investigations of Liability Claims, interview all relevant parties to obtain loss events facts and to e...

Claims Inside Auto Adjuster Trainee, I, II, or Senior

National General Ins

Remote

$43,500 - $60,000 a year

Handles basic investigation regarding most aspects of auto claims (coverage, liability and damages). Exhibits basic understanding of insurance policies written by the company, the industry, and organizational relationships within...

Claims Consultant - Senior Care Covid

Medpro Group

Remote

$80,000 - $150,000 a year

We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others. From our roots in our hometown of...

Senior Auto Claims Adjuster - Las Vegas, United States - CSAA Insurance Group

Csaa Insurance Group

United States

Investigates, evaluates, negotiates and settles auto and property damage claims. Handle a diary system to systematically review and resolve claims within the specified state compliance guidelines. Manage an inventory of claims. Op...