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Senior Claims Examiner jobs in Orange, CA

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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...

2 days ago seen See more...

Senior Claims Counsel

Essent Guaranty Inc

Pennsylvania, United States

Leadership in claims administration (including individual claim load responsibilities) e.g. claim intake and investigation, determination, reserving, and retention and management of outside counsel and other vendors) involving all...

3 days ago seen See more...

Senior Claims Counsel, EPL

An Insurance Company

Chicago, IL

Handle US EPL claims and related systems and processes. Evaluate exposures and make substantive claim decisions for US EPL claims and as needed on other lines of business. Proven ability to provide coverage, liability, and damages...

4 days ago seen See more...

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...

a week ago seen See more...

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...

a week 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...

3 weeks 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...

4 weeks 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...

4 weeks 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...

4 weeks 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...

4 weeks 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...

4 weeks ago seen See more...

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...

3 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...

a month ago seen See more...

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...

a month ago seen See more...

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...

a month 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...

a month 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...

a month ago seen See more...

Senior Claims Specialist II- Commercial

Liberty Mutual

Suwanee, GA

$65,600 - $116,900 a year

Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custod...

a month ago seen See more...

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...

2 months ago seen See more...

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...

2 months ago seen See more...

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...

2 months ago seen See more...

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...

2 months ago seen See more...

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...

2 months ago seen See more...

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...

2 months ago seen See more...

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...

2 months ago seen See more...

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...

2 months ago seen See more...

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...

2 months ago seen See more...

Senior Claims Representative-Commercial Auto

Liberty Mutual

Suwanee, GA

Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss asses...

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...

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