Veteran Claim Examiner jobs

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CLAIMS EXAMINER SR - HOAG CLINIC CLAIMS & ENROLLMEN

Actual compensation may vary based on geographic location, work experience, skill level, and education.Primary Duties and ResponsibilitiesThe Claims Examiner is responsible for the accurate and timely administration of claim payme...

CompanyHoag Memorial Hospital Presbyterian
AddressCosta Mesa, CA
CategoryEngineering/Architecture/scientific
Job typeFull-Time
Date Posted 2 days ago See detail

CLAIMS EXAMINER SR - HOAG CLINIC CLAIMS & ENROLLMEN

Hoag Memorial Hospital Presbyterian

Costa Mesa, CA

Actual compensation may vary based on geographic location, work experience, skill level, and education.Primary Duties and ResponsibilitiesThe Claims Examiner is responsible for the accurate and timely administration of claim payme...

Claim Examiner

Collabera

New York, NY

Client: Management and Consulting company Title: Claim ExaminerLocation: 100% Remote (Work from home)Rates: $18/hr -- $20/hr Duration: 6 MonthsNote: Adjuster license in New York State and Washington State is Required Claims proces...

Senior Claims Examiner - Claims Specialist - New York Labor Law

James River Management Company

Scottsdale, AZ

United States, Arizona, Scottsdale

Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service. Perform coverage, liability, and damage analysis on all claims assignments. Investigate allegat...

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 - Workers Compensation

Bcforward

Sierra Madre, CA

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...

Senior Claims Examiner

Pix11

New York, NY

1st shift opportunity " Monday to Friday from 8:30am-4pm. Competitive hourly wage at $27/hr. Contract to hire position - you'll be hired in by our client based on performance and business needs. Benefit package available once hi...

Workers' Compensation Claims Examiner II

Maxim Healthcare Services

Columbia, MD

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

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 Medical Claims Examiner/Auditor

Jobot

Los Angeles, CA

Easy Apply now by clicking the "Apply Now" buttonand sending us your resume.Salary: $60,000 - $70,000 per yearA bit about us:Our client is looking for experienced Medical Claims Examiners and Auditors for immediate, long term need...

Senior Claims Examiner

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...