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Medical Claims Specialist Examiner Jobs

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Job Description: Our client is currently seeking a Workers' Compensation Claims Examiner to handle Future Medical and Medical Only claims for a Temporary assignment! This position needs to be filled quickly and resumes are being reviewed immediately! Qualified candidates will have 2+ years of experience handling Workers' Compensation claims. Required Qualifications: 2+ years experience handlin...
Healthcare Sr. Claims Examiner Opportunities Dell is looking for Sr. Level Claims Examiners with payer healthcare experience to join our team as part of this new, exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long t...
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Healthcare Claims Examiner Job Description Job Description: Health Care Claims Specialists (Examiners) process hospital and medical claims in accordance with policies and procedures established by the client. Responsibilities include adjudication of claims in moderate complexity categories, including claims involving hospital inpatient bills, Coordination of Benefits, co-surgeons, multiple surgi...
Job Description: Our client, a leading insurance company, is currently seeking an experienced Senior Litigation Claims Examiner to work out of their Indianapolis, IN office. Company Benefits: 401K Saving Plan Medical, Dental & Vision Care Coverage Work/Life Resources Paid Time-Off (PTO) & Holidays Life & Disability Insurance Tuition Reimbursement Required Qualifications: 4+ years experie...
About Capgemini With more than 180,000 people in over 40 countries, Capgemini is a global leader in consulting, technology and outsourcing services. The Group reported 2015 global revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and delivers business, technology and digital solutions that fit their needs, enabling them to achieve innovation and competitiveness. A deeply ...
Job Description: We are seeking a Workers' Compensation Assistant Claims Examiner/Medical Only Examiners to become a part of our organization! You will investigate, analyze, and determine the extent of the organization's liability in various claims. Responsibilities:Correspond and interview with medical specialists, agents, witnesses, or claimants to compile informationTake accurate and detailed ...
Handle design and workmanship construction defect claims issues for national insurer. Responsibilities include: *** Conducting investigations, recommending reserves, monitoring, documenting, settling and closing claims *** Accurately determining the scope, nature, and extent of the loss. *** Manages the litigation process through the retention of counsel. *** Adheres to the line of business l...
Job Description: Our client, a leading national Third Party Administrator, is in urgent need of multiple Workers' Compensation Claims Examiners. This is a direct hire position with full benefits - including medical, tuition reimbursement, generous time off and a competitive salary. Required Qualifications: 3+ years of experience handling workers' compensation claims in Oregon Ability to negot...
PART TIME Claims Examiner / Claims SpecialistFull-timeNY-JerichoOperations and Tech Services Group Aon Is Looking For PART TIME Claim Examiners / Claims Specialist As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of our Travel Practice business group within Aon Affinity, in Jericho, NY. Your Impact as a C...
Claim Examiner / Claim Specialist / Claims Adjudication - multiple positions Full-time NY-Jericho Operations and Tech Services Group Aon Is Looking For CLAIM EXAMINERS As part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of our Travel Practice business group within Aon Affinity, in Jericho, NY. Your Impact...
Job Description: Our client is seeking to add an additional Workers' Compensation Claims Examiner to their Albany, NY office. This person would be responsible for handling mid to complex workers compensation lost time claims from inception to close. In addition, this person may work from home after the initial training period. Company Benefits: Flexibility to work from home Modified work sched...
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance to our clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, and value-ba...
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance to our clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, and value-ba...
ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Analyzes professional and/or hospital claims for accuracy according to set dollar thresholds, and meets and maintains production and quality standards Reviews authorization and/or provider's contract and adjudicates claims accordingly. Perform any correspondence, follow-up and any projects delegated by claims ...
ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Analyzes professional and hospital claims for accuracy according to set dollar thresholds and meets and maintains production and quality standards. Reviews authorization and/or provider's contract and adjudicates claims accordingly. Perform any correspondence, follow-up and any projects delegated by claims sup...
About Capgemini With more than 180,000 people in over 40 countries, Capgemini is a global leader in consulting, technology and outsourcing services. The Group reported 2015 global revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and delivers business, technology and digital solutions that fit their needs, enabling them to achieve innovation and competitiveness. A deeply ...
Join a rapidly growing insurance company with offices across the US and work with a highly trained, diverse team of professionals. Everyone brings their 'A' game every day, from upper executives to associate staff members. Exceptional compensation package consists of generous base salary plus annual bonus opportunities for earning potential to $115,000. Full benefits package including medical, vi...
Matrix Absence Management is one of the top Third Party Administrators (TPA) supporting clients in absence management (FMLA/Disability/Workers' Compensation). We partner with our clients Human Resources department to manage Disability and/or Leave of absences until the claim is resolved or the employee returns to work. Our highly customer centric approach is to try and duplicate the culture of our...
Description: The Long Term Disability Claims Examiner will manage an assigned caseload of more complex Integrated Long-Term Disability cases. The candidate will also evaluate claimant eligibility. Interact with internal and external customers including, but not limited to, claimants, employers, physicians and attorneys etc. to gather the information to make the decision on the claim. Duties: An...
Matrix Absence Management is one of the top Third Party Administrators (TPA) supporting clients in absence management (FMLA/Disability/Workers' Compensation). We partner with our clients Human Resources department to manage Disability and/or Leave of absences until the claim is resolved or the employee returns to work. Our highly customer centric approach is to try and duplicate the culture of our...