Hybrid Supplemental Health Claims Examiner 2 Jepsen Investments, Inc.Hybrid Supplemental Health Claims Examiner 2Lombard, IL$25 / hourFull timeYou ideally must have at knowledge in one (1) of the following claim types: Critical Illness/Specified Disease/Specified Disease, Accidental Insurance, Hospital Indemnity or Short-Term Disability. If you, or anyone you know, is interested, qualified, and currently seeking employment please e-mail an updated resume and answers to the screening questions below to cjepsen@managedcarestaffers.com for immediate review and consideration.
Personal Injury Claims Examiner GEICOPersonal Injury Claims ExaminerSyosset, NY$29–$45.28 / hourCustomer Interaction: Consult with involved parties (customers, other carriers, attorneys, medical providers), secure medical information, and review insurance contracts, associated reports, and billing documentation. . Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations.
Claims Examiner - Workers Compensation (Hourly) IconmaClaims Examiner - Workers Compensation (Hourly)Brea, CA$43–$48 / hourResponsibilities: Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Senior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CA Johnson Service GroupSenior Workers' Compensation Claims Examiner (FULL Remote - Perm) - CAConcord, CARemoteThe Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f).
NewClaims Examiner - Workers Compensation IconmaClaims Examiner - Workers CompensationRancho Cucamonga, CA$45–$50 / hourResponsibilities: 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 expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Claims Examiner Senior \ Direct Placement60 - Contract TalentBurst, Inc.Claims Examiner Senior \ Direct Placement60 - ContractIrving, TX$23–$24 / hourThis role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes.
• Position: Claims Examiner – Commercial Auto Litigation Advent Global Solutions INC• Position: Claims Examiner – Commercial Auto LitigationIrving, TX$30–$40 / hourContractorExperience with high-severity/high-value claims, preferably commercial trucking claims with losses exceeding $1 million. 5+ years of commercial auto claims management experience, or an equivalent combination of education and experience.
Casualty Claims Examiner GEICOCasualty Claims ExaminerRichardson, TXWe’re in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive liability claims, looking to help deliver world-class service to our clients. Negotiate claims settlements for evaluated damages with insureds, claimants and/or attorneys as assigned from letter of representation through settlement or verdict.
Sr. Workers Compensation Examiner-4850 Claims - CA (Contract - Full Remote) Johnson Service GroupSr. Workers Compensation Examiner-4850 Claims - CA (Contract - Full Remote)Pleasant Hill, CARemoteThe Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f).
NewSenior Workers' Compensation Claims Examiner | Remote KING'S INSURANCE STAFFING LLCSenior Workers' Compensation Claims Examiner | RemoteMinneapolis, MNRemote$80,000–$110,000 / yearEnsure appropriate investigation of the underlying facts and circumstances are carried out, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, proper negotiation strategy is employed. Job Description Our client, an A-rated Insurance Carrier, is seeking to add a Senior Workers' Compensation Claims Examiner to their Midwest team.
NewWorkers' Compensation Claims Examiner | New Jersey KING'S INSURANCE STAFFING LLCWorkers' Compensation Claims Examiner | New JerseyEast Orange, NJ$35–$45 / hourJob Description Our client is currently seeking an experienced Workers' Compensation Claims Examiner to join their team handling New Jersey claims. This is a temp-to-hire opportunity ideal for a professional with a strong background in workers’ compensation who is comfortable managing moderate to complex claims in a fast-paced environment.
Injury Claims Examiner (Central to West Region) USAAInjury Claims Examiner (Central to West Region)Colorado Springs, CO$85,040–$162,550 / yearAs a dedicated Injury Claims Examiner (Central to West regions), you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. After making a conditional offer and running a background check, if USAA is concerned about a conviction(s) that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Injury Claims Examiner (East Region) USAAInjury Claims Examiner (East Region)Chesapeake, VARemote$85,040–$162,550 / yearAs a dedicated Injury Claims Examiner (East Region), you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
NewClaims Examiner Kinsale Management, IncClaims ExaminerRichmond, VA$73,000–$90,000 / yearYou’ll work closely with experienced claims professionals and legal partners while handling a diverse portfolio, including litigated claims. 1-2 years of experience handling commercial general liability claims involving bodily injury and property damage.
NewCommercial General Liability Claims Examiner | Remote KING'S INSURANCE STAFFING LLCCommercial General Liability Claims Examiner | RemoteTrenton, NJRemote$40–$45 / hourJob Description Our client, a well-established organization within the Property & Casualty insurance industry, is looking to add an experienced Commercial General Liability Claims Examiner to its New Jersey claims team. In this role, the Claims Adjuster will manage a caseload of moderate to complex Commercial General Liability claims from initial assignment through final resolution.
Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Southern CA)(Perm) Johnson Service GroupSr Examiner - 4850 Workers' Compensation Claims (Full Remote - Southern CA)(Perm)Pleasant Hill, CARemoteThe Senior Claims Examiner will adjust police and fire 4850 workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.
Sr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm) Johnson Service GroupSr Examiner - 4850 Workers' Compensation Claims (Full Remote - Northern CA)(Perm)Pleasant Hill, CARemoteThe Senior Claims Examiner will adjust police and fire 4850 workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements.
NewCalifornia Workers' Compensation Claims Examiner - Temp-to-Hire | Remote KING'S INSURANCE STAFFING LLCCalifornia Workers' Compensation Claims Examiner - Temp-to-Hire | RemoteSacramento, CARemote$45–$60 / hourJob Description Our client is seeking to add a Senior California Workers Compensation Claims Examiner to their Northern California branch. Handle moderate to complex California Workers Compensation claims with minimal supervision and guidance from the manager.
NewClaims Examiner Midwest Operating Engineers Fringe Benefit FundClaims ExaminerLa Grange, ILThe Examiner must possess knowledge of medical terms, such as Current Procedural Terminology (CPT), Health Care Procedure Coding Systems (HCPCS) and International Classification of Diseases (ICD-10) to review the claim accurately. Examine a claim using plan document, schedule of benefits, supporting documentation, Knowledge Articles, and other resources to make reasonable decisions regarding proper payment of claims.
NewWorkers Compensation Claims Examiner TEEMAWorkers Compensation Claims ExaminerHouston, TXIn this role, you will independently manage a caseload of approximately 110–150 workers’ compensation claims, including complex files requiring advanced investigation, compensability analysis, reserve management, and ongoing medical oversight. Job Description Senior Workers’ Compensation Claims Examiner (Texas Licensed ) We are seeking an experienced Workers’ Compensation Claims Examiner to join a collaborative claims team handling complex indemnity claims from initial investigation through resolution.