NewPersonal Injury Claims Examiner GEICOPersonal Injury Claims ExaminerLand O' Lakes, FL$47,150–$72,775 / yearCustomer Interaction: Consult with involved parties (customers, other carriers, attorneys, medical providers), secure medical information, and review insurance contracts, associated reports, and billing documentation. . You will investigate medical necessity, determine casualty, evaluate the validity of personal injury insurance claims, and monitor case files over the course of treatment. . .
Medical Claims Examiner Employ-TempsMedical Claims ExaminerUniontown, OHYou can view all our jobs by copying and pasting this link in your browser: https://employtemps.com/jobs/. Demonstrate a positive and cooperative work attitude and promote teamwork.
Medical Claims Examiner II Gravie, Inc.Medical Claims Examiner IIMinneapolis, MNIn addition to owning a high-volume, high-complexity caseload, this role may serve as a go-to resource for other Examiners, contribute to training and special projects, and support leadership with inventory management, process development, and auditing. Areas of expertise include, but are not limited to: Coordination of Benefits (COB), Prior Authorization, Claim Adjustments, Health Reimbursement Arrangements (HRA), Transplant Claims, and High Dollar Claims Processing.
Medical Claims Examiner - Madison, WI (On-site) Gainwell Technologies LLCMedical Claims Examiner - Madison, WI (On-site)Madison, WI$30,500–$43,500 / yearGainwell Technologies defines wages and wage rates to include all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. The pay range for this position is $30,500 - $43,500 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
Associate Claims Examiner or Claims Examiner - 1152 Security Mutual Life Insurance Company of New YorkAssociate Claims Examiner or Claims Examiner - 1152Houston, TX$20.74–$24 / hourAddress inquires on assigned claims from various parties including but not limited to insured, policy holders, agents, physicians, hospital attorneys, Workers' Compensation Board, Workers' Compensation carriers, State agencies, other insurance carriers, TPA's, Reinsurers and internal staff. Process and distribute paper and electronic mail and/or faxes received including but not limited to logging data in appropriate systems and distributing to appropriate areas and/or virtual folders for processing.
NewSenior Medical Claims Examiner Macpower Digital Assets Edge Private LimitedSenior Medical Claims ExaminerIrving, TX$22.25 / 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. Job Summary: The Senior Claims Examiner is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations.
NewMedical Claims Examiner Lawelawe Training Services IncMedical Claims ExaminerSan Antonio, TXLawelawe Training Services is an SBA Certified 8(a) Native Hawaiian Organization-Owned Small Disadvantaged Business specializing in services for federal government customers, including program management and business transformation, human capital and training, digital solutions, and medical staff support. Who We Are Lawelawe is a Native Hawaiian Owned Small Disadvantaged Business (NHO SDB) that specializes in providing a range of services to federal government clients, including program management, digital solutions, human capital and training, and medical staffing.
Claims Examiner/Senior Claims Examiner W. R. Berkley CorpClaims Examiner/Senior Claims ExaminerWalnut Creek, CA$65,000–$115,000 / yearIn these roles, you will be responsible for the analysis and management of moderate to complex workers' compensation claims, including reviewing, investigating, and making determinations around coverage, compensability, and claim appropriateness. Success in this role requires strong judgment, consistent performance, and a high level of competency in negotiating settlements, managing subrogation, and delivering sound, compliant outcomes.
Medical Claims Examiner II GravieMedical Claims Examiner IIIn addition to owning a high-volume, high-complexity caseload, this role may serve as a go-to resource for other Examiners, contribute to training and special projects, and support leadership with inventory management, process development, and auditing. Areas of expertise include, but are not limited to: Coordination of Benefits (COB), Prior Authorization, Claim Adjustments, Health Reimbursement Arrangements (HRA), Transplant Claims, and High Dollar Claims Processing.
Claims Examiner, Medical Only AmTrust Financial Services, Inc.Claims Examiner, Medical OnlyPrinceton, New JerseyFull timeClaim adjudication requires interaction with employers, claimants, medical providers, and other parties to ensure adequate medical treatment is provided utilizing company resources in a cost-effective manner. Overview: The Workers’ Compensation Medical Only Claims Examiner is responsible for the prompt and effective investigation of workers’ compensation claims involving injuries requiring medical treatment without lost wages.
Medical Claims Examiner TridentMedical Claims ExaminerRemoteBecause this is a fully remote, independent contractor position, we are looking for a self-starter who requires minimal supervision and has deep, hands-on experience navigating the WLT software system . TPA Experience: Previous experience working within a Third Party Administrator (TPA) environment is highly preferred and will make you a standout candidate.
NewClaims Examiner/Senior Claims Examiner BerkleyClaims Examiner/Senior Claims ExaminerWalnut Creek, California$80,000–$125,000 / yearIn these roles, you will be responsible for the analysis and management of moderate to complex workers’ compensation claims, including reviewing, investigating, and making determinations around coverage, compensability, and claim appropriateness. Success in this role requires strong judgment, consistent performance, and a high level of competency in negotiating settlements, managing subrogation, and delivering sound, compliant outcomes.
Medical Claims Examiner - Remote U.S. NTT DATAMedical Claims Examiner - Remote U.S.Dallas, TXRemote2+ years using a computer with Windows applications that required you to use a keyboard, navigate multiple screens and computer systems, and learn new software tools. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
Disability Claims Examiner - Stable & Mature Claims New York Life Insurance CoDisability Claims Examiner - Stable & Mature ClaimsWhite Plains, NY$58,000–$70,000 / yearBusiness Unit Overview: As part of New York Life's Group Membership Association Division, youll be working with the nation's No. 1 provider of life and disability income insurance solutions for association/affinity programs. Team members are expected to work onsite one day per week (Wednesdays), with one additional onsite day per month for team meetings or business activities.
Claims HMO - Claims Examiner 140-1006 CommunityCareClaims HMO - Claims Examiner 140-1006Tulsa, OKTwo years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required. KEY RESPONSIBILITIES: Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.
Senior Workers' Compensation Claims Examiner - Federal Claims American International GroupSenior Workers' Compensation Claims Examiner - Federal ClaimsFarmington, CT$73,000–$96,000 / yearOur Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. #insurancecareers #insurancejobs #claimsexaminer #WorkersCompClaims #WorkersCompensationClaims #paralegalcareers.
Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | Remote Sedgwick Claims Management Services, Inc.Liability Litigation Claims Examiner | Litigation, Premise, Auto, BI & Product Claims Experience | RemoteMERemote$63,404–$88,765 / yearTo analyze GL Litigated, Premise, Auto, Bodily Injury & Product claims on behalf of our valued dedicated client to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
Claims Examiner, Auto | Commercial Claims | Bodily Injury Sedgwick Claims Management Services, Inc.Claims Examiner, Auto | Commercial Claims | Bodily Injury$75,000–$80,000 / yearTo analyze complex auto bodily injury claims on behalf of our valued clients by evaluating coverage, investigating liability, and managing damages, while ensuring timely resolution within service expectations, industry best practices, and specific client requirements. Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
Claims Examiner, Medical Stop Loss, Remote Crum & ForsterClaims Examiner, Medical Stop Loss, RemoteScottsdale, ArizonaRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
Claim Examiner II - Program Claims Markel Group IncClaim Examiner II - Program ClaimsRosemont, IL$62,400–$107,250 / yearThis includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist internal business partners, including claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.