Medical Claims - Job Description: Medical Claims Examiner with a minimum of 3 years experience. The ideal candidate will be a detail oriented team player and will process Commercial HMO claims in a fast paced office. Must possess good knowledge of HMO guidelines, CMS and DMHC compliance regulations. Must be familiar with application of CPT guidelines, Medicare Rules and Regulations, CCI bundling, and use of DOFR f ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Temporary / Contract / Project
Salary:
From 14.00 to 16.00 per hour
AppleOne
Thousand Oaks, CA 91362
Jul 2
Workers Compensation Examiner ABOUT US: GAB Robins helps clients manage the total cost of risk by developing and implementing workers’ compensation, general liability, auto and property claims management programs. GAB Robins provides claims administration and antifraud services for self-insured entities in all industries. SENIOR WORKERS COMPENSATION EXAMINER/ADJUSTER LUTHERVILLE , MD POSITION SUMMARY Based in our Lutherville, M ...[more]
Relevant Work Experience:
5+ to 7 Years
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
GAB Robins
Lutherville, MD
Jul 1
Medical Claims Examiner Job Title: Medical Claims Examiner Job Summary: To process claims and determine eligibility for and payment on medical claims according to the appropriate plan document language, schedule of benefits and/or insurance certificates. Position Responsibilities: Process claims in accordance with the plan document and Meritain internal guidelines. Meet and maintain the specified quality/quantity guideli ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
Meritain Health
Minneapolis, MN 55426
Jul 1
Senior Claim Examiner - WC Monthly Bonus Opportunities !!! Based in Atlanta, Georgia, Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management and related solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. Major service lines include property and casualty claims management; warranty inspections; i ...[more]
Career Level:
Experienced (Non-Manager)
Job Status:
Full Time
Broadspire
Sacramento, CA 95670
Jul 1
Claims Examiner II, Workers' Compensation - Las Vegas, NV CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environmen ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
Sedgwick Claims Management Ser
Las Vegas, NV 89101
Jul 1
Medicare Compliance Nurse - Work at Home Position - MSCC Certification Required CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environmen ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
Sedgwick Claims Management Ser
memphis, TN 38120
Jul 1
Senior Claim Examiner - Liability Large Dedicated Client Based in Atlanta, Georgia, Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management and related solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. Major service lines include property and casualty claims management; warranty inspections; i ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
Broadspire
Atlanta, GA 30301
Jul 1
Claims Examiner HCC Medical Insurance Services is seeking a Claims Examiner for our Claims department. HCCMIS is a subsidiary of HCC Insurance Holdings, Inc. ("HCC Insurance"), with its common stock trading on the NYSE (symbol: HCC). HCC Insurance has assets exceeding $7.9 billion and shareholders’ equity of over $2.2 billion. HCC Insurance is an international insurance company and a leading specialty insurance g ...[more]
Job Type:
Employee
Job Status:
Full Time
HCC Insurance Holdings
Miami, FL
Jun 29
Claim Examiner III - Workers Comp Based in Atlanta, Georgia, Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management and related solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. Major service lines include property and casualty claims management; warranty inspections; i ...[more]
Career Level:
Experienced (Non-Manager)
Job Status:
Full Time
Broadspire
Houston, TX 77001
Jun 29
Claims Analyst I Claims Analyst I POSITION TITLE: Claims Analyst I DEPARTMENT: Operations Overview: The role of the Claims Analyst is to ensure that claims are processed according to state and federal regulations and meet NHPRI’s contractual obligations. Qualifications: Required: · High school graduate or equivalent · Experience using industry standard coding · 3 - 5 years claims processing or medical billing expe ...[more]
Job Type:
Temporary / Contract / Project
Job Status:
Full Time
Neighborhood Health Plan of RI
Providence, RI 02908
Jun 29
Manager Business Integrity - Pharmacy POSITION SUMMARY: ESI Canada is looking for a dynamic and self-motivated Manager, Business Integrity - Pharmacy. The successful incumbent will be responsible for managing the audit teams and will be dedicated to delivering the highest quality of audit services. This candidate will demonstrate a proven ability to lead the team while contributing to the departmental objectives to meet and exceed cli ...[more]
Relevant Work Experience:
5+ to 7 Years
Career Level:
Manager (Manager/Supervisor of Staff)
Education Level:
Some College Coursework Completed
Job Status:
Full Time
ESI Canada
Mississauga, ON L5R3G5
Jun 26
Claims Processors and Claims CSR Exciting opportunity to grow with one of the largest Health Plans in Inland Empire!. We are currently recruiting for multiple full time positions in the claims dept. Excellent working environment, stellar compensation package. Exhausted by hours of commuting? Gas prices taking a toll? Why not live and work close to home!! The requirements listed below are representative of the knowledge, skill and ...[more]
Relevant Work Experience:
2+ to 5 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee, Temporary / Contract / Project
Job Status:
Full Time
Salary:
From 14.00 to 16.00 USD per hour
T & T Staffing
Job location not provided
Jun 26
Property Claims Examiner (302397-773) Description SUMMARY: Responsible for handling of all aspects of a claims file from beginning to conclusion. SPECIFIC DUTIES: Interprets the insurance contract and applies to the exposures presented with each claim. Investigates all issues to determine cause, scope, damages, and subrogation potential. Manages an inventory of claim files to ensure timely resolution of all assigned claims. Maintains f ...[more]
Career Level:
Entry Level
Job Type:
Employee
Job Status:
Full Time
ZC Sterling Corporation
Dallas
Jun 26
Health Claims Examiner Job Purpose: Serves medical health plan customers for Third Party Administrator by determining coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal compliance. Duties: * Determines covered medical coverage by studying provisions of group health plan. * Establishes proof of loss by studying medical documentation; assembling add ...[more]
Relevant Work Experience:
1+ to 2 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
Salary:
From 30,000.00 to 35,000.00 USD per year
Company Confidential
Nashville, TN
Jun 25
Claims Examiner II, Workers' Compensation - Boise, ID CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environmen ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
Sedgwick Claims Management Ser
Boise, ID 83701
Jun 25
Examiner – Medical Claims Highlights AIG Job ID: ARM609 examiner-Medical Claims Position Type: Not Indicated Location: KS-Overland Park Relocation: No Education: High School Experience: 1-2 years Description: Please note that this position is in the Olathe, KS office. The primary responsibility of this position is to review policies, and determine eligibility of claimants and policy status. The incumbent will apply applica ...[more]
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee
Job Status:
Full Time
AIU Holdings
olathe, KS 66061
Jun 25
Claims Examiner Athens Administrators is expanding to Southern California Athens Administrators is an industry leading Third Party Administrator of claims. We have over thirty years of experience and continue to grow. We are excited about the future and the opportunity to further expand our presence in the Southern California marketplace. We will be opening an office in Irvine (Orange County) in September 2009. W ...[more]
Relevant Work Experience:
1+ to 2 Years
Career Level:
Experienced (Non-Manager)
Education Level:
Some College Coursework Completed
Job Type:
Employee
Job Status:
Full Time
Athens Administrators
Irvine, CA 92603
Jun 25
Assistant Claims Examiner Athens Administrators is expanding to Southern California Athens Administrators is an industry leading Third Party Administrator of claims. We have over thirty years of experience and continue to grow. We are excited about the future and the opportunity to further expand our presence in the Southern California marketplace. We will be opening an office in Irvine (Orange County) in September 2009. W ...[more]
Relevant Work Experience:
Less than 1 Year
Career Level:
Entry Level
Education Level:
Some College Coursework Completed
Job Type:
Employee
Job Status:
Full Time
Athens Administrators
Irvine, CA 92603
Jun 25
Claims Examiner III, Workers' Compensation - Greenwood Village, CO CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environmen ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Employee
Job Status:
Full Time
Sedgwick Claims Management Ser
Denver, CO 80201
Jun 24
Claims Examiner HCC Medical Insurance Services is seeking a Claims Examiner for our Claims department. HCCMIS is a subsidiary of HCC Insurance Holdings, Inc. ("HCC Insurance"), with its common stock trading on the NYSE (symbol: HCC). HCC Insurance has assets exceeding $7.9 billion and shareholders’ equity of over $2.2 billion. HCC Insurance is an international insurance company and a leading specialty insurance g ...[more]
Job Type:
Employee
Job Status:
Full Time
HCC Insurance Holdings
Indianapolis, IN
Jun 24
Insurance Property Casualty Claims Adjusters and Professionals DESCRIPTION At Free State Staffing, we CARE about you and your career! Our team has over 50 combined years of Insurance Industry experience right here in the state of Florida. We know this business and the professionals who lead it. Let us use this knowledge to find the perfect job for you. There is work available now both permanent and temporary in all levels of all lines of insurance. Send Nancy ...[more]
Relevant Work Experience:
1+ to 2 Years
Career Level:
Experienced (Non-Manager)
Education Level:
High School or equivalent
Job Type:
Employee, Temporary / Contract / Project
Job Status:
Full Time, Part Time
Job Shift:
First Shift
Salary:
From 9.00 to 40.00 USD per hour
Free State Staffing
Orlando, FL 32801
Jun 24
Worker's Compensation Claims Examiner Our client in Lexington is seeking a Worker’s Compensation Claims Examiner to investigate medical only and lost time claims to determine compensability in accordance with applicable statute, case law and experience. The person selected for this position will monitor and document medical treatment to track progression of injured workers recovery and ensure treatment is appropriate; review medical r ...[more]
Job Type:
Employee
Job Status:
Full Time
CMI Consulting, LLC
Lexington, KY 40509
Jun 23
Workers Compensation Examiner Nordstrom is one of the nation's leading fashion specialty retailers. Since 1901, our people and their commitment to customer service is what set us apart. We offer a wide variety of quality apparel, shoes and accessories for men, women and children at our stores across the country. We remain committed to the simple idea on which our company was founded: offer each customer the best possible servi ...[more]
Career Level:
Experienced (Non-Manager)
Nordstrom
Seattle, WA
Jun 23
Temporary Claims Examiner III TRISTAR Insurance Group: TRISTAR Insurance Group is a Third Party Administrator for Workers' Compensation claims management ( ). Founded in 1987, TRISTAR employs over 700 people with a wide-range of expertise. TRISTAR has over 20 offices nationwide. Temporary Workers' Compensation Claims Examiner III **Positive Working Environment!** JOB DESCRIPTION: We currently have a temporary opportunity for a ...[more]
Career Level:
Experienced (Non-Manager)
Job Type:
Temporary / Contract / Project
Job Status:
Full Time
Tristar Risk Management
Las Vegas, NV 89109
Jun 23
Claims Examiner II, Workers' Compensation - Lake Mary, FL CLAIM YOUR FUTURE AS A GREAT PERFORMER! Continuing double-digit revenue growth rates and progressive employment practices make Sedgwick Claims Management Services the place where great people can do great things for clients while maximizing their career possibilities. We have earned a reputation for innovation, quality, sustained growth, financial stability and a colleague-friendly work environmen ...[more]
