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 adjudic...

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 adjudic...

Process claims efficiently and maintains acceptable quality of at least 95% on reviewed claims. Coordinate with the claims clerks on issues related to the submission and forwarding of claims determine...

The Claims Investigator-Examiner contributes to the success of the organization by maintaining a thorough understanding of the organizations health plans eligibility, benefits, and procedures while ke...

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 adjudic...

Process all types of claims, such as HCFA 1500, outpatient/inpatient UB92, high dollar claims, and DRG claims. Under the direction of the Vice President of Claims, this position is responsible for man...

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 adjudic...

The Claims Investigator-Examiner contributes to the success of the organization by maintaining a thorough understanding of the organizations health plans eligibility, benefits, and procedures while ke...

Coordinate with the claims clerks on issues related to the submission and forwarding of claims determined to be financial responsibility of another organization. Under the direction of the Vice Presid...

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 adjudic...

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 adjudic...

Process all types of claims, such as HCFA 1500, outpatient/inpatient UB92, high dollar claims, and DRG claims. Under the direction of the Vice President of Claims, this position is responsible for man...

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 adjudic...

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 adjudic...

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 adjudic...

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 adjudic...

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 adjudic...

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 adjudic...

Process all types of claims, such as HCFA 1500, outpatient/inpatient UB92, high dollar claims, and DRG claims. Process claims efficiently and maintains the acceptable quality of at least 95% on review...

Process all types of claims, such as HCFA 1500, outpatient/inpatient UB92, high dollar claims, and DRG claims. Under the direction of the Vice President of Claims, this position is responsible for man...

Process claims efficiently and maintains acceptable quality of at least 95% on reviewed claims. Coordinate with the claims clerks on issues related to the submission and forwarding of claims determine...

Under the direction of the Vice President of Claims, this position is responsible for manual input and adjudication of claims submitted to the health plan. Process claims efficiently and maintains acc...

Develops strategies for claims resolution with file notes reflecting clarity, focus, control/management, and momentum. Five or more years of experience handling complex/litigated claims and litigation...

Refers most questionable claims to investigator or to claim adjuster for investigation and settlement. Examines claim adjusters' reports or similar claims/precedents to determine the extent of coverag...

Medical Claims Examiner - Remote - Fresno, CA. A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicate...

Medical Claims Examiner - Remote - Fresno, CA. A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicate...

Medical Claims Examiner - Remote - Fresno, CA. A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicate...

Medical Claims Examiner - Remote - Fresno, CA. A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicate...

Examines claim adjusters' reports or similar claims/precedents to determine the extent of coverage and liability. Medical Claims Examiner - Remote - Fresno, CA. A well-respected insurance company in C...

May be required to prepare reports for clients and/or present claims in a roundtable setting or at a claim review. Develops strategies for claims resolution with file notes reflecting clarity, focus, ...

A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent custo...

A well-respected insurance company in California with over 25 years in the business is looking to add a Medical Claims Examiner! This company is dedicated to helping clients, providing excellent custo...

Coordinate with the claims clerks on issues related to the submission and forwarding of claims determined to be financial responsibility of another organization. Process claims efficiently and maintai...

Process all types of claims, such as HCFA 1500, outpatient/inpatient UB92, high dollar claims, and DRG claims. Coordinate with the claims clerks on issues related to the submission and forwarding of c...

Process all types of claims, such as HCFA 1500, outpatient/inpatient UB92, high dollar claims, and DRG claims. Under the direction of the Vice President of Claims, this position is responsible for man...

Coordinate with the claims clerks on issues related to the submission and forwarding of claims determined to be financial responsibility of another organization. Process claims efficiently and maintai...

The position exists to review claims with subrogation potential, analyze the potential for recovery, file claims with responsible parties and their carriers, and negotiate settlement in accordance wit...

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensur...

Ensure claims are handled appropriately within the National Claims Guidelines and successfully resolved, including retention of outside defense counsel, in-house resolution, monitoring of legal fees, ...

Claims Examiner will be responsible for recognizing claims involving coverage issues and bring to the Claims and Coverage Committees for referral to counsel. Responsible for managing complex liability...