Job Summary:
Through comprehensive assessment and analysis, adjudicates managed healthcare claims/bills, authorizatons and referrals, for payment or denial within contract agreement and/or regula...

JOB DESCRIPTION
Job Summary:
The Claims Research Coordinator is responsible for reviewing claims to understand the root cause of issues and collaborating with various teams to identify and impl...

Overview
To review, research, and resolve claims for all Medi-Cal claim types within established production and quality standards, including manual processing. Completes and processes claims and cl...

Title: Claims Examiner II
Location: Fountain Valley
Department: Claims
Status: Full-Time
Shift: Days (8hrs) Predominantly Remote
Pay Range: $22.41/hr - $32.50/hr
Memo...

Salary Range: $50,216.00 (Min.) - $62,770.00 (Mid.) - $75,324.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provid...

The Senior Claims Examiner administers health plan contracts by processing medical claims in an efficient, cost-effective, and timely manner meeting all required guidelines and performs adjustments as...

The Warranty Claims Examiner will be responsible for overseeing the residential claims process and providing an exceptional experience to internal and external customers. Ability to efficiently manage...

To achieve this, we're looking for a Claims Examiner to join #TeamMVP. Reviews and ensures the accuracy of all provider, member and claim line information for all claims for which the examiner is resp...

Liability Desk Examiner (remote) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional servic...

Actively executes appropriate claims activities to ensure consistent delivery of quality claims service. A leading professional services organization located in Flushing/Queens is seeking a new Claims...

Senior General Liability Claims Examiner. Examine, adjust and defend, general liability claims and lawsuits filed against insureds towards an amicable resolution, where possible. Minimum of 2 years of...

The company and its predecessor companies have been providing underwriting, claims, risk management, and litigation management services to these sectors for almost three decades. Investigate, evaluate...

Senior General Liability Claims Examiner. Experience handling liability claims in the state of New York is required. Knowledge of how to properly investigate and prepare claims and lawsuits for trial ...

AIGI, has an opening in the Claims Division and is seeking a Senior Claims Examiner to join the E&S Casualty Team. Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously ...

Claims Examiner - Workers Compensation | NY Jurisdiction. To analyze high-level Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudicati...

Investigate, evaluate, and bring to a disposition all non-litigated claims. Handle NY PIP and Medical payments claims. Make rmendations as to reserves and disposition of claims.

To perform workers’ compensation claims adjudication and investigation. Experience must include handling of medical-only, lost-time and litigated claims.

The Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team, This person will also:. The claims staff are empowered to manage their claim...

The Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team, This person will also:. The claims staff are empowered to manage their claim...

A JD from an ABA accredited law school may be considered as a supplement to claims handling experience Advanced knowledge of claims analysis and adjusting practices In depth knowledge of standards for...