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Participates in calls with local offices, third-party administrators (TPAs), medical providers, attorneys, and other Maxim team members, in order to agree upon, communicate, and execute claim handling plans. Working independently and in coordination with other WC team members, the WC Examiner I will consult with the WC Manager regarding reserve adjustments, a plan of action, and the appropriate settlement value of assigned claim files.

The name Maxim Healthcare Services carries with it a rich tradition of providing superior medical staffing, home healthcare, and wellness services. Established in 1988 to address the nursing shortage, Maxim has since evolved to service nearly every sector of the healthcare industry. Among Maxim’s strongest competencies is the ability to successfully recruit across a broad range of healthcare specialties. <br><br>Maxim has earned a reputation for uncompromising dedication to customer service and the overall quality of all healthcare professionals staffed. It is engrained in the Maxim culture to strive for excellence through serving the needs of others. This is evident in Maxim’s ongoing efforts to assess and refine all management, clinical, and support processes. <br><br>This is an exciting time for Maxim, as the company has seen tremendous revenue and organizational growth over the past twenty years. We are dedicated to building and maintaining strong, trusting relationships with each teammate, candidate, patient, and client.

Maxim Healthcare Services Inc

Claims Examiner - Workers Compensation

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Additional duties may be assigned: Advanced knowledge in the following areas: 1) claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge, 2) functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated advanced analytical, decision making and negotiation skills. ATHENS POSITION DETAILS Position Title: Claims Examiner II Department: Property & Casualty Reports To: Claims Supervisor P&C FLSA Status: Exempt in all states but CA Job Grade: 11 Career Ladder Next step in progression could include Senior Claims Examiner ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976.

Athens Administrators

Claims Examiner II - Commercial Auto PD/BI

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FULL_TIME

Our team values strong relationships, teamwork, clear communication, practical decision-making, steady development of technical skills, accuracy, organization, accountability, continuous learning, and personal growth. This role is ideal for someone who enjoys building relationships, continuously learning, is inquisitive, enjoys a team environment and is interested in developing a career in claims.

Employer’s Claim Management

Workers Compensation Claims Examiner I

Involves structured settlement professionals as necessary to maximize settlement and identifies opportunities for subrogation, contribution, recovery and other case management opportunities to mitigate total claim costs. Job Summary: Analyzes complex and/or technically challenging medical malpractice/general liability claims and resolves complex and/or severe injury claims.

Adventist Health

Sr. Claims Examiner (Onsite, Roseville)

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As a member of FAIRCO, the Complex Claims Examiner will be responsible for adjusting Professional & Management Liability claims, particularly Lawyers Professional Indemnity claims, with opportunities for experiences with other FAIRCO programs. Responsibilities will include but not be limited to: Managing and adjusting Professional & Management Liability claims, including, lawyers liability, private and public company Directors and Officers, accountants liability, financial institutions, cyber, employment practices and miscellaneous professional liability.

YEAR

TransRe

Complex Claims Examiner - FAIRCO

Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The Senior Claim Examiner is a highly skilled professional responsible for the end-to-end management of complex commercial insurance claims, with a particular emphasis on liability exposures within educational institutions.

Arch Capital Group

Senior Claims Examiner

HOUR

Experience Five (5) years of commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage’s, principles, and laws. Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.

ICONMA, LLC

Claims Examiner Auto

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A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance ("BHSI"), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of BHSI's insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.

Berkshire Hathaway Specialty Insurance Co

Senior Claims Examiner, Casualty Claims

The Claims Examiner will be responsible for researching and resolving pending claims, reviewing claim denials requiring manual review, and ensuring timely processing in compliance with policies, procedures, and regulatory guidelines. Assist in claims processing and report billing/error trends identified during reviews.

Career Advocates

Claims Examiner

Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.

Arch Capital Group Ltd

Senior Claims Examiner, Casualty

Key Responsibilities: Efficiently manage inbound and outbound communication through calls, emails, notifications, and customer portal interactions regarding cargo related incidents with the potential of financial exposure; apply independent judgment, detailed claims analysis, and procedural guidelines to ensure accurate and optimal mitigation of exposures related to cargo claims. Ensure timely and accurate data entry across internal and customer systems by streamlining workflows, effectively prioritizing tasks, maintaining clear communication, and consistently updating both internal teams and customers; monitor timelines and ensure timely follow-up on outstanding items.

J.B. Hunt Transport, Inc. is a Fortune 300 company that specializes in freight shipping for customers of all sizes. Our mission is to drive long-term value for our people, customers and shareholders while staying focused on our vision to create the most efficient transportation network in North America.

J.B. Hunt Transport Services Inc

Cargo Claims Examiner I

In this role, the responsibilities include but are not limited to actively manage and effectively oversee assigned caseload for a variety of claims, including Public D&O, Private Company D&O, Financial Lines, Private Equity, Transaction Risk and Commercial Crime related claims. Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs.

Senior Claims Examiner - Executive Assurance

Company: ClaimsPro LP - International Programs GroupSr Liability Claims Examiner - REMOTE - Little Rock, Arkansas, United States Reporting to a Claims Supervisor, the Claims Examiner is responsible for investigating and settling liability and first party claims and third-party claims, with an emphasis on strong communication, organization and customer service, while utilizing client and state specific guidelines. IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of claims including, but not limited to auto physical damage, inland marine cargo, dealers' open lot, property damage (commercial and homeowners) and general liability.

ClaimsPro LP

Sr Liability Claims Examiner - REMOTE - Little Rock, Arkansas, United States

Company: ClaimsPro LP - International Programs GroupProperty Claims Examiner - REMOTE - Little Rock, Arkansas, United States IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of claims including, but not limited to auto physical damage, inland marine cargo, dealers' open lot, property damage (commercial and homeowners) and general liability. Reporting to a Claims Supervisor, the Claims Examiner is responsible for investigating and settling property and first party claims and third-party claims, with an emphasis on strong communication and customer service, while utilizing state specific guidelines.

Property Claims Examiner - REMOTE - Little Rock, Arkansas, United States

This 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. Our Environmental, Products & Life Sciences (EPLS) Claims team handles complex and high-exposure environmental, product liability, life sciences, and professional liability claims arising across a diverse portfolio of specialty risks.

Markel Group Inc

Executive Claims Examiner

This 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. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.

Senior Claims Examiner, Excess Construction

CONTRACTOR

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 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. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

Apidel Technologies

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The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Pay Transparency: Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs.

Desert Valley Medical Group

[AW]-iCims

ADAPTED_NOW

With full-time, part-time, per diem, and long-term assignments, you can enjoy the flexibility of temporary work while benefiting from the support and resources of a world-renowned health system. Candidates are required to hold permanent residence in one of the following states: Maryland, Pennsylvania, Virginia, Delaware, Washington D.C., or Florida.

Johns Hopkins Medical Management Corporation

Johns Hopkins Intrastaff Jobs

This 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. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.

Claims Examiner Jobs in the United States

Claims Examiner - Workers Compensation Maxim Healthcare Services Inc

Claims Examiner II - Commercial Auto PD/BI Athens Administrators

Workers Compensation Claims Examiner I Employer’s Claim Management

Sr. Claims Examiner (Onsite, Roseville) Adventist Health

Complex Claims Examiner - FAIRCO TransRe

Senior Claims Examiner Arch Capital Group

Claims Examiner Auto ICONMA, LLC

Senior Claims Examiner, Casualty Claims Berkshire Hathaway Specialty Insurance Co

Claims Examiner Career Advocates

Senior Claims Examiner, Casualty Arch Capital Group Ltd

Cargo Claims Examiner I J.B. Hunt Transport Services Inc

Senior Claims Examiner - Executive Assurance Arch Capital Group Ltd

Sr Liability Claims Examiner - REMOTE - Little Rock, Arkansas, United States ClaimsPro LP

Property Claims Examiner - REMOTE - Little Rock, Arkansas, United States ClaimsPro LP

Executive Claims Examiner Markel Group Inc

Senior Claims Examiner, Excess Construction Markel Group Inc

Claims Examiner - Workers Compensation Apidel Technologies

Claims Examiner Desert Valley Medical Group

Claims Examiner Johns Hopkins Medical Management Corporation

Claims Examiner III Markel Group Inc

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