UNKNOWN

FEED

PRIMARY PURPOSE OF THE ROLE To supervise the operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. Supervises multiple teams of examiners, multiple bodily injury and property damage examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.

Sedgwick Claims Management Services, Inc., is a leading global provider of technology-enabled risk and benefits solutions. At Sedgwick, caring countsSM; the company takes care of people and organizations by delivering cost-effective claims, productivity, managed care, risk consulting and other services through the dedication and expertise of nearly 15,000 colleagues in some 275 offices located in the U.S., Canada, the U.K and Ireland. Sedgwick facilitates financial and personal health and helps customers and consumers navigate complexity by designing and implementing customized programs based on proven practices and advanced technology that exceed expectations. Sedgwick’s majority shareholder is KKR; Stone Point Capital LLC, La Caisse de dépôt et placement du Québec (CDPQ) and other management investors are minority shareholders.

Sedgwick Claims Management Services, Inc.

Claims Team Lead, Auto | Bodily Injury

linkup_via_bold

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Supervises multiple teams of examiners, multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit.

YEAR

Team Lead Claims Adjuster - Workers Compensation | Jurisdiction: TX, MN, MI | Licensing: TX or Home State required - Remote

We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. SCA Benefit Requirements: BlueCross BlueShield of South Carolina and its subsidiary companies have contracts with the federal government subject to the Service Contract Act ( SCA ).

PGBA

Claims Processor I

sourcestack_via_bold

With more than 7,000 professionals worldwide and a collective portfolio exceeding $18 billion in premium placed in 2024, our combined organization delivers a diverse trading platform for insurance carriers as well as expanded access and niche solutions for brokers and customers navigating complex and hard-to-place risks. The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

HOUR

Brown & Brown Inc

Accident and Health Claims Examiner

ADAPTED_NOW

To analyze complex or technically difficult general liability 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. Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

ICONMA&nbsp;is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.
<ul class="ic_list">
<li>Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.</li>
<li>Certified Woman-Owned Business Enterprise (WBE); certified by Women&rsquo;s Business Enterprise National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).</li>
<li>Founded in 2000</li>
<li>2000+ Employees</li>
</ul>
The company was founded on the principle that success is derived from delivering high quality service and resources in the most responsive, flexible, and innovative way. ICONMA invests in people and resources with a single goal: To provide our customers with the highest quality service in the most responsive manner. Through its network of offices, ICONMA provides the resources to help clients maintain their competitive advantage.

Iconma

Claims Examiner - Liability

Iconma Staffing

Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los Angeles, California. We are looking for motivated individuals to join our team of highly skilled claims examiners who are part of a successful division that specializes in surety bond business.

HCC Life Insurance

Claims Examiner

ea_via_bold

Ability to: demonstrate customer service, compassion, respect, courtesy and tact when interacting with others; understand and apply written instructions; communicate information clearly and concisely, compare information and recognize discrepancies; utilize computerized data systems; establish and maintain effective working relationships with others. Skill to: math skills sufficient to add, subtract, multiply, divide and calculate percentages using a calculator; proficient keyboarding skills (typing and 10-key).

the South Dakota State Government

Medical Claims Processor

KEY RESPONSIBILITIES: Examine and adjudicate complex or specialized claims that have pended for review across multiple lines of business by applying applicable benefit provisions, processing guidelines, reimbursement methodologies, and sound judgment to determine appropriate claim outcomes. Assist with training, mentoring, and development of Claims Examiners; Serve as a resource by providing guidance on claims processing procedures, benefit provisions, system functionality, and complex claim scenarios.

CommunityCare

Claims HMO - Senior Claims Examiner

Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across the country. Our team is dedicated to helping healthcare facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals.

Confident Staff Solutions

Seasonal Claims Examiner

Our end-to-end administrative services help streamline operations, improve productivity and strengthen cash flow to help our customers stay competitive and improve member satisfaction. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay a step ahead of the competition.

NTT DATA Services, LLC

Claims Examiner Remote

Gather and analyse information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decision within established authority levels and identifying settlement issues. As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims including Medical Malpractice and Healthcare facilities across the U.S. Key Accountabilities/Deliverables:

Core Specialty Insurance Services

Claims Examiner - Commercial Healthcare

Headquartered in San Diego with regional offices located throughout the United States, ICW Group has been named for the twelfth consecutive year in a row and for the 20th time overall as a Top 50 performing P&C organization offering the stability of a large, profitable and growing company combined with a focus on all things people. If hired at ICW Group, your final base salary compensation will be determined by factors unique to each candidate, including experience, education and the location of the role and considers employees performing substantially similar work.

ICW Group

Claims Examiner - Workers'''' Compensation (Remote)

Identify premature conclusions, missing investigative steps, unsupported valuations, improper communications, and failures to distinguish covered damage from excluded or unrelated loss. Experience handling claims in at least one area such as property, auto physical damage, bodily injury, general liability, commercial casualty, catastrophe, or specialty claims.

Mercor

Senior Claims Examiner - Multiline - AI Trainer

Manatal

Our 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.

AIG and its member companies form one of the world’s leading insurance organizations. We provide insurance for businesses and individuals, helping individual customers plan for their futures by offering life insurance, travel insurance, product warranty, auto insurance and retirement products. Our commercial clients have come to rely upon our risk expertise and financial strength to help them address some of their most complex challenges – from huge construction projects to protecting themselves from the emerging threats to data security. We offer our people the chance to grow in a dynamic company that values teamwork, fresh perspectives, and a commitment to helping their clients.

American International Group

Senior Workers' Compensation Claims Examiner - Federal Claims

FULL_TIME

The role requires sound judgment when handling confidential information, strong customer service skills, and the ability to manage multiple claims while meeting deadlines. This includes new claims, reviewing information for accuracy, determining eligibility, calculating benefit payments, and following up on required documentation.

Remedy Intelligent Staffing

TDI Claims Examiner

appcast_organic

The Casualty Claims Examiner will work alongside claims management, providing direction and oversight ensuring that compliance with best practices and state/local guidelines. Management reserves the right to add to, modify, or change the work assignments of the position as business needs dictate.

AssuranceAmerica Corporation

Casualty Claims Examiner

POSITION SUMMARY/RESPONSIBILITIES Performs adjudication of medical (HCFA) or hospital (UB92) claims for Medicaid, Commercial, and CHIP (Childrens Health Insurance Program) according to departmental and regulatory requirements. Specific knowledge and experience in Medicaid, CHIP and commercial claim processing preferred.

University Health

Make decisions and resolve conflicts in such areas as application of coverages to submitted claims, application of laws of jurisdiction to investigatory facts, application of policy exclusions and exceptions as well as the ability to read and understand contracts, hold harmless and indemnity agreements. Volunteer opportunities to support our local communities- We have an adoration for helping others which is why we have worked hard to establish partnerships with organizations such as Children's Miracle Network and Habitat for Humanity that allow us to give back.

Swift Transportation began operations on October 10th, 1966 transporting imported steel through the ports of Los Angeles to Arizona and Arizona cotton for export back through to Southern California.

Jerry Moyes, founder, began with the same entrepreneurial, can-do spirit that is one of Swift’s core values today. The original operation was conducted under the name of Common Market. Operating authority was purchased from a descendant of the Swift Meat Packing family, hence, today’s name of Swift Transportation. Jerry, with his father, brother and a partner, grew the business, with typical start up challenges, to a $25 million annual revenue in 1984. With the passing of Jerry’s father, Carl Moyes, Jerry became the sole owner. By 1990, Swift had grown to a $125 million carrier with 800 trucks. Swift’s significant revenue growth is attributable to internal growth with existing customers as well as acquisitions. Since 1988, Swift has acquired 13 different motor carriers. Today, Swift generates over $4 billion in revenue and operates nearly 20,000 trucks.

Swift’s terminal network has grown to over forty full service facilities in both the continental United States and Mexico. Swift owns 100% of Trans-Mex, a Nuevo Laredo, Mexico based carrier. Swift offers border crossing services at all major Mexican border crossings. Swift maintains a presence in every Canadian province each day. Swift is unquestionably the largest full-truckload motor carrier in North America.

Swift Transportation Co LLC

Claims Examiner 5

Thorough knowledge of medical terminology, ICD-9/CPT4 Coding, and general managed care principles is required. POSITION SUMMARY/RESPONSIBILITIES Performs review, analysis, and adjudication of all claim types including coordination of benefits and DME claims.

Senior Claims Examiner

OTHER

With 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.

Claims Examiner Jobs in the United States

Claims Team Lead, Auto | Bodily Injury Sedgwick Claims Management Services, Inc.

Team Lead Claims Adjuster - Workers Compensation | Jurisdiction: TX, MN, MI | Licensing: TX or Home State required - Remote Sedgwick Claims Management Services, Inc.

Claims Processor I PGBA

Accident and Health Claims Examiner Brown & Brown Inc

Claims Examiner - Liability Iconma

Claims Examiner HCC Life Insurance

Medical Claims Processor the South Dakota State Government

Claims HMO - Senior Claims Examiner CommunityCare

Seasonal Claims Examiner Confident Staff Solutions

Claims Examiner Remote NTT DATA Services, LLC

Claims Examiner - Commercial Healthcare Core Specialty Insurance Services

Claims Examiner - Workers'''' Compensation (Remote) ICW Group

Senior Claims Examiner - Multiline - AI Trainer Mercor

Senior Workers' Compensation Claims Examiner - Federal Claims American International Group

TDI Claims Examiner Remedy Intelligent Staffing

Casualty Claims Examiner AssuranceAmerica Corporation

Claims Examiner University Health

Claims Examiner 5 Swift Transportation Co LLC

Senior Claims Examiner University Health

Claims Examiner, C&F Stop Loss, Remote Crum & Forster

Similar Job Searches

See More Jobs

Stand out to leading employers.