UNKNOWN

FEED

Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required. KEY RESPONSIBILITIES: Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.

CommunityCare

Claims HMO - Claims Examiner 140-1060

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Drive claims toward resolution by developing and executing strategic action plans focused on return-to-work goals and proactive settlement, partnering with in-house counsel to utilize cost-effective annuities and Medicare Set-Asides, when appropriate. Accurately calculate the injured workers’ average weekly wage and initiate indemnity benefits to ensure that injured workers are paid in a timely and accurate manner.

KEMI

Claims Examiner - Claims Adjuster (Workers’ Compensation)

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The position requires the following, but is not limited to: This position consists of providing feedback, training and educational material to claim associates throughout our operating states from a Home Office setting. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.

Auto-Owners Insurance Co

Senior Claims Examiner - Home Office Commercial Property Claims

ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Claims Examiner helps protect the organization from financial loss and supports the delivery of fair and efficient claims processing.

Independent Living Systems LLC

Claims Examiner

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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.

HOUR

Remedy Intelligent Staffing

TDI Claims Examiner

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Auto-Owners Insurance Company

Senior Claims Examiner – Home Office Commercial Property Claims

Pay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. As a valued team member, you'll be part of a high-performing group dedicated to our customer's missions and driven by a higher purpose - to ensure the safety of our nation.

YEAR

CACI International Inc.

OTHER

This role requires strong technical expertise, sound judgment, and the ability to handle highly complex indemnity claims within established authority limits. This is a highly interactive role requiring regular communication with clients, claimants, attorneys, medical providers, and internal stakeholders.

TEEMA Group

Workers Compensation Claims Examiner

WorkWolf

Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions.

Commercial Auto & General Liability Claims Examiner II

In this role, you will independently manage a caseload of approximately 110–150 workers’ compensation claims, including complex files requiring advanced investigation, compensability analysis, reserve management, and ongoing medical oversight. You will work closely with claimants, employers, medical providers, attorneys, and internal stakeholders to ensure timely and compliant claim resolution in accordance with Texas workers’ compensation regulations.

TEEMA

We are seeking an experienced Claims Examiner to independently manage Commercial Auto, New York No-Fault/PIP, and General Liability claims from initial review through final resolution. This fully remote contract opportunity is ideal for a skilled claims professional who enjoys analyzing complex exposures, developing effective resolution strategies, and taking ownership of their files.

Commercial Auto & Liability Claims Examiner

This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position. Education/Experience: High School Diploma or GED required; Bachelor’s degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience.

TeemaGroup

Workers Compensation Claims Examiner III

Based in Mooresville, N.C., Lowe’s supports the communities it serves through programs focused on creating safe, affordable housing, improving community spaces, helping to develop the next generation of skilled trade experts and providing disaster relief to communities in need. Settle claims within authority and in an appropriate manner consistent with Lowe’s objectives and values by determining liability, obtaining demands and making offers to claimants, requesting settlement checks, making filings with regulatory agencies, and disposing of salvage, pursuing subrogation when appropriate.

Lowe's Home Centers

Senior Claims Examiner

The Disability Claims Examiner position works within the Disability Determination Services (DDS) Bureau whose primary function is to make disability determination decisions for the U.S. Social Security Administration (SSA) under the disability benefits program. Contact Name: Human Resources | Contact Email: hhshumanresources@mt.gov | Contact Phone: 406-444-3136 Anyone who needs to request a reasonable accommodation in the application or hiring process should contact the HR staff identified on the job listing or by dialing the Montana Relay at 711.

Montana Government

Disability Claims Examiner (37547, 37549, 37550)

Actual compensation will be determined by many factors, including but not limited to, location, education, certifications, qualifications, relevant experience, internal equity, business need, and any applicable minimum wage requirements. Experience with any or all of the following: General Liability (GL), Commercial General Liability (CGL), Construction Defect, Premises Liability, Products Liability, or Bodily Injury claims.

Richmond National Group, Inc

Sr. Claims Examiner

A typical day will include the following: Evaluates each claim in light of facts; Affirm or deny coverage; investigates to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries.

Philadelphia Insurance Companies

Sr. Claims Examiner - PIP

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work in the office, in a timely manner, is inherently required of this position.

TRISTAR Insurance Group, Inc

Claims Examiner II (Hybrid)

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work on time is inherently required of this position.

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office, in a timely manner, is inherently required of this position.

Claims Examiner Jobs in the United States

Claims HMO - Claims Examiner 140-1060 CommunityCare

Claims Examiner - Claims Adjuster (Workers’ Compensation) KEMI

Senior Claims Examiner - Home Office Commercial Property Claims Auto-Owners Insurance Co

Claims Examiner Independent Living Systems LLC

TDI Claims Examiner Remedy Intelligent Staffing

Senior Claims Examiner – Home Office Commercial Property Claims Auto-Owners Insurance Company

Claims Examiner CACI International Inc.

Workers Compensation Claims Examiner TEEMA Group

Commercial Auto & General Liability Claims Examiner II TEEMA Group

Workers Compensation Claims Examiner TEEMA

Commercial Auto & Liability Claims Examiner TEEMA

Workers Compensation Claims Examiner III TeemaGroup

Senior Claims Examiner Lowe's Home Centers

Disability Claims Examiner (37547, 37549, 37550) Montana Government

Sr. Claims Examiner Richmond National Group, Inc

Sr. Claims Examiner - PIP Philadelphia Insurance Companies

Claims Examiner II (Hybrid) TRISTAR Insurance Group, Inc

Workers Compensation Claims Examiner III TRISTAR Insurance Group, Inc

Claims Examiner III (Hybrid) TRISTAR Insurance Group, Inc

Workers Compensation Claims Examiner III _ Temp TRISTAR Insurance Group, Inc

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