UNKNOWN

FEED

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 is a full-time position that 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

Workers Compensation Claims Examiner III _ New York

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Be able to seamlessly transition between various methods of inspection, including video, or photo, to write a damage estimate: Possess strong organizational, time management, and prioritization skills to handle varying workloads due to seasonal volume changes and catastrophes. Knowledge and Skills: As a Property Claims Examiner 2, you will: Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims.

YEAR

Mercury Insurance Company

Property Claims Examiner II

Be able to seamlessly transition between various methods of inspection, including video, or photo, to write a damage estimate: • Possess strong organizational, time management, and prioritization skills to handle varying workloads due to seasonal volume changes and catastrophes. As a Property Claims Examiner 2, you will: • Possess the ability to work independently with limited or no supervision over daily activities required to successfully investigate, evaluate, write damage estimates, negotiate, and resolve property claims.

Mercury Insurance Services, LLC

[AW]-iCims

OTHER

This role is ideal for an experienced examiner with strong Colorado Workers’ Compensation knowledge who can independently manage files, make sound compensability decisions, and move claims efficiently from first report through resolution. You will manage an active caseload of approximately 150 claims, including medical-only, indemnity, lifetime medical, and permanent partial benefit files.

TEEMA

Workers’ Compensation Claims Examiner III - Hybrid

WorkWolf

FULL_TIME

Small Health and Welfare Claims Administrator seeks full-time Claims Examiner/Member Services Representative to process claims and provide outstanding customer service to external and internal clients. Successful candidate must be detail oriented, possess excellent interpersonal skills, be a master communicator, and demonstrate a strong desire to assist others and continuously learn.

United Employers Association and its Affiliates

Claims Examiner/Member Services Representative

Talent Acquisition

HOUR

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. Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.

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eTeam Inc.

Claims Examiner - Workers Compensation (Hourly)

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ADAPTED_NOW

The Claims Examiner is responsible for providing claims production to the Claims Production Team to enable the administration of non-auto adjudicated claims which contributes to the overall success of Claims Production ensuring specific individual goals, plans, initiatives are executed and delivered in support of the team’s business strategies and objectives. • Actively pursues effective and efficient operations of their respective areas in accordance with Health New England’s Values, its Code of Conduct and the Associate Handbook, while ensuring the adequacy, adherence to and effectiveness of day-to-day business controls to meet obligations with respect to operational, compliance, and conduct.

Baystate Health

Claims Examiner

Investigation and overpayment administration: Facilitate claims investigation, negotiate settlements, interpret medical records, respond to Department of Insurance complaints, and authorize payment to claimants and providers. Overpayment reviews and recovery of claims overpayment; corrected financial histories of patients and service providers to ensure accurate records.

Guide Well

Claims Examiner I

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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. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family.

<p><em>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.</em></p>

American International Group

Claims Examiner II, Accident & Health

American International Group Jobs

Operating with minimal supervision, this role requires strong analytical judgment, regulatory knowledge, and a commitment to delivering timely, accurate, and compliant claim outcomes. This organization is a professional risk management and claims administration firm committed to delivering responsive, compliant, and high-quality claims services.

TEEMA Group

Claims Examiner III

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.

Claims Examiner - Workers Compensation

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

Our employee-founded resource groups create communities within Arrive's walls, including Women in Logistics, Emerging Professionals, Prisms, Black Logistics Group, Salute and Unidos. The Associate Claims Examiner will professionally communicate with external parties and collaborate with internal teams, while also developing a basic grasp of the transportation industry and business acumen.

Arrive Logistics

Associate Claims Examiner

Adjudicate all claims types including Dental, Vision and Medical claims for inpatient and outpatient facilities, Blue Card, physician claims, In and Out of Network claims, Medicaid reclamation (HIPD), outpatient lab and radiology, accident and Third-Party Liability (TPL) claims, by calculating benefit due to approve or deny, based on SPD and within accepted corporate cycle timeframe. Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and health plan regulatory requirements and department guidelines, as well as meeting established quality and production performance benchmarks, including research and review of applicable documentation.

Western Growers

Claims Examiner I (51691)

Claims Examiner I (50480)

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. This individual works both independently and in conjunction with internal customers to adjudicate claims and responds to provider or client inquiries in an accurate, timely and courteous manner.

Arizona Priority Care

Manatal

Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Lee Hecht Harrison

HCC Life Insurance Company

The LTD Claims Examiner II investigates, analyzes, and adjudicates long-term disability, voluntary disability, and waiver of premium claims in accordance with insurance policy provisions, internal procedures, and applicable regulations. Consult appropriate medical and risk resources and refer claims to the correct risk level when necessary.

Vets Hired

LTD Claims Examiner II

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The position also provides subject matter expertise, mentors newer examiners, and supports claim-related investigations, training, and process improvements. The Senior Long-Term Disability (LTD) Claims Examiner investigates, analyzes, and adjudicates complex long-term disability, voluntary disability, and waiver of premium claims.

Claims Examiner Jobs in the United States

Workers Compensation Claims Examiner III _ New York TRISTAR Insurance Group, Inc

Property Claims Examiner II Mercury Insurance Company

Property Claims Examiner II Mercury Insurance Services, LLC

Workers’ Compensation Claims Examiner III - Hybrid TEEMA

Claims Examiner/Member Services Representative United Employers Association and its Affiliates

Claims Examiner - Workers Compensation (Hourly) eTeam Inc.

Claims Examiner Baystate Health

Claims Examiner I Guide Well

Claims Examiner II, Accident & Health American International Group

Claims Examiner III TEEMA Group

Claims Examiner - Workers Compensation eTeam Inc.

Claims Examiner HCC Life Insurance

Associate Claims Examiner Arrive Logistics

Claims Examiner I (51691) Western Growers

Claims Examiner I (50480) Western Growers

Claims Examiner Arizona Priority Care

Claims Examiner I Lee Hecht Harrison

Claims Examiner HCC Life Insurance Company

LTD Claims Examiner II Vets Hired

LTD Claims Examiner Sr. Vets Hired

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