UNKNOWN

FEED

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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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. 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.

Looking for a great job? Join eTeam. We’re looking for talented staffing professionals to join our staff. We also provide contract assignments and full-time jobs at Fortune 2000 Companies. We’ve been named one of the best companies to work for by Staffing Industry Analysts and New Jersey Business.

eTeam Inc.

Claims Examiner - Workers Compensation

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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.

Vets Hired

LTD Claims Examiner Sr.

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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. POSITION SUMMARY: Under the oversight of the Area Manager, the Claims Examiner III reports to the Claim Supervisor and/or Area Manager and is responsible for managing all aspects of Professional Liability claims from inception through resolution, within established authority and company guidelines.

TRISTAR Insurance Group, Inc

Professional Liability Claims Examiner III

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As a Claims Examiner at Allianz Partners, you'll help customers navigate important moments with clarity and care-backed by the resources of a global industry leader. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

Allianz SE

Claims Examiner

Applicants must have (A) at least two (2) years of full time, or equivalent part-time professional or paraprofessional experience in personnel interviewing, vocational counseling, employment counseling, rehabilitation counseling, educational counseling, credit collection, credit interviewing, credit investigation, claims adjudication, claims settlement, claims examining, claims, investigation, claims interviewing, social work or social casework, or (B) any equivalent combination of the required experience and the substitutions below. '',''Job Service Rep I'',''Job Service Rep I'',''United States-Massachusetts-Boston-100 Cambridge Street'',''United States-Massachusetts-Boston-100 Cambridge Street'',''Administrative Services'',''Administrative Services'',''Department of Workforce Development'',''Department of Workforce Development'',''Full-time'',''Full-time'',''Day'',''Day'',''Sep 1, 2026, 5:42:22 PM'',''Sep 1, 2026, 5:42:22 PM'',''20'',''20'',''88,957.70'',''63,549.72'',''88,957.70'',''Yearly'',''Karen

Commonwealth of Massachusetts

Claims Examiner - Job Service Rep I (Long-Term Seasonal)

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.

YEAR

Richmond National

Sr. Claims Examiner

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare. Ability to work in a team environment, remain flexible to changes, and recognize responsibilities, actively participate with others to accomplish assignments and achieve desired goals.

Viva Health

Claims Examiner II

The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. Researches all complex claims, disputes and appeals thoroughly to make accurate payment decisions in a timely manner with input from the Claims Analysts for quality assurance.

South Florida Community Care Network

Research insurance claim payments in the AS/400 to identify correct claim based on customer information, date of service and service/material procedure codes and related charges. High school degree required, Cash Claims Processor duties: Research and apply insurance payments from clients to the appropriate system invoice.

Global Channel Management

Cash Claims Processor

OTHER

Verifies and calculates hospital and physician payments, follows up on incorrect payments or denials in a timely manner and ensures proper status of accounts. Requires the use of office equipment such as computer terminals, telephones and telephone headsets, copiers, 10-key adding machine, and fax machine.

United Regional Health Care

Insurance Claims Processor I

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Required Qualifications: Board Eligible or Board Certified in Occupational and Environmental Medicine, Preventive Medicine, Physical Medicine & Rehabilitation (PM&R), or a closely related specialty (including Family Medicine or Internal Medicine with applicable experience), or ability to obtain certification prior to employment. Practice Highlights: Focus on work-related injury/illness/environmental exposures, worker evaluations for various organizations/jobs (commercial drivers, public safety, manufacturing, and others), and Medical Review Officer services/oversight.

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group Inc.

Occupational Medicine Physician, (Md/Do) Corvallis, OR

Review Examiner I'',''Review Examiner I'',''United States-Massachusetts-Boston-1 Ashburton Place'',''United States-Massachusetts-Boston-1 Ashburton Place'',''Administrative Services'',''Administrative Services'',''Department of Transitional Assistance'',''Department of Transitional Assistance'',''Full-time'',''Full-time'',''Day'',''Day'',''Oct 6, 2026, 1:04:10 PM'',''Oct 6, 2026, 1:04:10 PM'',''2'',''2'',''106,401.62'',''73,615.88'',''106,401.62'',''Yearly'',''Natasha Lugo / Natasha. Minimum Entrance Requirements: Applicants must have at least (A) three (3) years of full-time, professional experience, the major duties of which included the adjudication, examination and/or review of claims, benefits and/or taxes; the practice of law; labor relations work; claims investigation or adjustment work; credit management or credit investigation work; or (B) any equivalent combination of the required experience and the substitutions below.

Associate Hearings Officer

This is an excellent opportunity for professionals with experience in healthcare claims processing, medical claims adjudication, data entry, and HIPAA-compliant environments. Collaborate with Business Configuration, Network Management, Provider Data, Appeals, Grievances, and other operational teams.

Sigma Systems

Claims Examiner Sr

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.

CACI provides information solutions and services in support of national security missions and government transformation for Intelligence, Defense, and Federal Civilian customers. A member of the Fortune 1000 Largest Companies, the Russell 2000 Index, and the S&amp;P SmallCap 600 Index, CACI provides dynamic careers for over 15,800 employees working in over 120 offices worldwide. Visit <a href="http://www.caci.com" target="_blank" itemprop="url" mns_rt="Company">www.caci.com</a>. 
 
 We strive to sustain a corporate culture based on integrity - one that's focused on treating customers ethically and making their priorities our priorities. We pride ourselves in finding and hiring people with the highest intellectual capital, and providing them with challenging opportunities and encouraging their innovation and initiative.

CACI

The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Keep all files on a current diary system in order to monitor new developments, follow up on requests, update management and respond to all other diary activities in a timely manner.

Chubb is the world&rsquo;s largest publicly traded property and casualty insurance company and the largest commercial insurer in the U.S.
With operations in 54 countries and territories, we are a major personal lines writer, as well as a leading middle market, small commercial and large industrial commercial insurer, providing a wide range of traditional and specialty coverages.
As an underwriting company, we assess, assume and manage risk with insight and discipline. We service and pay our claims fairly and promptly. And we combine the precision of craftsmanship with deep experience to conceive, craft and deliver the very best insurance coverage and service to individuals and families and to businesses of all sizes.
Our products and services are distributed through brokers, independent agents, exclusive agents and various forms of direct marketing.
What we deliver:
<ul>
<li>Extensive product and service offerings</li>
<li>Broad distribution capabilities</li>
<li>Service excellence</li>
<li>Risk expertise</li>
<li>Underwriting discipline</li>
<li>Exceptional financial strength</li>
<li>Local operations globally</li>
</ul>

Chubb Ltd

The “perfect” candidate for this position has a familiarization with handling Aviation claims; specifically, knowledge of aircraft operation and/or repair. Apply today to join a team that keeps the aviation industry moving forward safely.

Tokio Marine HCC

Aviation Claims Examiner

Responsibilities: The Senior Claims Examiner is responsible for managing and analyzing a diverse portfolio of reinsurance claims across multiple lines of business, delivering timely and accurate claim handling, and maintaining strong relationships with cedents, brokers, and internal business partners. The role collaborates closely with underwriting, actuarial, and finance teams to evaluate complex coverage issues, analyze claim developments, and provide insights that support sound business decisions.

Berkley

Senior Claims Examiner

[AW]-iCims

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.

Markel Group Inc

Senior Claims Examiner, Construction

Learn more about what makes BCBSNE such an exceptional place to work, including details about our comprehensive Total Rewards package, by visiting NebraskaBlue.com/Careers . And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for forward-thinking professionals like you to join us in delivering on it!

Claims Examiner Jobs in the United States

Claims Examiner I Guide Well

Claims Examiner - Workers Compensation eTeam Inc.

LTD Claims Examiner Sr. Vets Hired

Professional Liability Claims Examiner III TRISTAR Insurance Group, Inc

Claims Examiner Allianz SE

Claims Examiner - Job Service Rep I (Long-Term Seasonal) Commonwealth of Massachusetts

Sr. Claims Examiner Richmond National

Claims Examiner II Viva Health

Claims Examiner South Florida Community Care Network

Cash Claims Processor Global Channel Management

Insurance Claims Processor I United Regional Health Care

Occupational Medicine Physician, (Md/Do) Corvallis, OR UnitedHealth Group Inc.

Associate Hearings Officer Commonwealth of Massachusetts

Claims Examiner Sr Sigma Systems

Claims Examiner CACI

Claims Examiner Chubb Ltd

Aviation Claims Examiner Tokio Marine HCC

Senior Claims Examiner Berkley

Senior Claims Examiner, Construction Markel Group Inc

Claims Examiner II: Remote Nebraska Blue Cross Blue Shield of Nebraska

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