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Partner with defense counsel on litigated matters and support team development by conducting training and mentoring new hires. We're looking for a Senior Claims Examiner- Liability with proven expertise in handling complex liability claims to join our team!

Based in Atlanta, Georgia, Crawford &amp; Company is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries. 

The Crawford System of Claims Solutions(SM) offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines, including property and casualty claims management, workers compensation claims and medical management, and legal settlement administration 

The Company's shares are traded on the NYSE under the symbols CRDA and CRDB.

Crawford & Company

Sr Claim Examiner-Liability

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Account maintenance: Updating registration, authorization issues, identifying charge correction,, processing adjustments as needed and denial follow up according to payer rules and departmental policies. Uses payer websites to stay current on payer rules and changes to include reading newsletters and communicating payer/claim issues and trends.

MUSC

Claims Processor II

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COMMUNICATION AND DOCUMENTATION: Prepare and maintain accurate and timely record of communications with Insureds, Claimants, and other third-parties; review, establish and modify appropriate units reflecting potential loss exposures; maintain appropriate Claim File including all required electronic and other records and provide information regarding assigned claims to manager and others as required. We offer retirement and savings plan with immediate enrollment with 100% employer match up to 5%, Medical, Dental and Vision for regular, full-time employees and eligible dependents, a dedicated Learning & Development program for employees to grow personally and professionally, 100% upfront Educational Reimbursement program, subsidized downtown parking, competitive time off policies including parental leave, an Employee Assistance program and much more!

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National Indemnity Company

Senior Claims Examiner I

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Minimum of three (3) years experience in healthcare coding directly related to determining appropriate diagnosis, procedure and other codes used in billing for services, utilization management, medical record auditing, or health care quality improvement. Duties and Responsibilities: Responsibilities include, but are not limited to: Plan and perform audits and investigations focused on detecting and preventing fraud waste and abuse utilizing knowledge of CPT, ICD, HCPS coding guidelines and regulations, benefit coverage, clinical medical and payment policies.

Neighborhood's employees come from a diverse background but all are committed to creating a more equitable health care system. Our array of experiences allows us to have a broad perspective and great creativity in facing whatever challenges arise. Unlike many other health insurance companies, we have nearly 30 nurses and social workers on staff. This structure speaks to our focus on active and compassionate care management for our members; we know that people who are alienated from the health care system require additional advocacy, outreach and support. 

Neighborhood offers an exceptional compensation package to employees. We annually review base salaries/benefits and adjust as appropriate.

Neighborhood Health Plan of Rhode Island

RN Clinical Auditor (44947)

Consistently calculates, communicates and manages a caseload of claims with varying levels of complexity, demonstrating a strong technical ability necessary to administer overpayment claims across multiple products and system applications. Once a file is complete and an overpayment has been determined by the associate, the associate works directly with the claimant or advocate, primarily on the phone, to ensure that overpayments are recovered timely and in accordance with the specific policy language.

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Preparing for the Future

LTD Claims Examiner

ADAPTED_NOW

The Commercial Auto Claims Examiner will contact Insureds, Claimants and others by telephone and correspondence regarding information and documents necessary to evaluate and resolve claims, claim processes and related matters, and resolution alternatives. The Commercial Auto Claims Examiner will be responsible for investigating, evaluating, providing defense if appropriate, negotiating and resolving assigned commercial auto property damage and bodily injury claims.

AllSearch is one of the leading providers of industrial sales recruiting, manufacturing recruiting, HVAC recruiting, and construction / building product recruitment in the United States today. In complement to our largest practices, we also run long-standing, thriving niche recruitment practices specializing in the areas of both Insurance, and Engineering. Each practice is run by an industry veteran who spent a more than a decade working hands–on within the industry their recruiting practice represents. Talk about inside knowledge! Whether you’re a client looking for premier talent, or a candidate looking for a rewarding career opportunity, we can help you reach your goals. #StepYourJobUp

AllSearch Professional Staffing Inc.

Commercial Auto Claims Examiner - Insurance - Base Salary to 105k/year - Atlanta, GA

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. 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. 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

We're intentional, we're unapologetically curious and we're 100% committed to innovate space-based communications and deliver actionable intelligence that will expand global economies, protect space and our planet and enhance our overall quality of life. Our team members have a strong sense of dedication and responsibility; this includes a strong commitment to our mission to create an entirely new suite of global capabilities to improve lives, business efficiencies and build a smarter planet.

ESpace Inc

Senior Patent Agent

QUALIFICATIONS REQUIRED: Education/Experience: High School Diploma or GED required; bachelor's degree in related field (preferred) and a minimum of seven+ (7) years' commercial auto and general liability casualty related experience; or equivalent combination of advanced education and experience. 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.

TRISTAR Insurance Group, Inc

Commercial Auto & General Liability Claims Examiner III (Floater)

Experience: Three (3) years of Workers' Compensation claims adjusting experience, preferably in a self-insurance operation, to include processing claims from inception of injury through litigation to closure. Education: Equivalent to the completion of the twelfth grade, supplemented by coursework and training in business office practices, workers compensation insurance matters, or closely related fields.

KERN COUNTY SUPERINTENDENT OF SCHOOLS

Indemnity Claims Examiner- Workers' Compensation (Sacramento, CA) (Open)

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

Research, verify and process documents for titles and registrations on vehicles, boats and recreational vehicles. Ability to effectively present information in one- on-one and small group situations to customers, clients, and other employees of the organization.

Dealer Services Network

Agency Title Clerk - WPB, FL

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Managing litigation cases related to auto claims disputes, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders. Analyzing and reviewing auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers.

Reserv

Litigation Claims Examiner

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 Inc

Claims Examiner Sr

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Our client is seeking an experienced California Workers' Compensation Claims Examiner to join their growing Claims team. The ideal candidate will have experience managing indemnity claims from inception through resolution while ensuring compliance with California Workers' Compensation laws and regulations.

King'S Insurance Staffing

California Workers' Compensation Claims Examiner | Remote

Review documents, estimates, policy forms, and determine if and how coverage applies to submitted claims; Authorize payment within scope of authority, effectively resolving claims in a cost-effective manner and ensuring timely issuance of disbursements; referrals to carriers as needed; Write coverage letters detailing coverage positions. Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role.

Proctor Loan Protector

Claims Examiner

This is a unique career-building opportunity for someone who's looking to expand their claims knowledge with hands-on exposure to Commercial Auto, General Liability, and Bodily Injury claims with full training provided! This position plays a critical part in reviewing and handling liability and bodily injury claims, ensuring accurate determinations and timely resolutions in alignment with all applicable regulations.

Multiline Claims Examiner | Northwest Ohio

Serves as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing.

In 1999, two historic Catholic charities became one, forming CHRISTUS Health and creating a unique purpose in the modern health care market - to take better care of people. To extend the healing ministry of Jesus Christ, the mission that the Sisters of Charity Health Care system and Incarnate Word Health system shared for more than a century, is now also the mission of CHRISTUS Health. Ranked among the top 10 Catholic health systems in the United States by size, the CHRISTUS Health system includes more than 40 hospitals and facilities in seven U.S. states, Chile and six states in Mexico, with assets of more than $4.6 billion. Whether seeking care in Alexandria Louisiana, or Coahuila, Mexico, patients discover that the healing spirit is alive at CHRISTUS Health.

CHRISTUS Health

Claims Examiner Senior - Health Plan Admin

Gather and review supporting documentation, including police reports, photographs, driving records, weather information, court documents, insurance policies, certificates of insurance, expert reports, and construction-related records. Collaborate with experienced claims professionals while independently managing straightforward first-party physical damage and lower-to-moderate complexity third-party property damage claims.

Commercial Auto Claims Examiner

Strong communication and interpersonal skills to effectively interact with claimants, customers, insureds, brokers, attorneys, etc., in a positive manner regarding losses. Contacts, interviews and obtains statements from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.

Claims Examiner Jobs in the United States

Sr Claim Examiner-Liability Crawford & Company

Claims Processor II MUSC

Senior Claims Examiner I National Indemnity Company

RN Clinical Auditor (44947) Neighborhood Health Plan of Rhode Island

LTD Claims Examiner Preparing for the Future

Commercial Auto Claims Examiner - Insurance - Base Salary to 105k/year - Atlanta, GA AllSearch Professional Staffing Inc.

Claims Examiner - Workers Compensation Maxim Healthcare Services Inc

Senior Patent Agent ESpace Inc

Commercial Auto & General Liability Claims Examiner III (Floater) TRISTAR Insurance Group, Inc

Indemnity Claims Examiner- Workers' Compensation (Sacramento, CA) (Open) KERN COUNTY SUPERINTENDENT OF SCHOOLS

Occupational Medicine Physician, (MD/DO) Corvallis, OR UnitedHealth Group Inc

Agency Title Clerk - WPB, FL Dealer Services Network

Litigation Claims Examiner Reserv

Claims Examiner Sr Sigma Inc

California Workers' Compensation Claims Examiner | Remote King'S Insurance Staffing

Claims Examiner Proctor Loan Protector

Multiline Claims Examiner | Northwest Ohio King'S Insurance Staffing

Claims Examiner Senior - Health Plan Admin CHRISTUS Health

Commercial Auto Claims Examiner King'S Insurance Staffing

Claims Examiner-Portland, OR Georgia Tek Systems

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