UNKNOWN

FEED

Technical Skills & Competencies: Claim Examiner position with prior experience in workers' compensation as a claim examiner, or commensurate examiner experience in paralegal, short-term / long-term disability, auto personal injury protection / medical injury, general liability, medical billing or as a claim technical assistant for lost time claims. Works with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.

Sunrise Systems was founded in 1990 with a clear vision to deliver world-class staffing service solutions in all labor categories, including IT consulting and solutions; all with the commitment to provide service that exceeds expectations and become the most trusted name in the industry. More than two and a half decades later, we pride ourselves on being at the forefront of the staffing industry. Combining our deep industry expertise, insights, and global resources, we have partnered with our clients to connect them with top professionals across several different industries.
We provide cost-effective Managed Staffing Solutions, Information Technology and Information Technology Consulting Services to several Fortune 500 companies and U.S. Government agencies. We provide our clients with flexible engagement models and customized products that are budget and time specific. Understanding the challenges that every business faces, we offer our services either on-site at the clients' site or from one of our globally distributed technology centers. Our onshore and offshore development capabilities ensure that we excel at meeting customer requirements every single time.
Our collective business experience spans over two and a half decades and ranges from:
<ul>
<li>Business, management, and technical fields</li>
<li>Information technology consulting and software solutions.</li>
<li>Providing strategic support for the development and long-term growth of new business ventures across several industries including but not limited to; accounting, banking, finance, and recruitment.</li>
<li>Motivating technology staff and establishing partnerships with Fortune 500 companies</li>
</ul>
Sunrise Systems has a vast range of competence in:
<ul>
<li>Design, development, and support of cloud-based solutions from simple to highly complexed</li>
<li>Database administration of multi-platform applications, complex databases, and web-based environments that include all aspects of installation, planning, maintenance, and monitoring.</li>
<li>Data processing and data migration</li>
<li>Application re-engineering and platform migration</li>
<li>Working with the Information Systems and end-user communities at all levels to resolve issues and establish consensus.</li>
</ul>

Sunrise Systems Inc

Claims Examiner

Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits- Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. About The Role: The Claims Examiner- Partner Programs is responsible for the timely and accurate review and approval of claims exceeding the TPA's/Claim Administrator's authority, in accordance with company guidelines, regulatory requirements, and best claim practices.

YEAR

Hippo Insurance

Claims Examiner - Spinnaker

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Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we're fortunate to provide all of our Hippos with: Healthy Hippos Benefits - Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. About The Role: The Claims Examiner - Partner Programs is responsible for the timely and accurate review and approval of claims exceeding the TPA's/Claim Administrator's authority, in accordance with company guidelines, regulatory requirements, and best claim practices.

Hippo Holdings Inc

FULL_TIME

Hippo treats its team members with the same level of dedication and care as we do our customers, which is why we’re fortunate to provide all of our Hippos with: Healthy Hippos Benefits  - Multiple medical plans to choose from and 100% employer covered dental & vision plans for our team members and their families. The Claims Examiner – Partner Programs is responsible for the timely and accurate review and approval of claims exceeding the TPA’s/Claim Administrator’s authority, in accordance with company guidelines, regulatory requirements, and best claim practices.

Claims Examiner – Spinnaker

greenhouse_via_bold

OTHER

HOUR

Unfortunately, candidates without Workers' Compensation claims handling experience and SIP experience will not be considered for this opportunity. We are seeking an experienced Workers' Compensation Claims Examiner to manage a caseload of.

Ultimate Staffing Services

Workers' Compensation Claims Examiner

Broadbean

Includes working with various internal departments including customer service, pricing, provider services, medical management, enrollment, grievance and appeals and configuration departments. Performs clerical duties associated with the processing and completion of inquiries including first level appeal letters to the provider, requests for the loading of information for providers, members or authorizations.

CommunityCare

Claims HMO - Recalculation Examiner 140-1056

Claims HMO - Recalculation Examiner 140-1057

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. Provides outstanding customer service and works well with the insured, broker and internal business partners in the adjustment of commercial casualty, specialty risks, and business auto claims.

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

Senior Claims Examiner-CDH

The primary role of the Claim Examiner ("CE") is to investigate, evaluate, negotiate and settle injury/damage claims in a fair and timely manner across multiple jurisdictions while applying policy coverage considerations and applicable laws and regulations. It combines a specialty-carrier focus with long-term stability and thinking, while promoting a culture of underwriting rigor, collaboration, strategic thinking, superior technology and strong producer partnerships.

IFG Companies

Claim Examiner

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

Sr. Claims Examiner

Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.

Paladin Consulting, Inc.

Sr Claim Examiner-Liability

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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. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.

Claims Manager, Worker''''s Compensation

Successful professionals at Chubb come from many backgrounds with experiences rich in diversity that they bring with them to our company along with: an inclusive mindset which allows differences to be leveraged for better business results; open, transparent communication; teamwork and inclusion which draws on diverse ideas and perspectives; and. 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.

Senior Claims Director-Commercial Direct Handle

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. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist internal business partners, including claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.

Executive Claims Examiner

WebTPA, a GuideWell Company, is a healthcare third-party benefit administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. What Will You Be Doing: MANAGING A TEAM OF CLAIMS EXAMINERS: Serve as SME and primary point of contact with all claims processing related questions.

GuideWell Mutual Holding Corp

Assistant Manager of Claims Processing

We help companies and individuals aroundtheglobe address their most significant risk, workforce, wealth management and retirement challenges through custom solutions and a people-first approach. Our core mission is to deliver our empowering technology solutions and exceptional service while building strong long-term relationshipswithour clients, brokers, consultants, and participants.

NFP Corp

Claims Processor - Flex Benefits

[AW]-iCims

GENERAL FUNCTION: Responsible for completing and filing investor/insurer claims within required guidelines in order to recoup 5/3's investment in the property, may include loan principal, accrued interest, and corporate or escrow advances, as well asbank incentives for timely filing, made during the life of the loan to properly protect the investors collateral interest in the property. The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location.

Fifth Third Bank

Claims Processor

All employees of the Company are expected to: Promote positive work habits including effective and timely communication, teamwork, and respect for co-workers. Exceptional organizational skills; ability to manage workload in a timely manner with minimal supervision.

The Kenan Advantage Group Inc

Warranty Claims Processor

Whether you're a recent college graduate or a seasoned business professional looking for a career change, we can provide you with a path for success through our comprehensive training program, professional development process, and unlimited access to a dynamic leadership team with years of experience in the industry. Ask our current employees what it's like to work here, and you'll hear words not often used to describe a logistics shop: energetic, contagious, addicting, inspiring, meaningful, rewarding, and fun.

Axle Logistics

Logistics Claims Specialist

Five years of work experience in hospital, clinic or health plan clinical operations (for example utilization review, quality improvement, clinical claims review).Experience or familiarity with state and federal regulations governing healthcare preferred. Identifying issues related to and/or participates in various projects aimed at identifying areas of non-compliance and/or potential fraud, waste and abuse, as it relates to provider billing practices.

Claims Examiner Jobs in the United States

Claims Examiner Sunrise Systems Inc

Claims Examiner - Spinnaker Hippo Insurance

Claims Examiner - Spinnaker Hippo Holdings Inc

Claims Examiner – Spinnaker Hippo Insurance

Workers' Compensation Claims Examiner Ultimate Staffing Services

Claims HMO - Recalculation Examiner 140-1056 CommunityCare

Claims HMO - Recalculation Examiner 140-1057 CommunityCare

Senior Claims Examiner-CDH Chubb Ltd

Claim Examiner IFG Companies

Sr. Claims Examiner Markel Group Inc

Sr Claim Examiner-Liability Paladin Consulting, Inc.

Claims Manager, Worker''''s Compensation Markel Group Inc

Senior Claims Director-Commercial Direct Handle Chubb Ltd

Executive Claims Examiner Markel Group Inc

Assistant Manager of Claims Processing GuideWell Mutual Holding Corp

Claims Processor - Flex Benefits NFP Corp

Claims Processor Fifth Third Bank

Warranty Claims Processor The Kenan Advantage Group Inc

Logistics Claims Specialist Axle Logistics

Medical Management - Medical Review Examiner Nurse 135-1009 CommunityCare

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