Claims Examiner - Workers Compensation (Hourly) IconmaClaims Examiner - Workers Compensation (Hourly)Brea, CA$43–$48 / hourResponsibilities: Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Claims Examiner IconmaClaims ExaminerNew Haven, CT$20–$35.91 / hourRequirements: 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.
NewClaims Examiner - Workers Compensation IconmaClaims Examiner - Workers CompensationRancho Cucamonga, CA$45–$50 / hourResponsibilities: 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. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Claims Examiner Farm Bureau Financial ServicesClaims ExaminerWest Des Moines, IAFull timeWhat You'll Do : As a Claims Examiner, you will be responsible for reviewing files to gather current beneficiary information and other necessary documents needed to process the claim, and then process the claim according to system guidelines, contract language and state statutes. Work Authorization/Sponsorship: At this time, we are not considering candidates that need any type of immigration sponsorship now or in the future, such as additional or permanent work authorization.
Claims Examiner Medical Malpractice Diedre Moire Corp.Claims Examiner Medical MalpracticeMiddletown, CT$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Claims Examiner MedMal Diedre Moire Corp.Claims Examiner MedMalErie, PA$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Casualty Claims Examiner GEICOCasualty Claims ExaminerRichardson, TXWe’re in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive liability claims, looking to help deliver world-class service to our clients. Negotiate claims settlements for evaluated damages with insureds, claimants and/or attorneys as assigned from letter of representation through settlement or verdict.
Claims Auditor Health Source MSOClaims AuditorAlhambra, CAFull timeResponsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including:Contractual agreement rates. Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners.
Bodily Injury Claims Adjuster ($2,500 Sign-On Bonus) - Tampa, FL GEICOBodily Injury Claims Adjuster ($2,500 Sign-On Bonus) - Tampa, FLLargo, FLWe’re in search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive liability claims, looking to help deliver world-class service to our clients. Negotiate claims settlements for evaluated damages with insureds, claimants and/or attorneys as assigned from letter of representation through settlement or verdict.
Claims Adjuster MedMal Diedre Moire Corp.Claims Adjuster MedMalWarner Robins, GA$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Claims Specialist Medical Malpractice Diedre Moire Corp.Claims Specialist Medical MalpracticeUnion, NJ$100,000–$140,000 / yearFull timeCONSIDERED EXPERIENCE INCLUDES: Insurance Claims Examiner Adjuster Specialist Professional Liability Medical Malpractice MedMal Allied Healthcare #DiedreMoire #JobSearch #JobHunt #JobOpening #Hiring #Job #Jobs #Careers #Employment #jobposting #InsuranceJobs #UnderwriterJobs. Manage total claim costs for highly complex or severe injury medical malpractice claims while negotiating to resolution and providing high levels of customer service.
NewCoordinator - Insurance Compliance & Claims Penske Truck RentalCoordinator - Insurance Compliance & ClaimsREADING, PAWillingness to travel as necessary, work the required schedule, work at the specific location required, complete Penske employment application, submit to a background investigation (to include past employment, education, and criminal history) and drug screening are required. Penske Truck Leasing/Transportation Solutions is a premier global transportation provider that delivers essential and innovative transportation, logistics and technology services to help companies and people move forward.
NewHealthcare Collections Representative JobotHealthcare Collections RepresentativeLos Angeles, CA$24–$28 / hourInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. The successful candidate will be responsible for the accurate and timely data entry, review, and adjudication of professional, ancillary, and institutional claims for services rendered in various healthcare settings.
Partner/Senior Attorney - Civil Litigation Defense (Remote with CA or NV Bar) JobotPartner/Senior Attorney - Civil Litigation Defense (Remote with CA or NV Bar)West Los Angeles, CARemote$190,000–$235,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. We strongly value a collegial environment and work-life balance, with a billing requirement of 1800 hours annually and remote work flexibility as well as a generous quarterly bonus structure for non-equity partners.
NewPersonal Injury Defense (Remote with CA and/or NV Bar) JobotPersonal Injury Defense (Remote with CA and/or NV Bar)Las Vegas, NVRemote$165,000–$185,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Assist with document reviews for responsiveness, case issues, and privilege responses to discovery requests and to identify privileged documents, documents for redaction, case issues in context.
Claims Examiner \ 105 Paladin Consulting, Inc.Claims Examiner \ 105Irving, TX$21.33 / hourInternational non-profit healthcare system headquartered in Irving, Texas founded in 1999, provides comprehensive healthcare services through a network of more than 60 hospitals, hundreds of clinics and outpatient facilities, and virtual care services across Texas, Louisiana, Arkansas, New Mexico, as well as parts of Mexico, Chile, and Colombia. Looking for a Junior Claims Processor with 1–2 years of healthcare claims processing experience to join growing team.
Claims Examiner/Senior Claims Examiner W. R. Berkley CorpClaims Examiner/Senior Claims ExaminerWalnut Creek, CA$65,000–$115,000 / yearIn these roles, you will be responsible for the analysis and management of moderate to complex workers' compensation claims, including reviewing, investigating, and making determinations around coverage, compensability, and claim appropriateness. Success in this role requires strong judgment, consistent performance, and a high level of competency in negotiating settlements, managing subrogation, and delivering sound, compliant outcomes.
Claims Examiner/Senior Claims Examiner BerkleyClaims Examiner/Senior Claims ExaminerWalnut Creek, California$65,000–$115,000 / yearIn these roles, you will be responsible for the analysis and management of moderate to complex workers’ compensation claims, including reviewing, investigating, and making determinations around coverage, compensability, and claim appropriateness. Success in this role requires strong judgment, consistent performance, and a high level of competency in negotiating settlements, managing subrogation, and delivering sound, compliant outcomes.
Sr. Medical Claims Examiners (3+ years of Xcelys required) NTT DATASr. Medical Claims Examiners (3+ years of Xcelys required)remote, TXRemoteAs part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.
Xcelys Medical Claims Examiner-REMOTE NTT DATAXcelys Medical Claims Examiner-REMOTEOntario, CARemoteActual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.
Claims Examiner II Metroplus Health Plan IncClaims Examiner IINew York, NY$54,000–$64,474 / yearBachelor's degree is required; a Master's degree is preferred, or an equivalent combination of education and relevant experience that demonstrates satisfactory equivalency. The ideal candidate will have experience processing healthcare claims in a high-volume Claims Department.
Associate Bond Claims Examiner HCC Service CompanyAssociate Bond Claims ExaminerLos Angeles, CaliforniaTokio 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.
Property Claims Examiner II Wind/Hail Mercury Insurance CompanyProperty Claims Examiner II Wind/HailCA$98,568–$120,473 / yearBe 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.
Property Claims Examiner II - Wind/Hail Mercury Insurance Services, LLCProperty Claims Examiner II - Wind/HailRemote, GeorgiaRemote$98,568–$120,473 / yearBe 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. Upon completion of the training program, ideal candidates will transition into a property claims Examiner adjusting position, collaborating with vendors, and/or virtually inspecting and estimating losses damaged by fire, water, weather, or other unexpected events.
Claims Examiner Baystate HealthClaims ExaminerSpringfield, MA$23.46–$26.97 / hourThe 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.
Claims Examiner I Metroplus Health Plan IncClaims Examiner INew York, NY$50,000–$54,194 / yearPerforms other related duties, i.e., maintaining individual production counts, updating manuals and reference materials, attending all refresher training seminars. Scope of Role & Responsibilities: Process claims involving medical and/or surgical services; screens for complete member/provider information.
Claims Examiner I Western GrowersClaims Examiner IFresno, CA$40,580.28–$52,756.02 / yearAdjudicate 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.
Claims Examiner Firstsource Solutions LtdClaims ExaminerFirstsource specialises in helping customers stay ahead of the curve through transformational solutions to reimagine business processes and deliver increased efficiency, deeper insights, and superior outcomes. Role Description: A claims examiner needs to analyse multiple documents / contracts and decide to pay / deny the claim submitted by member or providers with respect to client specifications.
NewSenior Product Liability Claims Examiner - Medmarc ProAssurance CorpSenior Product Liability Claims Examiner - MedmarcChantilly, VARemote$100,739–$166,236 / yearThe primary responsibility of the Senior Claims Examiner position is the direct management of assigned complex claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file. For that reason, we partner with The Predictive Index (PI) - an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.
Claims HMO - Claims Examiner 140-1044 CommunityCareClaims HMO - Claims Examiner 140-1044Tulsa, OKTwo 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.
Claims HMO - Claims Examiner 140-1028 CommunityCareClaims HMO - Claims Examiner 140-1028Tulsa, OKTwo 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.
Workers Compensation Claims Examiner III TeemaGroupWorkers Compensation Claims Examiner IIIIrving, TX$36–$38.46This 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.
Associate Claims Examiner Kinsale Management, IncAssociate Claims ExaminerRichmond, VA$70,000–$73,000 / yearPart timeWe’re known for our innovative, high-quality approach to specialty insurance — helping clients navigate complex risks across Property, Casualty, and Specialty lines in all 50 states. You’ll develop hands-on expertise in evaluating and resolving commercial insurance claims under the guidance of experienced Claims Supervisors.
Claims Examiner-Contestable GOVERNMENT PERSONNEL MUTUAL LIFE INSURANCE COMPANYClaims Examiner-ContestableSan Antonio, TXReports directly to Sr Claims Examiner/Team Leader and Vice President-Claims and Records and assists in various miscellaneous duties, including preparing internal and external reports, gathering information for studies, and other special projects as assigned. GPM Life is a Northeast San Antonio based life insurance company with an emphasis on providing excellent customer service to policyholders/customers, agents, and the GPM Life team.
Medical Claims Examiner Employ-TempsMedical Claims ExaminerUniontown, OHYou can view all our jobs by copying and pasting this link in your browser: https://employtemps.com/jobs/. Demonstrate a positive and cooperative work attitude and promote teamwork.
Claims Examiner II W. R. Berkley CorpClaims Examiner IIScottsdale, AZProactively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices. The Claims Examiner I's primary job function includes efficiently and effectively handling primarily basic third-party general liability losses in a "paperless" environment.
Senior Claims Examiner W. R. Berkley CorpSenior Claims ExaminerIrvine, CA$110,000–$125,000 / yearThis role actively supports and participates in the company's culture of continuous learning and innovation, including engagement in innovation groups focused on identifying opportunities for process improvement, enhancement, and transformational change. Key functions include but are not limited to: Adjust all aspects of complex claims and loss notices, including coverage and compensability analysis, reserve setting, reinsurance reporting, and coverage litigation.
Commercial Auto Liability Claims Examiner W. R. Berkley CorpCommercial Auto Liability Claims ExaminerJersey City, NJ$85,000–$115,000 / yearWe provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers' compensation, along with claim services, providing expertise to meet the unique business needs of our customers. The auto liability claims department is looking for an experienced Auto Liability Claims Examiner individual contributor to handle moderate complexity auto claims in a fast paced energetic environment within our organization.
Claims Examiner I HCC Service CompanyClaims Examiner IEncino, CaliforniaThe Company will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e))(the “VCCLEA”), which restricts financial institutions and insurers such as TMHCC from employing individuals with certain types of criminal convictions. As an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions.
NewCTP Claims Examiner HCC Service CompanyCTP Claims ExaminerCarmel, IndianaAs an insurance company, we comply with certain federal, state and local laws such as the Violent Crime Control and Law Enforcement Act of 1994 (18 USC § 1033(e)), which restricts our ability to employ individuals with certain types of criminal convictions. As a global leader in specialty travel medical and trip protection insurance, we are passionate about preparing travelers for the unpredictable while fostering a work environment where bold ideas and transformative solutions are valued at every level.
Claims Examiner I Americo Financial Life and AnnuityClaims Examiner IKansas City, MOThe Claims Examiner processes the notification of death claims, ensures state regulations are being maintained in the follow up process, reviews and adjudicates claims, and provides assistance to the beneficiaries through calls and written correspondence. Good understanding or ability to learn in house systems (Workflow/Imaging System, Life Insurance Policy Administration systems, Microsoft Office applications).
Claims Examiner Kinsale Management, IncClaims ExaminerRichmond, VA$73,000–$90,000 / yearPart timeYou’ll work closely with experienced claims professionals and legal partners while handling a diverse portfolio, including litigated claims. 2+ years of experience handling commercial general liability claims involving bodily injury and property damage.
Claims Examiner/Member Services Representative United Employers Association and its AffiliatesClaims Examiner/Member Services RepresentativePortland, ORFull timeSmall 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.
Commercial Auto & General Liability Claims Examiner II TEEMA GroupCommercial Auto & General Liability Claims Examiner II"-", FLRemote$85,000–$95,000Comprehensive 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.
Workers Compensation Claims Examiner TEEMA GroupWorkers Compensation Claims ExaminerChino, CA$93,000–$104,000This 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.
Workers Compensation Claims Examiner TEEMAWorkers Compensation Claims ExaminerHouston, TX$36–$41In 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.
Commercial Auto & Liability Claims Examiner TEEMACommercial Auto & Liability Claims ExaminerHouston, TXRemote$44–$46We 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.
Claims Examiner or Associate Claims Examiner - Employment Practices Wayne United States Liability Insurance CompanyClaims Examiner or Associate Claims Examiner - Employment Practices WayneWayne, PANotice: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. Back to Open Opportunities Returning Applicant Login Now.
Claims Examiner or Associate Claims Examiner - Employment Practices Austin TX United States Liability Insurance CompanyClaims Examiner or Associate Claims Examiner - Employment Practices Austin TXAustin, TXNotice: Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time. Back to Open Opportunities Returning Applicant Login Now.