UNKNOWN

FEED

The Claims Examiner will be responsible for researching and resolving pending claims, reviewing claim denials requiring manual review, and ensuring timely processing in compliance with policies, procedures, and regulatory guidelines. Assist in claims processing and report billing/error trends identified during reviews.

Career Advocates

Claims Examiner

We are looking for a Claims Examiner to process provider and facility claims according to the fee schedule/rates specified within the provider’s contracts, while applying the restrictions contained in the benefit plan and coding guidelines. Our teamwork-driven services ensure that CHP serves the needs of each unique partnership while prioritizing best healthcare practices.

Correctional Health Partners

IPG works in the contiguous 48 states, Hawaii, and Puerto Rico handling a variety of claims including, but not limited to auto physical damage, inland marine cargo, dealers' open lot, property damage (commercial and homeowners) and general liability. Reporting to a Claims Supervisor, the Claims Examiner is responsible for investigating and settling liability and first party claims and third-party claims, with an emphasis on strong communication and customer service, while utilizing state specific guidelines.

Davies North America

Claims Examiner - Liability - REMOTE - Little Rock, Arkansas, United States

Based in Mooresville, N.C., Lowe's supports the communities it serves through programs focused on creating safe, affordable housing, improving community spaces, helping to develop the next generation of skilled trade experts and providing disaster relief to communities in need. Settle claims within authority and in an appropriate manner consistent with Lowe's objectives and values by determining liability, obtaining demands and making offers to claimants, requesting settlement checks, making filings with regulatory agencies, and disposing of salvage, pursuing subrogation when appropriate.

Lowe's Companies Inc

Senior Claims Examiner

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

HOUR

Experience Five (5) years of commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage’s, principles, and laws. Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.

ICONMA, LLC

Claims Examiner Auto

jobdiva

Because this is a fully remote, independent contractor position, we are looking for a self-starter who requires minimal supervision and has deep, hands-on experience navigating the WLT software system . TPA Experience: Previous experience working within a Third Party Administrator (TPA) environment is highly preferred and will make you a standout candidate.

Trident

Medical Claims Examiner

Ability to demonstrate organizational, interpersonal, and communication skills. Knowledge of medical terminology, ICD-9, and CPT coding required.

University of Pittsburgh Medical Center

Claims Examiner - Hybrid

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 (Open)

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

Indemnity Claims Examiner- Workers' Compensation (Fresno/Clovis, CA) (Open)

OTHER

This role offers flexibility, a manageable 37.5-hour workweek, and the opportunity to work with a variety of stakeholders to achieve positive claim outcomes. We're seeking an experienced Workers' Compensation Claims Examiner to join a collaborative team managing workers' compensation claims from investigation through resolution.

Ultimate Staffing Services

Workers' Compensation Claims Examiner

Broadbean

By promoting inclusion with the same enthusiasm, we devote to quality and competency, and using the experience from a diverse assortment of backgrounds and experiences, Canon is able to improve the services and value we deliver to clients, employees, and customers. You'll lead claim investigations, coordinate medical care, manage litigation, and drive timely, cost-effective resolutions—all while supporting injured workers and employers.

YEAR

Canon Recruiting Group

Senior Workers' Compensation Claims Examiner

Crelate

Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.

Arch Capital Group Ltd

Claims Examiner, General Liability

Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims.

Arch Capital Group

Claims Examiner - Auto PD

CONTRACTOR

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Experience Five (5) years of commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverages, principles, and laws.

Apidel Technologies

Claims Examiner - Auto

partner Conrep

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 Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.

Markel Group Inc

Senior Claims Examiner, Lawyers and Financial Advisors Professional Liability

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

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.

Sr. Claims 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. 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 Examiner Jobs in the United States

Claims Examiner Career Advocates

Claims Examiner Correctional Health Partners

Claims Examiner - Liability - REMOTE - Little Rock, Arkansas, United States Davies North America

Senior Claims Examiner Lowe's Companies Inc

Claims Examiner - Workers Compensation Maxim Healthcare Services Inc

Claims Examiner Auto ICONMA, LLC

Medical Claims Examiner Trident

Claims Examiner - Hybrid University of Pittsburgh Medical Center

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

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

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

Workers' Compensation Claims Examiner Ultimate Staffing Services

Senior Workers' Compensation Claims Examiner Canon Recruiting Group

Claims Examiner, General Liability Arch Capital Group Ltd

Claims Examiner - Auto PD Arch Capital Group

Claims Examiner - Auto Apidel Technologies

Senior Claims Examiner, Lawyers and Financial Advisors Professional Liability Markel Group Inc

Senior Claims Examiner-CDH Chubb Ltd

Sr. Claims Examiner Markel Group Inc

Claims Examiner II Markel Group Inc

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