Claims Examiner I
Virtual Vocations Inc
To support the Claims department, the remote Claims Examiner I will accurately verify and process claims data from CMS 1500 forms, ensuring compliance with regulations and maintaining production standards in a full-time capacity. Key responsibilities Processes and adjudicates claims accurately and efficiently, maintaining required documentation Verifies member and provider records to ensure correct claims processing Maintains production standards, processing an average of 31 claims per hour with a 98.5% accuracy rate Required qualifications High School Diploma or GED certificate required 6 months of data entry experience with a minimum of 10,000 keystrokes per hour Experience processing medical claims and knowledge of medical billing terminology preferred Proficient in MS Office Ability to work effectively in a work-from-home environment
$18.8 - $32.69 per hour
...providing exceptional service and delivering on our promises to customers, beneficiaries, employers, and business partners. As a Claims Examiner, you will investigate, evaluate, and adjudicate claims while balancing accuracy, timeliness, compliance, risk management, and...SuggestedFull timeWork at officeRemote workFlexible hours- ...we do. WHAT WE ARE SEEKING We have assignments available to help our insurance carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload of commercial auto claims from first notice of loss through resolution...SuggestedFull timePart timeWork experience placementWork at officeRemote workWork from home
$80 - $120 per hour
...global expert network grows, micro1 is building the human intelligence layer for frontier AI. Role Title : Building Code Plans Examiner (South Florida / Palm Beach) Role Type : Contractor Location : Remote, based in Florida. micro1 is looking for Building...SuggestedHourly payFor contractorsLocal areaRemote work- ...we do. WHAT WE ARE SEEKING We have assignments available to help our insurance carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload of commercial auto claims from first notice of loss through resolution...SuggestedFull timePart timeWork experience placementWork at officeRemote workWork from home
$95k - $120k
...and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get the opportunity to learn multiple... ...Scottsdale, AZ West Hartford, CT The Role: The Senior Claims Examiner-Miscellaneous Professional Liability adjudicates assigned claims...SuggestedPermanent employmentFull timeTemporary workWork at office2 days per week$40k - $50k
...Position Summary Under close supervision, manages all aspects of medical-only claims handling from inception to conclusion within established authority and guidelines. Job Details Level: Experienced Location: San Antonio, TX Position Type: Full Time Salary Range: $40,...Full timeWork at officeShift work$44 per hour
...monitoring, securing and reporting findings of security incidents on our clients' computi ... $44.00 hourly Full-time The Senior Claims Examiner I, CA is responsible for prompt efficient review and disposition of insurance claims through effective research, evaluation,...Hourly payPermanent employmentFull timeContract workTemporary workRemote work- ...Claims Examiner I Location: Encino, CA Reports to: Claims Manager Employment Type: Full time Job Summary Resolves claims by investigating losses through the collecting and analyzing of data according to policy application and client/underwriter guidelines...Full timeWork at office
$3,600 per month
...As a Claims Examiner, you will play a key role in managing casualty claims from investigation through resolution. This position combines analytical thinking, decision-making, and negotiation to ensure fair and timely claim outcomes. You’ll work closely with experienced...Work at office- ...The Claims Examiner will be responsible for researchingand resolving pending claims, reviewing claim denials requiring manualreview, and ensuring timely processing in compliance with policies,procedures, and regulatory guidelines. The role involves determiningclaim payments...
$31.45 - $37.74 per hour
...Claims Examiner II To review, research, and resolve claims for all Medi-Cal claim types within established production and quality standards, including manual processing. Completes and processes claims and claims worksheets. Creates appropriate documentation that reflects...- ...Claims Examiner Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen...Work at officeLocal area
$18.8 - $32.69 per hour
...Overview Position located in Macon, Georgia. Hours: 8:00 a.m. – 5:00 p.m. The Property and Casualty (P&C) Claims team seeks a highly motivated, energized and positive individual to assist customers during claims. The role offers a hybrid work environment with flexibility...Hourly payWork at office- ...SISCO, a Cottingham & Butler company, is continuing to grow and as a result will be adding Medical Claims Representatives to our team! This position is responsible for the delivery of excellent claims service to include accurate and timely claims processing and prompt...Work at office
$28 - $32 per hour
...applicants Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Department: Ops - Claims Ops Compensation: $28.00 - $32.00 / hour Description Job Title: Claims Examiner III Department: Ops - Claims Ops What You'll Do Analyze, process, research, adjust and adjudicate...Hourly payFull timeWork at office$11.77 per hour
...to drive their business forward. If you only make one career connection today, connect with Kelly. Job Description Job Title: Claims Examiner Pay Rate: $11.77/hour Job Description Overview: Under supervision, this position is responsible for processing complex claims requiring...WorldwideFlexible hours- ...Claims Examiner I Or II Nautilus Insurance is seeking a Claims Examiner I or II to join our team. This role can be located in our Scottsdale office or remotely for a highly qualified candidate. The Claims Examiner I's primary job function includes efficiently and effectively...Work at officeRemote work
- ...Join our Claims team as a Claims Examiner, where you will play a key role in delivering exceptional service to policyholders throughout the claims process. In this role, you will investigate, evaluate, negotiate, and resolve property insurance claims with a focus on accuracy...Remote workFlexible hoursNight shift
- Claims Examiner - Workers Compensation ARE YOU AN IDEAL CANDIDATE? 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...Work at officeLocal areaFlexible hours
$24 per hour
...Job Opportunity Contract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and payment) of UB-92 and HCFA-1500 claims...Contract workWork at office- ...Claims Examiner We are currently looking for a Claims Examiner to join our team! The 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...Work at office
$61.9k - $96.1k
...short, We Enable Possibility. Position Summary Arch Insurance Group Inc., AIGI, has an opening with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities include actively managing commercial claims for medium...Temporary workWork experience placement$65k - $85k
...Job Title Claims Examiner Location Full time in-office, Richmond, VA 23233 Job Description We are seeking a highly motivated Claims Examiner to join our team. The ideal candidate will be responsible for investigating, evaluating, and settling commercial liability claims...Minimum wageFull timeTemporary workWork at officeLocal areaFlexible hours$19 - $22 per hour
...down the cost of plans with innovative solutions such as network and payment integrity, pharmacy benefits and care management. Claims Examiner Point C is looking for a detail-oriented and motivated Claims Examiner to join our team. In this role, you’ll be responsible for...Contract workWork at officeLocal areaFlexible hours- Claims Investigator Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly...Work at officeNight shift
- ...Overview Claims Examiner I/II role at Nautilus Insurance Group (a Berkley Company). Location: Scottsdale, AZ or remote for a highly qualified candidate. Company Details As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and...Full timeWork at officeLocal areaRemote workFlexible hours
- ...Job Title: Claims Examiner-Lost Time Location: 555 Long Wharf Drive, New Haven, CT. 06511 Duration: 3 months Job Schedule: 5 days on-site Interview Process: 1 round of interview - Virtual 3+ years of Workers’ Compensation Lost Time Claim Examiner or commensurate experience...Temporary workWork at office
- ...Job Title Duration: 3+ months contract Responsibilities Review, adjudicate, and process medical claims for HMO patients Work closely with affiliated medical groups and hospitals Evaluate provider reimbursement terms and flag non-contracted providers...Contract work
$12.75 per hour
...talent to drive their business forward. If you only make one career connection today, connect with Kelly. Job Description Title: Claims Examiner Start Date: October 3rd Length: Temp Assignment for 6 months Shift: After training-swing shift of your choice between 6 AM and...Temporary workShift workAfternoon shift- ...Claims Examiner – Days LOCATION: 9557 Greenleaf Avenue, Whittier, CA SHIFT: Monday - Friday - 07:00am - 03:30pm PLEASE NOTE ORIENTATION TIME MAY DIFFER THAN SHIFT TIMES LISTED DURATION - 13 weeks 2 YEARS EXPERIENCE REQUIRED - MUST BE ABLE TO VERIFY HS DIPLOMA...Contract workWork at officeMonday to FridayShift work
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