Claims Examiner (26-151)
$21.99 - $29.15 per hourNetwork180 - Kent County Community Mental Health
Position: Claims Examiner Req.#: 26-151 FTE: Full-time, non-exempt Unit: UAW Department/Location: Revenue Cycle Services Compensation: $21.99 - $29.15 The final job offer is based on several factors (internal equity, skills, education, experience, and credentials). Attractive Benefits Package Four health insurance plans 100% employer paid dental and vision insurance plans 13 paid holidays Generous PTO Professional development Tuition reimbursement Professional License reimbursement Defined contribution retirement plan Employee Assistance program Life and voluntary life insurance options Short and Long term disability Approved site for loan forgiveness (based on position and department): NHSC, STAR Loan Repayment, Behavioral Health Loan Repayment, MI Kids Now Loan Repayment and much more! Network180 employees make a difference in people’s lives every day, making our community a better place to live. We are the behavioral health community organization responsible for the delivery of mental health, substance abuse treatment coordination, and developmental disabilities services for Kent County. We need individuals who are passionate about making a difference by helping others. We are seeking a Claims Examiner responsible for accurate processing, adjustment and payment of claims submitted by Network180’s provider network. This position is 40 hours a week, Monday through Friday, 8:00 am to 5:00 pm. There are no weekends, on-call, or holiday requirements for this position. This is a Michigan based remote position. Candidates must reside in the state of Michigan and be available to attend in-person meeting in Kent County, Michigan, as needed. MINIMUM QUALIFICATIONS High school diploma or GED and at least four (4) years of medical billing, coding, and/or claims processing experience; or associate’s degree in health information technology or related field and two (2) years of medical billing, coding, and/or claims processing experience. Advanced computer skills including word processing, spreadsheets, database management, and email. Knowledge of Medicaid, Medicare and third-party insurances. Skills and experience in analyzing information and preparing spreadsheets and reports. Ability to prioritize tasks and manage time in an effective and efficient manner. Excellent communication skills, both verbally and written. Excellent problem-solving techniques. Excellent customer service skills. Lived experiences with mental illness/developmental disabilities/substance use disorders valued. Job interviews are being conducted in person or via the internet. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed on the job description are representative of the knowledge, skill, and/or ability required. For a detailed job description and responsibilities please review the job description. Network180 is an Equal Opportunity Employer. Network180 participates in E-Verify. Network180 is a drug and alcohol-free workplace, which includes the prohibition of recreational marijuana use. Successful completion of a drug screen is part of our background check process. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr Network180 - Kent County Community Mental Health
$26 - $31 per hour
...underwriting files while gaining additional knowledge and experience on the more complex files. The target pay range for this position is $26.00-$31.00 per hour. What you'll do: Perform a thorough analysis to ensure the quality of each loan and to determine compliance...SuggestedHourly payRemote workWork from home- Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision. Responsibilities...Suggested
- The Baldwin Group is seeking a Claims Examiner to join our renters claims team, focusing on expert insurance claims handling and superior customer service for insureds and agents. The role emphasizes building relationships with clients, carriers, and colleagues, while managing...Suggested
$63.4k - $90k
...Workplaces National Top CompaniesCertified as a Great Place to Work®Fortune Best Workplaces in Financial Services & Insurance Claims Examiner I Workers Compensation I CO or AZ Experience Required Apply your workers compensation examiner knowledge and experience to adjudicate...SuggestedFlexible hours- ...Workplaces National Top CompaniesCertified as a Great Place to Work®Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction & Licensing: SC & NC | Dedicated Client Are you looking for an opportunity to join a global...SuggestedFlexible hours
- MSI, part of The Baldwin Group, is seeking a Claims Examiner focused on Renters Liability to manage third-party bodily injury and property damage claims from assignment to resolution, negotiating settlements and coordinating with policyholders and claimants. The role requires...
- ...on your challenges and let us show you how we build insurance better. As we expand our in-house renters claims handling capabilities, we're seeking a Claims Examiner who is excited to be part of a growing team where renters claims experience is highly valued. MSI handles...Work experience placementWork at officeLocal area
- Job Description Job Title: Claims Examiner Location: Dallas, Remote (Volume) Job Summary We are seeking a detail-oriented and experienced Claims Examiner to join our dynamic team. The ideal candidate will possess strong claims knowledge and a proven track record in...Remote work
- Sedgwick in Oregon seeks driven individuals to analyze workers’ compensation claims for our valued clients, determine benefits due, and adjudicate claims within service expectations and client requirements. You will investigate, negotiate settlements within authority,...
- Raphael & Associates is a globally recognized third-party claims administrator and independent claims adjusting firm, known for delivering... ...our continued success. We are looking for a Total Loss Claims Examiner who will be responsible for negotiating and settling vehicular...Work at officeRemote work
$60.23k - $95k
...Workplaces National Top CompaniesCertified as a Great Place to Work®Fortune Best Workplaces in Financial Services & Insurance Claims Examiner I Workers Compensation I CA experienceAre you looking for an opportunity to join a global industry leader where you can bring your...Flexible hours- MSI is seeking a Claims Examiner focused on Renters Liability Claims to join our Liability Claims Team. The role involves managing third-party bodily injury and property damage claims from assignment to resolution, with emphasis on customer service and timely resolutions...
- ...on your challenges and let us show you how we build insurance better. As we expand our in-house renters claims handling capabilities, we’re seeking a Claims Examiner who is excited to be part of a growing team where renters claims experience is highly valued. The Claims...Work at office
- Job Family Claims About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward... ...and in writing with claimants, medical providers, medical examiners, and law enforcement. Work closely with department manager, legal...Work at officeRemote workWorldwideWork visa
- ...Training Class Start Date: 12/7/2026 Schedule Monday to Friday 8:00am - 4:30pm Central Time for 4 weeks What is your impact? As a Claim Examiner, you will handle processing and adjudication for healthcare claims. This will include claims research where applicable and a...Temporary workPart timeWork experience placementMonday to FridayFlexible hours
$25.92 - $37.26 per hour
...underwriting process, including but not limited to StepWise, Salesforce, claims systems, and other reporting databases. Prepare memos and other... ...expected hourly hiring range for a Underwriter I is $25.92 - $37.26, the current full hourly range for this role is $24.40 - $42.20...Hourly payWork at officeImmediate startWork from homeRelocationFlexible hours3 days per week- Network180 is seeking a Claims Examiner to ensure accurate processing, adjustment, and payment of claims submitted by its provider network. The role is a full-time, remote position based in Michigan with in-person meetings as needed. The ideal candidate has a background...Remote jobFull time
- ...party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. As a Claim Examiner, you will handle processing and adjudication for healthcare claims, including research, and work to verify medical necessity...Remote job
- Sedgwick in Frisco, TX seeks a Claim Examiner for product liability with multi-state jurisdiction experience. This hybrid role combines remote work with in-office collaboration and requires strong analytical skills to adjudicate complex claims and negotiate settlements...Remote jobWork at office
- Raphael & Associates is seeking a Total Loss Claims Examiner to negotiate and settle vehicular total loss claims. You will evaluate damage, calculate ACV and settlements, and coordinate salvage while ensuring compliance with state regulations. The role may be performed...Remote job
- MSI, part of The Baldwin Group, is an MGA focused on underwriting and claims excellence in Oregon. The Associate Claims Examiner is an entry-level role handling low-complexity claims for policyholders and supporting the claims team. You will learn basic claims handling...
$80k - $85k
...Workplaces National Top CompaniesCertified as a Great Place to Work®Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process complex bodily injury auto and commercial transportation...Work at officeFlexible hours- MSI is expanding its in-house renters claims handling capabilities. We seek a Claims Examiner who will manage claims with expert knowledge, build relationships with policyholders, carriers and colleagues, and deliver superior service. Ideal candidates have strong investigation...
- Blue Cross and Blue Shield of Nebraska is seeking a Claims Examiner I for a remote role. You will analyze healthcare claims, review medical records, and determine benefits based on member contracts and CMS guidelines. The position requires a high school degree and strong...Remote job
$300k
California FAIR Plan Association is seeking a Claims Examiner II to manage property claims from intake through settlement. You will interact with policyholders and independent adjusters, review records for coverage, and advise on settlements in line with regulations and...- Transamerica is seeking a Claims Analyst to evaluate and analyze documentation for claim payments or denials per policy provisions and state regulations. This remote (call center) role involves reviewing claims, communicating with claimants and providers, and ensuring...Remote job
- Sedgwick is seeking a Claims Examiner for Workers' Compensation in a hybrid role based in Oregon. You will analyze claims to determine benefits, negotiate settlements, and maintain clear communication with claimants and clients. The position emphasizes adherence to service...Remote job
$100k - $300k
POSITION SUMMARY Process insurance claims for property losses based on coverage, appraisal, and verifiable damage. Interact with independent... .... Enter claim transactions, in a clear and concise manner. Examine claims inspected by independent adjusters, including further...Remote jobWork experience placement- ...a powerful impact in our community. Adjudication of healthcare claims utilizing employer and payer specific policies and procedures.... ...metric scorecards. Provide guidance to less experienced claims examiners. Candidates applying to this remote position are required to live...Remote jobContract workLive inLocal area
- WebTPA in the United States is seeking a Claims Examiner to handle processing and adjudication for healthcare claims, including research and complex case analysis. You will process medical, dental, vision, and mental health claims and verify coverage under policy guidelines...Monday to FridayFlexible hours
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