Healthcare Claims Examiner - Complex Claims & Mediation
Core Specialty Insurance Holdings, Inc.
Core Specialty Insurance Holdings, Inc. seeks an experienced Healthcare Claims Examiner to manage Commercial Healthcare Claims across the U.S. The role requires strong negotiation and writing skills, a valid claims adjuster license in the home state, and the ability to handle primary and excess claims with rigor. Responsibilities include overseeing claims portfolios, coordinating with insureds, agents, and brokers, and ensuring compliance with guidelines while potentially engaging in mediations #J-18808-Ljbffr Core Specialty Insurance Holdings, Inc.
- As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims across the U... ...Successfully and proactively resolve complex and/or high exposure claims, promptly... ...Company. Substantial involvement in mediation negotiations will be required. Adhere...SuggestedTemporary workWork at officeFlexible hours
- ...Claim Examiner Position WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions... ...where applicable and a range of claim complexity. What Will You Be Doing: Day-to-day processing...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeMonday to FridayFlexible hours
- ...Job Title Claim Examiner Job Description Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building... ...where applicable and a range of claim complexity. What Will You Be Doing: The...SuggestedFull timeTemporary workPart timeWork experience placementWork at officeMonday to FridayFlexible hours
- ...Dallas, TX, Chubb is seeking a Senior Claim Examiner in the Employment Practices Liability group... ...investigations and evaluations on complex Employment Practices Liability insurance... ...business partners, as well as virtually at mediations. ~ Effectively utilize technology...SuggestedWork experience placementWork at officeLocal area
$100k - $190k
...Job Description Job Description Complex Construction Defect Claims Adjuster - Remote Upland Capital Group, Inc. is an AM Best rated “A-”... ...necessary Travel 10-15% to offsite meetings, seminars, mediations, trials, etc. as necessary Experience, Education, Special...SuggestedRemote jobWork from home$23 per hour
...improve patients' lives through innovative healthcare solutions. As a global leader in... ...patients through co-pay cards, vouchers, and claims support. We invest in your success with... ...tertiary billing PreferredFamiliarity with complex insurance scenarios PreferredExperience...Hourly payFull timeContract workWork at officeRemote workWork from home$23 per hour
...improve patients' lives through innovative healthcare solutions. As a global leader in... ...patients through co-pay cards, vouchers, and claims support. We invest in your success with... ...tertiary billing Preferred Familiarity with complex insurance scenarios Preferred...Hourly payFull timeContract workWork at officeRemote workWork from home- Old Republic Commercial Risk in Dallas, TX seeks an experienced Claims professional to investigate, evaluate, and resolve complex Workers' Compensation claims. You will manage high‑risk cases, determine coverage and benefits, and coordinate with medical and legal resources...
- ...Senior Claim Examiner We are seeking experienced professionals to join our Workers' Compensation team as a Senior Claim Examiner. Both... ...delivering exceptional service. Senior Claim Examiner Manage complex and high-exposure workers' compensation claims from start to...
- ...Job Responsibilites: 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...Remote work
$200k - $350k
...Dallas, Texas | Hybrid Complex Litigation Associate Attorney AmLaw 100 Opportunity... ...sophisticated commercial disputes, contract claims, business torts, corporate disputes, and... ...strategy ~ Experience with hearings, mediations, arbitrations, and trial preparation ~...Contract work$250k
Our Claims team is seeking a Senior Litigation Claims Consultant to manage a portfolio of complex, high-severity Commercial General Liability (CGL) claims, including litigated... ...through all phases, including discovery, mediation, arbitration and trialNegotiate and resolve...Full timeRemote workFlexible hours- ...About the job Claims Examiner 9151476 - Claims Examiner Irving, TX 3 Months contract... ...analyzing, researching, and resolving complex medical claims in accordance with claims... ...processing medical claims in the healthcare industry. Prior experience working with...Contract workWork at officeShift work
- ...Job Description Job Description Claims Examiner III – Workers’ Compensation Role Summary The Claims Examiner III is responsible... ...is organized, service-oriented, and confident in navigating complex claim scenarios within established authority levels and statutory...Full timeWork at office
- Chubb Ltd. is seeking a claims professional to investigate, reserve, and manage workers' compensation cases. You will work to control loss dollars, review claims status, and develop strategies to bring cases to conclusion while delivering superior customer service. The...
- ...Description Job Description Job Summary Workers Compensation Claims Examiner III TeemaGroup Full-time- CONTRACT 3-4 months could be... ...workers’ compensation claims experience • Demonstrated experience handling complex and litigated indemnity claims...Full timeContract workWork at office
$24 per hour
...Description Job Description Title: Claims Examiner Senior Location: Irving, TX 75039 -... ...experience processing medical claims in the healthcare industry. The Claims Examiner Senior... ...analyzing, researching, and resolving complex medical claims in accordance with...Permanent employmentContract workMonday to FridayShift work- Sedgwick is seeking a Claims Examiner - Liability with multi-state jurisdiction experience to analyze complex liability claims and determine benefits due. The role involves handling high-exposure claims, litigation, and rehabilitation while ensuring adjudication aligns...Remote job
- Catapult Solutions Group is seeking a Healthcare Claims Intake Specialist in Addison, TX. This full-time, on-site role involves processing anesthesia claims, verifying insurance coverage, and ensuring compliance with billing requirements. The ideal candidate has 2+ years...Full time
$80k - $85k
...Workers Compensation Claims Examiner III Hybrid • Dallas - Irving, TX 75038 Salary Range $80,000.00 - $85,000.00 Salary/year Level... ...SUMMARY: Under minimal supervision, independently manages highly complex workers' compensation indemnity claims, including litigated...Full timeWork at officeLong distanceShift work$75k - $95k
...Job Description Our client is seeking to add a Senior Workers’ Compensation Claims Examiner to join their Texas team. The ideal candidate will have experience in managing moderate to complex Texas Workers' Compensation claims from inception to close, possess strong analytical...Remote workFlexible hours- Sedgwick is seeking a Claims Examiner, Auto | Commercial Bodily Injury, to analyze and process complex bodily injury auto and commercial claims. You’ll review coverage, investigate liability, and assess damages to resolve claims within client requirements and expectations...Remote job
$23 - $26 per hour
...for our client, a nationally recognized healthcare organization, seeking experienced Medicaid... ...team. This role focuses on managing complex Medicaid accounts receivable for inpatient... ...facilities, ensuring accurate claim resolution and maximizing reimbursement....Hourly payFull timeLocal areaRemote work- ...Immediate Position Overview We are seeking experienced Claims Entry / Medical Billing Specialists for a short-term onsite... ...workflow requirements Maintain confidentiality of patient and healthcare information Meet daily productivity expectations in a high-volume...Permanent employmentTemporary workLocal areaImmediate startMonday to FridayShift work
$98.91k - $120.95k
...Great Rewards, and Great Careers. Commercial Casualty Senior Claims Examiner Salary: Starting at $98,913-120,950, commensurate with experience... ...and procedural knowledge as you handle claims involving complex coverage, high exposure, and litigation. You will be working...Work at officeLocal area- ...resolution.Gain courtroom, deposition, mediation, and arbitration experience.Collaborate... ...objectives.Conduct legal research and analyze complex legal and factual issues.Draft pleadings... ..., and court proceedings.Evaluate claims, assess liability and exposure, and provide...
$65k - $85k
...Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability | Multi State Jurisdiction | Auto, BI, PD, GL | Licensing... ..., and inclusion. PRIMARY PURPOSE OF THE ROLE To analyze complex or technically difficult liability claims to determine...Full timeRemote workFlexible hours- ## Casualty Claims ExaminerApply: Hybrid: Richardson, TX: Full time: Posted Today: R006... ...search of highly motivated Casualty Claims Examiners with prior casualty and bodily injury... ...injury claims is key. Your team will manage complex investigations, coverage determinations,...Full timeWork at officeLocal areaRelocation packageMonday to FridayAfternoon shift3 days per weekEarly shift
$90k - $110k
...negotiation and resolution of complex commercial automobile and general liability claims, including bodily injury, property... ..., budgets, discovery, experts, mediation and trial preparation; monitors... .... Additional Benefits: Healthcare and Retirement Benefits Comprehensive...Full timeTemporary workWork experience placementLocal areaHome officeFlexible hoursNight shift$80k - $90k
Workers Compensation Claims Examiner | NY Jurisdiction & Subrogation Experience & NY Licensing Required By joining Sedgwick, you'll be part... ...a Workers Compensation Claims Examiner, you will adjudicate complex customer claims and deliver innovative customer-facing solutions...Flexible hours
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