Search Results: 5,287 vacancies
...interpreting health plan Division of Financial Responsibilities and contract verbiage.
Supporting the Claims Departments and other Examiners and troubleshoots Claims issues for internal/external stakeholders.
Documenting resolution of claims to support claim payment...
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Monday to Friday
...Definition
The City of Norwalk is currently looking for a Plans Examiner to join their Community Development team. If you are someone... ...an appropriate California driver's license and a satisfactory driving record. Must be certified as a Residential Plans Examiner by the...
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Description: We are looking for a Claims Examiner II/III, depending on their knowledge and experience. This position is not an entry level position and will need to fully understand Medicare claims processing specifically in a managed care organization, managed service...
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Monday to Friday
...Description
Job Title: Claims Examiner III
Department: Operations - Claims
About the Role:
We are currently seeking a highly motivated Claims Examiner. This role will report to the Manager - Claims and enable us to continue to scale in the healthcare industry...
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...because this is more than a job. It's the calling of our lives and it compels us to keep moving forward.
Job Overview
A Claims Examiner is responsible for analyzing and the adjudication of medical claims as it relates to managed care. Performs payment...
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...seeking a skilled, knowledgeable, and experienced Senior Plans Examiner in the Building & Safety Division. Reporting to the Supervising... ...obtain a Class C California driver's license and a satisfactory driving record at the time of employment.
Possession of an...
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ESSENTIAL JOB FUNCTIONS:
Adjudicates complex professional and institutional claims.
Responsible for meeting performance measurement standards for productivity and accuracy.
Adjudication of claims adjustment.
Follow all appropriate Federal and State regulatory...
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[Position]
Claims Examiner for Insurance Industry.
[About Our Client]
One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.
Financial Ratings...
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...Description
Job Description Are you a detail-oriented and enthusiastic claims professional? Join our team at SGD as a TPA Claims Examiner, working remotely. You will play a crucial role in evaluating insurance claims and facilitating the resolution process for our...
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PRIMARY PURPOSE : 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...
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Local area
...Job Description
Job Description Commercial Title Examiner
Responsibilities
As a Commercial Title Examiner, you will be involved in aspects of the closing process for mortgage refinancing.
Your specific duties will include:
~ Perform title examination and...
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Description :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...
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Local area
[Position]
Claims Examiner
[About Our Client]
One of the largest non-life insurance companies based in South Korea. We currently writes all lines of property and casualty insurance in CA, NY, OH, IN, PA, TX and HI State.
Financial Ratings:
- A.M. Best Rating...
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Work experience placement
Job Description:
~ 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...
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Remote job
...great place to work.
Great Place to Work®
Most Loved Workplace®
Forbes Best-in-State Employer
Workers Compensation Claims Examiner
PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work...
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Local area
Flexible hours
...000 / yr
Company and Position Overview
DB Insurance Co Ltd (US Branch) is looking for a full-time LIABILITY CLAIMS ADJUSTER/EXAMINER who has experience handling Commercial General Liability/Auto BI Liability claims.
About DB Insurance
DB Insurance Co., Ltd...
Full time
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Relocation
...job opportunities are far away? Think again. Great opportunities are right here in your backyard. Kelly®is looking for a Claims Examiner to work at a leading global provider of technology-enabled risk, benefits, and integrated business solutions in Long Beach, CA. Let...
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Description: Remote from Southern, CA only. Candidates must reside in SCAL.
Job Summary:
Responsible for the administration of medical malpractice and other professional and general liabilty claims made during the course of conducting company business across the...
Full time
Remote job
Shift work
JOB SUMMARY: Is responsible for adjudicating complex claims which include high dollar claims. Responsible for accurate manual/auto pricing of claims. Identify provider billing issues that impact claims processing. Works closely with the Supervisor to identify any reporting...
...is excited to announce an immediate opening for a Senior Plans Examiner. Under general to limited supervision, the Senior Plans Examiner... ...a Class C California driver's license and a satisfactory driving record; possession of an International Code Council (ICC) Certification...
Full time
For contractors
Local area
Immediate start
