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The Claims Examiner or Senior Claims Examiner will handle a caseload of commercial insurance claims under a close to moderate level of supervision. Job functions to include: Analyzing claims to determine applicable coverage afforded to the policyholder. Analyzing claims to determine the extent of insurance carrier's liability. Reviewing and evaluating damages and making recommendations for resolut...
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Posted Fri 22nd March
Jericho based insurance company seeks experienced New York No-Fault claims examiner. -Able to process no-fault claims including IME's, peer reviews and settlements. -Ability to fee schedule bills. -Initiate subrogation. -Process payments and denials. Requirements: -Minimum 2 years experience in automobile no-fault. Salary to comensurate with experience. Medical/Dental and 401K. Requirements:...
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Posted Tue 16th April
DTRIC The good word on insurance Workers Compensation Claims Examiner We're seeking an experienced Claims Examiner for our Workers Compensation Department who will manage an inventory of workers compensation claims of complex cases with various levels of high exposure involved. Responsibilities include contacting injured worker, employer and treating physician, establishing and maintaining adequat...
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Posted Sun 21st April
American Eldercare, Inc. is one of the fastest growing and respected long term care diversion companies in Florida, with offices throughout the state. We are a stable company with local ownership. We are seeking a Claims Examiner. Claims Examiner I. POSITION SUMMARY The Claim Examiner is responsible for properly adjudicating an array of contracted and non-contracted provider claim types according ...
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Posted Mon 22nd April
Judge Healthcare is currently searching to fill several Claims Examiner positions in New York City with one of our best clients. The Claims Examiner will be responsible for processing medical, facility, pharmacy, dental and vision claims accurately and efficiently. These opportunities are a direct result of Growth and Expansion! Responsibilities: • Review, investigate and adjudicate claims and enc...
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Posted Mon 22nd April
DTRIC The good word on insurance SR. PROPERTY CLAIMS EXAMINER We're seeking an experienced claims examiner to investigate, gather information and adjust to resolution primarily commercial and residential property losses, ranging from simple to complex/high exposure cases. Responsibilities include conducting field investigations, completing accurate and timely damage estimates, interpreting applica...
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Posted Sun 28th April
Examiner Workers Compensation Claims (Pittsburgh, PA) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. • Completes 3-point contact on new claims within 24 hours in order to obtain information nece...
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Posted Tue 30th April
Examiner Workers Compensation Claims (Robbinsville, NJ) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. • Completes 3-point contact on new claims within 24 hours in order to obtain information ne...
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Posted Tue 30th April
Senior W/C Claims Examiner (Long Island, NY) The Senior Workers Compensation Claims Examiner investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits. He/she administers indemnity and medical benefits for valid Workers’ Compensation claims and manages a caseload of claims from inception to closing or settlement. He/she assists Unit Manager with mentoring n...
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Posted Tue 30th April
Workers Compensation Claims Examiner (Valencia, CA) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information necess...
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Posted Tue 30th April
Workers Compensation Claims Examiner (Roseville, CA) Investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits; Administers indemnity and medical benefits for valid Workers’ Compensation claims; Manages a caseload of claims from inception to closing or settlement. · Completes 3-point contact on new claims within 24 hours in order to obtain information neces...
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Posted Tue 30th April
The Northern California Division’s Workers’ Compensation Department, located in Pleasanton, California, has an opening for a Claims Examiner II. Qualifications: -4-year college degree or equivalent professional experience. -3 years Claims Examiner experience with knowledge of Workers’ Compensation Statutes, medical terminology, medical treatment protocol, rating system, and litigation. Familiarity...
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Posted Fri 3rd May
About Aon Aon plc (NYSE: AON) is the leading global provider of risk management, insurance and reinsurance brokerage, and human resources solutions and outsourcing services. Through its more than 61,000 colleagues worldwide, Aon unites to empower results for clients in over 120 countries via innovative and effective risk and people solutions and through industry-leading global resources and techni...
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Posted Mon 6th May
The Senior Workers Compensation Claims Examiner investigates claims to determine an injured worker’s entitlement to Workers’ Compensation benefits. He/she administers indemnity and medical benefits for valid Workers’ Compensation claims and manages a caseload of claims from inception to closing or settlement. He/she assists Unit Manager with mentoring new claims examiner and/or supervisory functio...
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Posted Mon 6th May
Seeking 5+ years’ commercial transport or railroad liability claims experience to work with excess causality claims: * Investigate and gather information to determine exposure * Manage claim through well-developed action plans * Assess liability and resolve claims * Negotiate settlement of claims * Calculate and assign timely and appropriate reserve to claim High growth visible position with top c...
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Posted Thu 9th May
Our client, a National Insurance Claims Management Company, is currently seeking a Senior Workers' Compensation Claims Examiner. This would be a direct-hire position. Required Qualifications: 3 plus years of New York and/or New Jersey Workers' Compensation Lost Time litigated claims handling experience Effective investigative, evaluate and settle complex litigated and non-litigated workers' compen...
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Posted Thu 9th May
Medical Claims Examiner M-F, 40/hr/week Able to meet production standards At Least 5+ Years Recent Experience Experience with HMO, Managed Care, Medicare, Medi-Cal, Commercial, Professional, Institutional, Senior, DRG/RCC rates, ICD-9, anesthesia claims, in-patient claims, SNF, DME, dialysis, chemo, stop loss or case rates, COB, outpatient surgeries, ER and all other claim types...
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Posted Thu 9th May
Job_Other_Compensation: Job Description: Our client in Ossining,NY is seeking one claims examiners. The right candidates will have at least one years experience in medical claims examining,knowledge of HIPPA, as well as ICD9 and CPT codings in a 3rd party administration or self pay check processing. Also needed is a have proven ability to make pay decisions and great attention to detail, proficien...
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Posted Thu 9th May
Greater New York Mutual Insurance Company ("GNY") is an A+ rated, financially stable and growing property casualty insurance company with locations throughout the Northeast. We currently have an addition to staff opening for an experienced Property Claims Examiner in our company headquarters located in New York City. Some of the functions of the position include: Review all new property claims rep...
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Posted Wed 24th April
Our client is a large third party administrator. They are looking for a temporary Sr. Workers Compensation examiner to start on Monday, 4/22 for a 4-6 week assignment. Requirements: A minimum of 5-7 years of recent Workers Compensation examiner experience. Provide documentation of possessing the California Experienced Claims Adjuster Designation and being current on education hours. Self-Insured C...
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Posted Sat 11th May
Maine's Department of Labor reports a stable job market. Employment is rising, although slowly, and continues to be better than the national average. The most robust Maine industries are Health Care, Social Assistance, Local Government and Transportation. The weakest industries are Manufacturing, Financial Activities and Leisure/Hospitality.
Maine at a Glance:
Unemployment Rate: 4.1%
2005 Per Capita Income: $31,252
Largest Cities: Portland, Lewiston, Bangor, South Portland, Auburn
Minimum Hourly Wage: $6.50
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