Claims Examiner - United States

The Claims Examiner reports to the Supervisor of Claims. · The position is responsible for reviewing and adjudicating claims based on provider and health plan contractual agreements and claims processing guidelines. ...

Join Sedgwick and be part of something truly meaningful. Grow your career with us, experience our caring culture, and enjoy work-life balance. · ...

By joining Sedgwick you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. · Sedgwick Recognized as America's Greatest Workplaces National Top Companies. · ...

This role involves analyzing complex workers' compensation claims to determine benefits due. · Bachelor's degree from an accredited college or university preferred · Five (5) years of claims management experience or equivalent combination of education and experience required · ...

By joining Sedgwick you ll be part of something truly meaningful It s what our 33 000 colleagues do every day for people around the world who are facing the unexpected We invite you to grow your career with us experience our caring culture and enjoy work life balance Here there s ...

Sedgwick is looking for Claims Examiner Workers Compensation in Midwest Jurisdictions to analyze complex or technically difficult workers' compensation claims and work with high exposure claims involving litigation and rehabilitation. · ...

We invite you to grow your career with us and enjoy work-life balance. · As a Claims Examiner Workers Compensation at Sedgwick, you will analyze complex or technically difficult workers' compensation claims to determine benefits due and ensure ongoing adjudication of claims with ...

ResponsibilitiesInterprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. · Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation st ...

Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. · ...

This is a leadership role that oversees the operation of multiple teams of examiners and technical staff for workers' compensation claims. The ideal candidate will have experience in claims management and be able to provide technical direction to examiner reports. · ...

Description · Role: Claim Examiner // EZCAP Examiner · Hiring mode: Contract · Location: California, United States (Remote) · Work time zone: PST · Must have Skills: · EZ-CAP 5-6 years  · Medi-Cal (California Medicaid) experience · Role and Responsibilities: · Review, process, an ...

+Work remotely—your office, your vibe Empower a team and shape success Make an impact in a role that blends strategy and service · + · +Establishes and communicates performance standards and objectives and conducts performance appraisals. · Reviews files daily to provide instruct ...

Workers' Compensation Claims Examiner – Iowa (Single-Jurisdiction) · Employment Type: Direct Hire · Work Arrangement: Fully Remote · Location: Remote (Iowa jurisdiction experience required) · Position Overview · We are seeking an experienced Workers' Compensation Claims Examiner ...

Description · Ready to Take the Lead in Casualty Claims? · Work From Anywhere in the US · Join Us as a Casualty General Adjuster-Inside – Flexible Hours | 8 AM–5 PM (based on your location) · What's in it for you? · Own the Expertise: Handle complex auto and general liability cla ...

The Aggregate Stop Loss Specialist plays a critical role in managing Aggregate reporting and filings for self-funded clients. · ...

· Description · JOB DESCRIPTION SUMMARY · This position reports to the Manager Claims Operations in a production environment and is responsible for supporting the various departments within the company to provide claims services to reinsurance carriers to reimburse medical claim ...

We're looking for an Assistant Vice President, Claims · Based in the US and reporting to US-based Insurance Claims Coordinator, you will be responsible for Property/D&F and Casualty Claims management. · Hamilton Re is our Bermuda insurer underwriting property, casualty and spec ...

We're looking for an Assistant Vice President, Claims · Based in the US and reporting to US-based Insurance Claims Coordinator, you will be responsible for Property/D&F and Casualty Claims management. · Hamilton Re is our Bermuda insurer underwriting property, casualty and spec ...

Take the Lead in Casualty Claims – Work Remotely Across the USA · Senior Casualty Adjuster role involves examining claims forms and policies to determine coverages and investigating claims by interviewing insureds and claimants. · ...

Under general direction, supervises the investigation, · management and timely disposition of Liability claims within account, · carrier and/or company guidelines. · ...