Claims Examiner - San Bernardino, CA

The Claims Examiner reviews medical claims for a management services organization (MSO) supporting medical clinics and Independent Practice Association (IPA) groups. · Reviews, analyzes, and adjudicates medical claims. · ...

The Claims Examiner reviews and adjudicates medical claims for a management services organization (MSO) supporting medical clinics and IPA groups. This role applies plan rules to ensure timely compliance with federal requirements. · Reviewing and analyzing medical claims. · Adjud ...

The Claims Examiner is responsible for determining eligibility for purchase referred care (PRC) Patients and who would be responsible for payment according to tribal affiliation pricing and I.H.S. guidelines. · Determine eligibility for PRC and who is responsible for payment, acc ...

The Claims Examiner is responsible for determining eligibility for purchase referred care (PRC) Patients and who would be responsible for payment according to tribal affiliation pricing and I.H.S. guidelines. · This position requires two years' experience in business required; pr ...

The Claims Examiner is responsible for determining eligibility for purchase referred care (PRC) Patients and who would be responsible for payment according to tribal affiliation pricing and I.H.S. guidelines. · ...

We help clients face risk with confidence because we believe that when businesses are protected, they're free to grow. You'll be backed by our digital ecosystem: client-centric suite of consulting tools and advanced data analytics providing comprehensive overview of the risk land ...

We help clients face risk with confidence because we believe that when businesses are protected, they're free to grow, lead, and innovate. You'll be backed by our digital ecosystem: a client-centric suite of consulting tools making it easier for you to meet your clients where the ...

This role handles a variety of claims including complex claims of high dollar value. · Presents claims in a roundtable setting or at a claim review. · ...

Job summaryBy joining Sedgwick, you'll be part of something truly meaningful. It's what our colleagues do every day for people around the world who are facing the unexpected. · ...

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. · ...

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 and experience our caring culture.Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. · ...

By joining Sedgwick, you'll be part of something truly meaningful. · We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance.Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution b ...

Sedgwick is seeking a Claims Examiner to join their team. The ideal candidate will have experience in claims management and be able to analyze workers' compensation claims. · ...

This is an opportunity to join Sedgwick as a Workers Compensation Claims Examiner. · Analyze and process claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. · Negotia ...

We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. · Analyze workers' compensation claims on behalf of our valued clients to determine benefits due. · ...

By joining Sedgwick, you'll be part of something truly meaningful. It's what our colleagues do every day for people around the world who are facing unexpected situations. · Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution ...

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. · Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution ...

Join Sedgwick as Workers Compensation Claims Examiner to analyze claims on behalf of valued clients determining benefits due while ensuring ongoing adjudication within service expectations industry best practices specific client service requirements. · ...

Analyze workers' compensation claims on behalf of valued clients to determine benefits due and ensure ongoing adjudication within service expectations. · ...