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Claims Examiner
2 weeks ago
AllSearch Recruiting Dallas, United StatesClaims Examiner - Insurance - Base Salary to 94 k/year - Dallas, TX Our client is a national Third Party Administrator who is looking for a Claims Examiner to join their team in a remote capacity. Their company has been in business for almost 50 year Claims, Examiner, Insurance, ...
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Claim Examiner
2 weeks ago
Select Source International Dallas, United StatesJob DescriptionJob DescriptionJob DescriptionInvestigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.Adjust reserves or provide reserve recommendations ...
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Medical Claims Examiner
2 days ago
TEKsystems Dallas, United StatesOur client is hiring a fully remote Claims Examiner to help with a backlog of claims · Shift: need to be open to working a shift between 7am-6pm EST M-F · Description: · + Accurately reviews, research and resolves suspended and peer review claims, adjustments, correspondence and ...
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Claim Examiner
2 weeks ago
Crawford & Company Dallas, United StatesExcellence In Everything We Touch · Position Summary · Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly a ...
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Senior Claims Examiner
1 week ago
UnitedHealth Group Dallas, United StatesReview, process and identify medical claims based on standard operating procedures on CPS. Apply appropriate processes and procedures to process claims (e.g., claims processing policies and procedures, grievance procedures, state mandates, CMS/ Medic Claims, Examiner, Processing, ...
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Senior Claims Examiner
1 week ago
Crawford & Company Dallas, United StatesExcellence In Everything We Touch · Position Summary · + GREAT WORK FROM HOME OPPORTUNITY · + Offers Monthly Performance Incentive · + Generous Employee Referral Bonus Program · + Candidates must have experience in managing TX Workers Compensation Claims · + Licensing is a ...
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Medical Claims Examiner
3 weeks ago
CSI Irving, United States Contract-to-HireThe CSI Companies is actively seeking a Medical Claims Examiner for a fast-growing, international hospital system in the Irving, TX area that Forbes recently rated among the best employers in Texas · Job Summary$18-21/hour Depending on Experience · ON-SITE, Monday-Friday 8am–5pm ...
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Senior Workers Compensation Claims Examiner
5 days ago
AIG Dallas, United StatesAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. Its an opportunity to grow your skills and experience as a valued member of the team. · Join us as a Senior WC ...
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Sr Claim Examiner-Liability
3 weeks ago
Tech Providers Dallas, United StatesRole: Sr Claim Examiner-Liability · Location: Dallas, TX (Local Remote) · Duration: 2-3+ Months Contract (Good Potential of extension) · Additional Details: Must have an active Texas license. · Experience with Auto claims and has experience with litigation. · Job RolesInterprets ...
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Sr Claim Examiner-Liability
3 weeks ago
Abacus Dallas, United StatesDepartment: · 02305 | SRMS | R0088 | BUS : RM Dallas · Job Category: · Claims · Job Code: · Sr Claim Examiner-Liability:BS0170 · Job Title: · Sr Claim Examiner-Liability · Keywords: · Number of Positions: · 1 · Remaining Positions: · 1 · Duties: · Interprets and mak ...
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Medical Claims Examiner
3 weeks ago
WebTPA Irving, United StatesWebTPA is looking to hire Medical Claim Examiners to join our team in Irving, TexasPrior experience in Healthcare Claim Processing is needed. Key position details:Our paid training program is scheduled to start August 5, 2024. This is a fully in office position: 8500 Freeport Par ...
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Sr Claim Examiner-Liability
3 weeks ago
Hornet Staffing, Inc. Dallas, United States:Interprets 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 strategy with leg ...
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Senior Workers Compensation Claims Examiner
1 week ago
American International Group Dallas, United StatesAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Workers Compensation Claims Examiner to play your part in that transformation. It's an opportunity to grow your skills and experience as a valued member of the team. · Join us as a Senior WC ...
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Claims Examiner III
4 days ago
AmRisc Fort Worth, United StatesThe position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. · Need Help? · If you have a disability and need assistance with the application, you can requ ...
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Medical Claims Examiner
2 weeks ago
WebTPA Irving, United StatesWebTPA is looking to hire Medical Claim Examiners to join our team in Irving, Texas · Prior experience in Healthcare Claim Processing is needed. · Key position details: · Our paid training program is scheduled to start August 5, 2024. · This is a fully in office position: 85 ...
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Life & Health Claims Examiner
3 weeks ago
Horace Mann Educators Corporation Addison, United StatesLife & Health Claims Examiner · We're motivated by the fact that educators take care of our children's future, and we believe they deserve someone to look after theirs. We help educators identify their financial goals and develop plans to achieve them. This includes insurance to ...
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Life & Health Claims Examiner
5 days ago
Horace Mann Addison, United States(Hybrid) Addison, TX · Hybrid work position for a Claims Examiner responsible for set-up and processing claims while providing exceptional quality service in a timely manner in an effort to build customer satisfaction and loyalty · Essential Functions Link and set-up Wellness a ...
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1099 CAT Claims Examiner
1 week ago
Hancock Claims Consultants Technicians Arlington, United StatesJob Description · Job DescriptionAt Hancock Claims Consultants, we are at the forefront of claims resolution services, offering nationwide coverage, swift and comprehensive claims inspections, and unparalleled quality and precision. Our established process ensures top-tier claims ...
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Claims Examiner III
4 weeks ago
Wellington Insurance Group Fort Worth, United StatesJob Description · Job DescriptionAs a Claims Examiner III at Wellington, you would be responsible for investigating, evaluating, negotiating, and resolving personal lines property claims (homeowner). You would also be responsible for adjusting major and complex losses in their en ...
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Aviation Claims Examiner Plano, Texas
1 week ago
Tokio Marine HCC Plano, United States RegularDescription · Position at Tokio Marine HCC USSIC has an exciting opportunity for an experienced Aviation Claims Examiner in our office located in Plano, Texas. · In your role as the Aviation Claims Examiner, you will be responsible for efficient claims processing, accurate payme ...
Claim Examiner - Dallas, United States - Select Source International
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Description
Job DescriptionJob Description
Job Description
Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
Resolve complex, severe exposure claims, using high service-oriented file handling.
Pay and process claims within designated authority level.
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
Confer with legal counsel on claims requiring litigation.
Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.
Qualifications/Education:
Licensing requirements vary by state.
Proficiency in analytical, document management, and database query software.
Proficiency in Microsoft Office applications.
Two to four years of work-related experience.
Exceptional attention to detail.
Excellent customer service and communication skills.
Desired Qualities:
General knowledge of state and national laws and regulations.
General understanding of medical and legal terms.
Must Have - NY Adjuster License
Company Description
Select Source International (SSI) is an IT, Health Care, and Engineering Services consulting firm that has been in business since 1998.
SSI consultants have provided exceptional services that have been appreciated by clients, customers, and users alike at several large Fortune 500 companies, mid-size enterprises, and consulting companies.
Company DescriptionSelect Source International (SSI) is an IT, Health Care, and Engineering Services consulting firm that has been in business since 1998.
SSI consultants have provided exceptional services that have been appreciated by clients, customers, and users alike at several large Fortune 500 companies, mid-size enterprises, and consulting companies.
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