236 senior claims examiner jobs found

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) This position is responsible for accurate and prompt payment of claims, in addition to reporting of statistics/data and handling complex claims pricing methodology. The Sr. Claims Examiner functions as a subject matter expert, and provides guidance to Claims Examiners on more complex issues. Examiners are responsible for adjudication of all claims.  Examiners are responsible for handling customer service calls as needed, recalculating claims on an as needed basis.  Examiners will be expected to maintain production and quality standards. Primary Responsibilities: Coordinates with the Claims Manager and/or Claims Supervisor on workflow issues and the handling of batches in date order Documents all claims production via the system BA screen (which tracks individual...

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your life’s best work.(sm) This position is responsible for accurate and prompt payment of claims, in addition to reporting of statistics/data and handling complex claims pricing methodology. The Sr. Claims Examiner functions as a subject matter expert, and provides guidance to Claims Examiners on more complex issues. Examiners are responsible for adjudication of all claims.  Examiners are responsible for handling customer service calls as needed, recalculating claims on an as needed basis.  Examiners will be expected to maintain production and quality standards. Primary Responsibilities: Coordinates with the Claims Manager and/or Claims Supervisor on workflow issues and the handling of batches in date order Documents all claims production via the system BA screen (which tracks individual...

Our client has been experiencing tremendous growth and is expanding their General Liability Claims Division. They are seeking to add an experienced Senior Claims Adjuster to their remote team. This position will consist of handling mid to complex commercial auto, bodily injury, and general liability claims for jurisdictions nationwide. These files will be litigated as well with a pending of 130-140+ cases. This person will be working in a full-time remote position. Job Requirements: 5 + years handling litigated general liability claims; some Commercial Auto is a plus! As many licenses as possible! 5+ active licenses is ideal  TPA experience is great, but a combination of TPA and Carrier is even BETTER! Preferred Licensure: TX or FL     Essential Duties & Responsibilities:   Handle high-end litigated, general liability, claims for premium accounts Types of Claims: Slip & Falls, Product Contamination, Premise Liability (80%...

Our client has been experiencing tremendous growth and is expanding their General Liability Claims Division. They are seeking to add an experienced Senior Claims Adjuster to their remote team. This position will consist of handling mid to complex commercial auto, bodily injury, and general liability claims for jurisdictions nationwide. These files will be litigated as well with a pending of 130-140+ cases. This person will be working in a full-time remote position. Job Requirements: 5 + years handling litigated general liability claims; some Commercial Auto is a plus! As many licenses as possible! 5+ active licenses is ideal  TPA experience is great, but a combination of TPA and Carrier is even BETTER! Preferred Licensure: TX or FL     Essential Duties & Responsibilities:   Handle high-end litigated, general liability, claims for premium accounts Types of Claims: Slip & Falls, Product Contamination, Premise Liability (80%...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) If you are located in Ontario, CA, you will have the flexibility to telecommute* as you take on some tough challenges.  Primary Responsibilities: Accurately process institutional claims Responsible for editing and adjusting of claims per the EDI daily audit report Analyze and adjudicate claims to ensure accurate payment Interpret Fee for Service (FFS) and capitated provider contracts Review claims on a...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. Fraud Technology - Financial Services Consulting - Senior At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. We help some of the leading financial institutions in the world stay ahead of key regulatory requirements in the Banking and Capital Markets, Asset Management, Insurance spaces and Private Equity spaces and provide...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...

If you are located in Las Vegas, NV, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Training is conducted virtually from your home. This role is an onsite role and once training is completed, you will transition to work in the office in the future. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life’s best work.SM Flexible, Friendly, Fast on your feet, that's a great start. Accurate, Accountable, Self-Directed; These traits can take you places. Our claims operations are the focal point of handling information about services patients receive and they way those services get paid. It's complex, detailed work. It's fast paced challenge. It's a job that calls on you to be thoughtful, resourceful,...