Claims Examiner jobs in USA
541 claims examiner jobs found: showing 51 - 100
Medical Review Associate Investigator
Company: Lakeview Hospital |
Job Category: Claims Services Job Description: HealthPartners is hiring a Medical Review Associate Investigator... of claims and provider data, assessing documentation and medical record completeness, identifying investigative risks or trendsLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Technician, Facility Services, Exterior Services-dot
Company: Walmart |
of parts, equipment, and travel-related costs. Submits warranty claims. Completes and submits forms (for example, expense... and be able to maintain a minimum of a 90 day Medical Examiners Certification (MEC) card, Associates degree or equivalentLocation: Guthrie, OK, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Wc Underwriter Supervisor (pn 20067858)
Company: Workers' Compensation |
of Underwriting - supervises Underwriting Consultants, Account Examiner 2 Supervisors, and Account Examiner 2's within the... Classification, Claims Coding and Audit Review Units. Reviews underwriting determinations for sound judgement & compliance with lawsLocation: Franklin County, OH - Columbus, OH, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Ops Operations Analyst I
Company: State of Florida |
of Social Security disability claims. This position requires the incumbent have good oral and written communication skills... with claimants on the phone to ensure all incoming phone calls are correctly and timely routed to the appropriate examinerLocation: Tampa, FL, USA
| Salary: US$20.25 per hour | Date posted: 14 Jul 2026
Medical Review Associate Investigator
Company: Lakeview Hospital |
Job Category: Claims Services Job Description: HealthPartners is hiring a Medical Review Associate Investigator... of claims and provider data, assessing documentation and medical record completeness, identifying investigative risks or trendsLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Medical Review Investigator
Company: Lakeview Hospital |
Job Category: Claims Services Job Description: HealthPartners is hiring a Medical Review Investigator. The Medical... evaluating allegations, analyzing claims data, reviewing medical records, conducting interviews, and performing investigativeLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Claims Examiner
Company: Farm Bureau Financial Services |
Claims Examiner - Life & Annuity Do you desire to make a difference? Are you a flexible team player, a hard worker... of our client/members and creating an atmosphere where our employees thrive. What You'll Do: As a Claims ExaminerLocation: West Des Moines, IA, USA
| Salary: unspecified | Date posted: 13 Jul 2026
Medical Review Associate Investigator
Company: Lakeview Hospital |
Job Category: Claims Services Job Description: HealthPartners is hiring a Medical Review Associate Investigator... of claims and provider data, assessing documentation and medical record completeness, identifying investigative risks or trendsLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 13 Jul 2026
Ops Operations Analyst I
Company: State of Florida |
of Social Security disability claims. This position requires the incumbent have good oral and written communication skills... with claimants on the phone to ensure all incoming phone calls are correctly and timely routed to the appropriate examinerLocation: Tampa, FL, USA
| Salary: US$20.25 per hour | Date posted: 13 Jul 2026
Claims Examiner, General Liability
Company: Arch Capital Group |
with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities... include actively managing commercial general liability claims for medium severity, and general liability, as well as theLocation: Jersey City, NJ, USA
| Salary: US$61900 - 96100 per year | Date posted: 13 Jul 2026
Ops Records Analyst
Company: State of Florida |
incumbents primary responsibility is to perform duties that assist us with the processing of Social Security disability claims... is responsible for the routine technical electronic records management activities relating to Social Security disability claims. TheLocation: Tampa, FL, USA
| Salary: US$20.25 per hour | Date posted: 13 Jul 2026
Lead Claim Examiner I
Company: AmTrust Financial |
Overview: The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement... or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medicalLocation: Chicago, IL, USA
| Salary: US$77500 - 87000 per year | Date posted: 13 Jul 2026
Lead Claim Examiner I
Company: AmTrust Financial |
Overview The Lead Claims Examiner is responsible for prompt and efficient investigation, evaluation and settlement... or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medicalLocation: Chicago, IL, USA
| Salary: US$77500 - 87000 per year | Date posted: 13 Jul 2026
Sr Claim Examiner-liability
Company: Crawford & Company |
We're Hiring: Senior Claim Examiner - Liability This is an exciting opportunity to join a global leader in claims... Employee Referral Bonus Program Access to Multiple Employee Discounts We're looking for a Senior Claim ExaminerLocation: New Orleans, LA, USA
| Salary: unspecified | Date posted: 12 Jul 2026
Sr Claim Examiner- Wc
Company: Crawford & Company |
Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works... within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, securesLocation: Hauppauge, NY, USA
| Salary: unspecified | Date posted: 12 Jul 2026
Medicaid Fraud Supervisor, Springfield, 23-e
Company: Illinois Attorney General (IL) |
and participate in accessing, querying, and researching Medicaid claims data and related health care claims coding information...; respond to investigator and examiner data requests; and interact and collaborate with investigators and examiners regardingLocation: USA, USA
| Salary: US$90000 per year | Date posted: 12 Jul 2026
Medicaid Fraud Supervisor, Chicago Or Oakbrook, 23-e
Company: Illinois Attorney General (IL) |
and participate in accessing, querying, and researching Medicaid claims data and related health care claims coding information...; respond to investigator and examiner data requests; and interact and collaborate with investigators and examiners regardingLocation: Chicago, IL, USA
| Salary: US$80000 - 110000 per year | Date posted: 12 Jul 2026
Sr Claim Examiner- Wc
Company: Crawford & Company |
Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works... within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, securesLocation: Overland Park, KS, USA
| Salary: unspecified | Date posted: 11 Jul 2026
Senior Claims Examiner
Company: Core Specialty Insurance Services, Inc. |
- Multi-state commercial insurance carrier is seeking a qualified Senior Claims Examiner for a position... in their Vancouver, WA claims office. Key Accountabilities/Deliverables: Investigate commercial insurance automobile, property damageLocation: Vancouver, WA, USA
| Salary: US$80200 - 85000 per year | Date posted: 11 Jul 2026
Senior Investigator (full-time, Remote)
Company: Integrity Management Services, Inc. |
. Experience reviewing healthcare claims, enrollment records, medical records, or other complex documentation. Experience.... Certified Fraud Examiner (CFE) or Accredited Healthcare Fraud Investigator (AHFI) preferred (or may be required basedLocation: Alexandria, VA, USA
| Salary: unspecified | Date posted: 11 Jul 2026
Physician - Optumserve - Veteran Compensation Exams - Remote And Travel
Company: LHC Group |
Disability Examiner to join our growing team! Responsibilities include evaluating and conducting exams for Medical Disability... claims for Veteran's. This role requires traveling on-site, within an assigned region, to fixed facility and mobile unitLocation: USA, USA
| Salary: unspecified | Date posted: 11 Jul 2026
Manager – Stop Loss Claims – Remote
Company: Symetra Life Insurance Company |
Symetra has an exciting opportunity to join our team as a Manager, Stop Loss Claims! About the role In this role..., you will lead daily claims operations while driving service excellence, operational effectiveness, and continuous improvementLocation: USA, USA
| Salary: US$96700 - 161200 per year | Date posted: 11 Jul 2026
Manager Special Investigations
Company: Health Care Service Corporation |
: Accredited Healthcare Fraud Investigator (AHFI), Certified Professional Coder (CPC), and/or Certified Fraud Examiner (CFE). 1... leadership capabilities. Keen analytical, interviewing, and investigative skills, with proficiency in data analysis and claimsLocation: Chicago, IL, USA
| Salary: US$92700 - 167500 per year | Date posted: 11 Jul 2026
Claims Examiner 5
Company: Swift Transportation |
and litigated transportation claims throughout the United States. This role requires an advanced expertise in liability and damage... all claims payments within the delegated authority or within the maximum limits as outlined in company policies and proceduresLocation: Phoenix, AZ, USA
| Salary: unspecified | Date posted: 11 Jul 2026
Wc Claims Examiner
Company: Berkley |
compensation claim processing experience. Experience must include handling of medical-only, lost-time and litigated claimsLocation: Saint Paul, MN, USA
| Salary: US$52000 - 55000 per year | Date posted: 11 Jul 2026
Claims Examiner
Company: Anchor General Insurance Agency |
Description As an experienced claims professional, you will play a critical role by being part of our claims team... settlement according to fair claims handling requirements. In this role, you will investigate, evaluate and negotiate claimsLocation: San Diego, CA, USA
| Salary: unspecified | Date posted: 11 Jul 2026
Claims Examiner 4
Company: Swift Transportation |
, both with and without attorney representation, including investigation, evaluation, and settlement of assigned claims. This position... will handle DOT claims, pre-suit bodily injury claims, and lawsuits serving as a technical resource to team members for complexLocation: Phoenix, AZ, USA
| Salary: US$81800 - 117400 per year | Date posted: 10 Jul 2026
Principal Investigator Pharmacy - Dallas And Houston, Tx
Company: LHC Group |
fraud, waste, and abuse. The Principal Investigator will utilize claims data, applicable guidelines, and other sources... of proficiency in Microsoft Excel and Word Demonstrate advanced level of knowledge in pharmacy claims processing ResideLocation: Dallas, TX - Houston, TX, USA
| Salary: US$72800 - 130000 per year | Date posted: 10 Jul 2026
Medical Claims Examiner
Company: Employ-Temps |
Medical Claims Examiner We are currently seeking an experienced Medical Claims Examiner for a position in Uniontown..., Ohio. Were looking for candidates with a background in handling medical claims and a desire to work in a dynamic healthLocation: Uniontown, OH, USA
| Salary: US$18 per hour | Date posted: 10 Jul 2026
Claims Examiner
Company: ICONMA |
Our Client, a Property and Casualty Insurance company, is looking for a Claims Examiner for their New Haven, CT...'s expectations for exceptional claims handling service. Requirements: Claim Examiner position with prior experience in workersLocation: New Haven, CT, USA
| Salary: unspecified | Date posted: 10 Jul 2026
Claims Analyst I
Company: General Dynamics |
Workers' Compensation claims. Reports to the Workers' Compensation Manager. Communicate with Claims Examiners, Claims Analysts... officials, and State WCAB officials. ESSENTIAL FUNCTIONS AND DUTIES Administer Workers' Compensation claims under theLocation: San Diego, CA, USA
| Salary: US$60500 - 90800 per year | Date posted: 10 Jul 2026
Property Claims Examiner
Company: Brown & Brown |
what is best for our customers. Brown & Brown is seeking a Property Claims Examiner to join our growing team in Garden City, NY! This position... will be responsible for the handling of first party property losses, proactively handling claims from first notice of loss throughLocation: Garden City, NY, USA
| Salary: US$80000 - 100000 per year | Date posted: 10 Jul 2026
Career Coach (business And Employment Specialist 2) – Medford Worksource Office
Company: State of Oregon |
, application examiner, unemployment insurance, examination proctor, information clerk, insurance aide, public counter intake person..., employment and claims aide, employment services, job placement, recruiter, vocational guidance, or retail industry if it involvedLocation: Medford, OR, USA
| Salary: US$4519 - 6276 per month | Date posted: 10 Jul 2026
Senior California Workers' Compensation Claims Examiner | Remote
Company: KING'S INSURANCE STAFFING LLC |
Our client, an A-rated Insurance Carrier, is looking to bring on a Senior Workers Compensation Claims Specialist... Lost Time claims from inception to close. Qualified candidates must reside in California and have their SIPLocation: USA, USA
| Salary: US$40 - 45 per hour | Date posted: 10 Jul 2026
Employee Insurance Examiner 2
Company: New York State |
Employee Insurance Examiner 2 duties in the Employee Benefits Division will include but are not limited to the following.../clerical duties, processing claims and/or bookkeeping, processing personnel or benefits transactions. Examples of qualifyingLocation: Albany, NY, USA
| Salary: US$56506 - 68630 per year | Date posted: 10 Jul 2026
Sr Claim Examiner-liability
Company: Crawford & Company |
We're Hiring: Sr. Claims Examiner - Liability (REMOTE!) Ready to level up your claims career? Join us as a Senior... Claims Examiner - Liability, where you'll manage high-exposure, complex claims and oversee the full processLocation: Georgia, USA
| Salary: unspecified | Date posted: 09 Jul 2026
Claims Analyst I
Company: National Steel and Shipbuilding Com |
Workers Compensation claims. Reports to the Workers Compensation Manager. Communicate with Claims Examiners, Claims Analysts... officials, and State WCAB officials. ESSENTIAL FUNCTIONS AND DUTIES Administer Workers Compensation claims under theLocation: San Diego, CA, USA
| Salary: US$60500 - 90800 per year | Date posted: 09 Jul 2026
Investigator
Company: LHC Group |
, waste, and abuse. The Investigator will utilize claims data, applicable guidelines, and other sources of information... (NHCAA) Accredited Health Care Fraud Investigator (AHFI) Certified Fraud Examiner (CFE) Certified Professional Coder (CPCLocation: Houston, TX, USA
| Salary: US$49700 - 88800 per year | Date posted: 09 Jul 2026
Travel Claims Examiner Customer Service Representative
Company: One80 Intermediaries |
As a Travel Claims & Customer Service Representative, you will take the first reports of claims and will initiate the... claims process. This is a front-line position in our Travel department and is crucial in setting the tone for fulfillingLocation: Florida, USA
| Salary: US$17 - 21 per hour | Date posted: 09 Jul 2026
Claims Examiner, Auto | Bodily Injury
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process... complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determiningLocation: Seven Hills, OH, USA
| Salary: US$70000 per year | Date posted: 09 Jul 2026
Claims Examiner - Workers Compensation
Company: ICONMA |
Our client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation for their Roseville..., CA/Remote location. Responsibilities: Analyzes and processes complex or technically difficult workers' compensation claimsLocation: Roseville, CA, USA
| Salary: unspecified | Date posted: 09 Jul 2026
Workforce Absence Team Lead
Company: Sedgwick |
individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication... to examiner reports on claims adjudication. Compiles, reviews, and analyzes management reports and takes appropriate actionLocation: Dublin, OH - Glendon, AB, USA
| Salary: unspecified | Date posted: 09 Jul 2026
Investigator
Company: LHC Group |
, waste, and abuse. The Investigator will utilize claims data, applicable guidelines, and other sources of information...) Accredited Health Care Fraud Investigator (AHFI) Certified Fraud Examiner (CFE) Certified Professional Coder (CPCLocation: Houston, TX, USA
| Salary: US$49700 - 88800 per year | Date posted: 09 Jul 2026
Active Indemnity Examiner
Company: JOINT INDUSTRY BOARD OF THE ELECTRICAL INDUSTRY |
Title: Active Indemnity Examiner Grade: 9 (OPEIU L153) Rate of Pay: $77,384.92 per year (weekly..., under general supervision, the Active Indemnity Examiner, Grade 9 will perform various duties including but not limited to: ManageLocation: New York, USA
| Salary: unspecified | Date posted: 08 Jul 2026
Claim Examiner Associate - Maitland Office
Company: AmTrust Financial |
. As a Workers Compensation Claims Examiner Associate, you'll dive into investigating and resolving employee injury claims. You'll... settle claims using your investigative insights. Note, this is an in-office opportunity out of our Maitland, FL officeLocation: Maitland, FL, USA
| Salary: US$26.5 per hour | Date posted: 08 Jul 2026
Rn Pharmacy
Company: Sedgwick |
drug utilization reviews through the pharmacy benefit manager or vendor. Communicates effectively with claims examiner.... Acts as a resource in consulting with the client, nursing staff and claims examiners regarding pharmacy issues. PerformsLocation: USA, USA
| Salary: US$65000 - 67000 per year | Date posted: 08 Jul 2026
Medical Claims Examiner Remote
Company: NTT Data |
NTT Data is Hiring! Medical Claims Examiner - Remote Processing of Professional claim forms files by provider... timelines to complete compliance training of NTT Data/Client Work independently to research, review and act on the claimsLocation: Plano, TX, USA
| Salary: unspecified | Date posted: 08 Jul 2026
Risk Management Specialist
Company: Meijer |
handled by examiners. Audit examiner claim files. Train and mentor claims staff. Handle and evaluate assigned False Arrest... below and apply today! Adjudicates general liability claims. What Youll Be Doing: Handle and evaluate assigned represented claims. Conduct claimLocation: Grand Rapids, MI, USA
| Salary: unspecified | Date posted: 08 Jul 2026
Claim Examiner Associate - Maitland Office
Company: AmTrust Financial |
. As a Workers Compensation Claims Examiner Associate, you'll dive into investigating and resolving employee injury claims. You'll... settle claims using your investigative insights. Note, this is an in-office opportunity out of our Maitland, FL officeLocation: Maitland, FL, USA
| Salary: US$26.5 per hour | Date posted: 08 Jul 2026
Dental Appeals Sr. Claims Examiner
Company: Lincoln Financial Group |
at a Glance This position is responsible for the review of denied Dental Claims. You will manage dental claims appeals... and DentalConnect as needed, while adhering to PHI. Read on! What you'll be doing You will analyze & process claims