Claims Examiner jobs in USA
587 claims examiner jobs found: showing 51 - 100
Claims Examiner Workers Compensation I Nv Experience Required
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner Workers Compensation I NV experience...s best brands? Apply your workers compensation examiner knowledge and experience to adjudicate complex customer claims in theLocation: USA, USA
| Salary: US$60234 - 90000 per year | Date posted: 19 Jun 2026
Investigative Auditor
Company: Cameo Consulting Group |
. Analyze and audit financial transactions, accounting systems, healthcare claims (Medicare, Medicaid, TRICARE, VA), procurement... records, and grant expenditures. Conduct statistical sampling analyses and damages calculations related to the False ClaimsLocation: Albany, NY, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Sr Claims Examiner (tpa Oversight)
Company: The Jonus Group |
Our client is seeking an experienced Commercial General Liability Claims Specialist to provide claims oversight... Liability claims Conduct claims reviews, approve reserves, and direct claims to closure Collaborate with various internalLocation: Albany, CA, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Claims Examiner I
Company: Tokio Marine |
Job Title: Claims Examiner I Location: Encino, CA Reports to: Claims Manager Employment Type: Full time Job Req ID... parental leave An opportunity to love what you do Job Summary Resolves claims by investigating losses through theLocation: Encino, CA, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Claims Examiner Workers Compensation I Ne Jurisdiction Experience Required
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner Workers Compensation I NE jurisdiction experience...s best brands? Apply your workers compensation examiner knowledge and experience to adjudicate complex customer claims in theLocation: USA, USA
| Salary: US$60234 - 90000 per year | Date posted: 19 Jun 2026
Associate Bond Claims Examiner
Company: Tokio Marine |
Claims Examiner Tokio Marine HCC Surety Group, a member of the Tokio Marine Group of Companies, has an exciting... opportunity for an Associate Claims Examiner position on-site at our office in Los Angeles, California. Do you have goodLocation: Los Angeles, CA, USA
| Salary: US$29.44 - 40.46 per hour | Date posted: 19 Jun 2026
Senior Claims Examiner - Complex Gl, Ny Labor Law, Bodily Injury, Remote
Company: Crum & Forster |
is looking for a senior claims specialist who enjoys being a key part of a dynamic team. As a Senior Claims Examiner, you will manage... strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and riskLocation: New York City, NY, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Claims Examiner Workers Compensation I Ny Experience Required
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner Workers Compensation I NY experience...s best brands? Apply your workers compensation examiner knowledge and experience to adjudicate complex customer claims in theLocation: USA, USA
| Salary: US$60234 - 90000 per year | Date posted: 19 Jun 2026
Workers Compensation Claims Examiner | Dedicated Client | Ny Jurisdiction Knowledge & Ny Licensing Required
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | NY Jurisdiction Knowledge & NY... customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who representLocation: Syracuse, NY, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Claims Examiner Workers Compensation I Tx Experience Required
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner Workers Compensation I TX experience...s best brands? Apply your workers compensation examiner knowledge and experience to adjudicate complex customer claims in theLocation: USA, USA
| Salary: US$60234 - 85000 per year | Date posted: 19 Jun 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: USA, USA
| Salary: unspecified | Date posted: 18 Jun 2026
Claims Examiner Workers Compensation I Ne Jurisdictions I Remote
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner Workers Compensation I NE Jurisdictions I Remote...s best brands? Apply your workers compensation examiner knowledge and experience to adjudicate complex customer claims in theLocation: USA, USA
| Salary: US$63404 - 90000 per year | Date posted: 18 Jun 2026
Supplemental Claims Examiner
Company: Standard Insurance Company |
This role is responsible for adjudicating and processing supplemental insurance claims from intake through final payment. The... insights, identifying process gaps, and collaborating with teammates to enhance the overall claims experience. KeyLocation: USA, USA
| Salary: unspecified | Date posted: 18 Jun 2026
Ops Medical Disability Examiner
Company: State of Florida |
OPPORTUNITY THIS IS AN OPS POSITION TITLE: OPS CLAIMS ADJUSTERS, EXAMINERS AND INVESTIGATORS MEDICAL DISABILITY EXAMINER...Requisition No: 877110 Agency: Department of Health Working Title: OPS MEDICAL DISABILITY EXAMINER - 64858503 PayLocation: Tallahassee, FL, USA
| Salary: US$22 per hour | Date posted: 18 Jun 2026
Non-clinical - Finance/accounting/claims Examiner
Company: US Tech Solutions |
Responsibilities: The claims examiner reports directly to the claims manager. They are primarily responsible for the processing...Job Description: Must have listed claims reimbursement experience Must have DOFR Must have processed lab claimsLocation: Whittier, CA, USA
| Salary: unspecified | Date posted: 18 Jun 2026
Senior Claims Examiner, Cyber
Company: Tokio Marine |
. As a Senior Claims Examiner, provides guidance and first-level claims examination and processing training, supervision and advice... for increasingly complex claims submitted under the applicable policy form. Accurately examines and processes claims for the businessLocation: New York City, NY, USA
| Salary: unspecified | Date posted: 18 Jun 2026
Senior Auto Liability Special Handling Unit Senior Claims Adjuster
Company: AssuredPartners |
deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving... claims, involving suspected misrepresentation, organized activity or material inconsistencies. While this is an individualLocation: Mechanicsburg, PA, USA
| Salary: unspecified | Date posted: 18 Jun 2026
Property Claims Examiner Ii
Company: Mercury Insurance Services, LLC |
, water, weather, or other unexpected events. The Property Claims Examiner will apply knowledge of current Company policies... is a plus 3-5+ years equivalent industry experience is preferred Knowledge and Skills: As a Property Claims Examiner 2Location: USA, USA
| Salary: US$76829 per year | Date posted: 18 Jun 2026
Disability Determination Examiner I - Charleston, Columbia, Greenville Offices
Company: State of South Carolina |
benefits, and a positive work-life balance! Under direct supervision, a disability determination examiner I evaluates a basic... caseload of claims for the Social Security Administration after completing the provided training. In this positionLocation: South Carolina, USA
| Salary: US$39300 - 53100 per year | Date posted: 18 Jun 2026
Ops Operations Analyst I
Company: State of Florida |
disability claims. This position requires the incumbent have good oral and written communication skills. Preference will be given... phone calls are correctly and timely routed to the appropriate examiner, supervisor, or other individualLocation: Miami, FL, USA
| Salary: US$20.25 per hour | Date posted: 18 Jun 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: 18 Jun 2026
Commercial Auto Liability Claims Examiner
Company: Berkley |
claims department is looking for an experienced Auto Liability Claims Examiner individual contributor to handle moderate... complexity auto claims in a fast paced energetic environment within our organization. This position requires an understandingLocation: Jersey City, NJ, USA
| Salary: US$85000 - 115000 per year | Date posted: 18 Jun 2026
Claims Examiner - Property
Company: Hiscox |
Job Type: Permanent Build a brilliant future with Hiscox Position: Claims Examiner- 1st Party Property Team: 1st... Party Property Band: I The Role: The Claims Examiner adjudicates assigned claims within given authority and providesLocation: Chicago, IL, USA
| Salary: US$70000 - 85000 per year | Date posted: 18 Jun 2026
Senior Investigator - Lead Validation (healthcare Fwa)
Company: Cotiviti |
. Utilizes data analytics, claims review, and industry intelligence to detect potential fraud, waste, abuse, or non-compliance.... Leverages claims data, dashboards, and predictive models to identify providers exhibiting atypical billing patterns or potentialLocation: USA, USA
| Salary: US$70000 - 90000 per year | Date posted: 18 Jun 2026
Market Conduct Examiner
Company: Montana State Government |
has an opportunity for a full-time Market Conduct Examiner in the Market Conduct Bureau in Helena, Montana. This position helps protect... handling, producer licensing, marketing and sales, policyholder service, underwriting and rating, and claims practicesLocation: Helena, MT, USA
| Salary: unspecified | Date posted: 18 Jun 2026
Senior Claims Examiner - Complex Gl, Ny Labor Law, Bodily Injury, Remote
Company: Crum & Forster Insurance |
is looking for a senior claims specialist who enjoys being a key part of a dynamic team. As a Senior Claims Examiner, you will manage... strength rating of "A+" (Superior) by AM Best and is proud of our superior customer service platform. Our claims and riskLocation: USA, USA
| Salary: unspecified | Date posted: 18 Jun 2026
Senior (special Investigation Unit (siu) Investigator
Company: AAA Life Insurance Company |
, underwriting, claims, and identity-related fraud schemes. Direct end-to-end case strategy, overseeing evidence development..., including the full policy lifecycle (from application, underwriting, policy servicing, and claims) and associated fraud risks. 8Location: Livonia, MI, USA
| Salary: unspecified | Date posted: 18 Jun 2026
Ops Records Analyst
Company: State of Florida |
disability claims. This position requires the incumbent have good oral and written communication skills. The primary duties... Security disability claims. The incumbent must be productive under tight deadlines and have the ability to balance multipleLocation: Pensacola, FL, USA
| Salary: US$20.25 per hour | Date posted: 18 Jun 2026
Associate Analyst, Claims - Hybrid
Company: XPO Logistics |
or more years of experience as a cargo claims examiner, analyst or in a similar capacity working with liability and risk...What you'll need to succeed as an Associate Analyst, Claims at XPO Minimum qualifications: Bachelor's degreeLocation: North Richland Hills, TX, USA
| Salary: unspecified | Date posted: 17 Jun 2026
Senior Regional Manager, Asset Protection
Company: Equinox |
, including theft, fraud, liability claims, litigation, and complimentary membership abuse. Conduct and ensure timely completion...). Advanced certifications: ASIS Certified Protection Professional (CPP) and/or Certified Fraud Examiner (CFE). BilingualLocation: New York City, NY, USA
| Salary: US$124000 - 134000 per year | Date posted: 17 Jun 2026
Senior Regional Manager, Asset Protection
Company: Equinox |
, including theft, fraud, liability claims, litigation, and complimentary membership abuse. Conduct and ensure timely completion...). Advanced certifications: ASIS Certified Protection Professional (CPP) and/or Certified Fraud Examiner (CFE). BilingualLocation: New York City, NY, USA
| Salary: US$124000 - 134000 per year | Date posted: 17 Jun 2026
Ops Operations Analyst I
Company: State of Florida |
disability claims. This position requires the incumbent have good oral and written communication skills. Preference will be given... phone calls are correctly and timely routed to the appropriate examiner, supervisor, or other individualLocation: Miami, FL, USA
| Salary: US$20.25 per hour | Date posted: 17 Jun 2026
Property & Liability Claims Examiner
Company: Association County Commissioners of GA |
Performs skilled technical work managing and resolving assigned property and liability claims on behalf of the Association..., and related work as apparent or assigned. Work is performed under the supervision of the Claims Supervisor. Claims InvestigationLocation: Georgia, USA
| Salary: US$70000 per year | Date posted: 17 Jun 2026
Unemployment Insurance Specialist
Company: Job & Family Services |
to adjudicate claims and issue decisions. Conduct comprehensive case reviews requiring independent judgment and full-cycle... months experience as Unemployment Insurance Examiner,16752. Or Option 2: 24 months experience in interpretingLocation: Ohio, USA
| Salary: US$26.54 per hour | Date posted: 17 Jun 2026
Associate Analyst, Claims - Hybrid
Company: XPO Logistics |
or more years of experience as a cargo claims examiner, analyst or in a similar capacity working with liability and risk...What youll need to succeed as an Associate Analyst, Claims at XPO Minimum qualifications: Bachelors degreeLocation: North Richland Hills, TX, USA
| Salary: unspecified | Date posted: 17 Jun 2026
Claims Assistant 2
Company: Association County Commissioners of GA |
claim before forwarding to Claims Examiner by appropriate party; verifies statistical or other records for accuracy...General Definition of Work Performs intermediate skilled administrative support work entering claims into theLocation: Atlanta, GA, USA
| Salary: US$45000 - 55000 per year | Date posted: 17 Jun 2026
Ops Records Analyst
Company: State of Florida |
disability claims. This position requires the incumbent have good oral and written communication skills. The primary duties... Security disability claims. The incumbent must be productive under tight deadlines and have the ability to balance multipleLocation: Pensacola, FL, USA
| Salary: US$20.25 per hour | Date posted: 17 Jun 2026
Siu Senior Recovery Resolution Analyst
Company: LHC Group |
, CPMA) or RHIT 2+ years of experience within the health insurance claims industry 1+ years of knowledge...+ years of investigative experience with fraud investigations Professional certification as a Certified Fraud Examiner (CFELocation: Plymouth, MN, USA
| Salary: unspecified | Date posted: 17 Jun 2026
Investigator
Company: LHC Group |
, and/or commercial health insurance) Experience with Facets, or other claims processing systems Certified Fraud Examiner preferred...), agents/brokers, sales operations, claims data, and internal systems Conduct and document interviews (on telephoneLocation: Minnetonka, MN, USA
| Salary: US$49700 - 88800 per year | Date posted: 17 Jun 2026
Principal Investigator
Company: LHC Group |
fraud, waste, and abuse. The Principal Investigator will utilize claims data, applicable guidelines, and other sources...) Accredited Health Care Fraud Investigator (AHFI) Certified Fraud Examiner (CFE) CPT & ICD Coding experience SpecializedLocation: Minnetonka, MN, USA
| Salary: US$72800 - 130000 per year | Date posted: 17 Jun 2026
Claims Examiner - Workers Compensation
Company: ICONMA |
Our client, a Global Insurance company, is looking for a Claims Examiner - Workers Compensation for their Alpharetta... assessments on Lost Time claims. Timely and appropriately communicate with internal and external customers relative to accountLocation: Alpharetta, GA, USA
| Salary: unspecified | Date posted: 17 Jun 2026
Senior Claim Examiner I
Company: AmTrust Financial |
Overview: The Lead Claim 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: Latham, NY, USA
| Salary: US$77500 - 105000 per year | Date posted: 17 Jun 2026
Certified Professional Coder - Professional Review Specialist Ii
Company: CorVel |
and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data... in the following areas preferred: Medical bill auditing Knowledge of workers' compensation claims process ProspectiveLocation: Hartford, CT, USA
| Salary: US$22.17 - 35.66 per hour | Date posted: 17 Jun 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: Dubuque, IA, USA
| Salary: unspecified | Date posted: 17 Jun 2026
Director Of Fraud Waste & Abuse Special Investigations Unit
Company: Boston Medical Center |
s degree in Health Law or Juris Doctor (JD) CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED: Certified Fraud Examiner (CFE... (KSAs): Knowledge of Medicare, Medicaid, and commercial health plan operations, including claims processing, providerLocation: USA, USA
| Salary: US$122000 - 177000 per year | Date posted: 17 Jun 2026
Administrative Appeals Judge (exempt)
Company: Washington State |
agencies. The boards issue decisions setting forth legal analyses of claims, and if a case goes to hearing, the boards issue..., hearings examiner or presiding officer; Experience as a mediator, or a willingness to complete a course of trainingLocation: Olympia, WA, USA
| Salary: US$125000 - 141837.12 per year | Date posted: 17 Jun 2026
Claims Examiner - Workers Compensation
Company: Sunrise Systems |
Job Title: Claims Examiner - Workers Compensation Location: Alpharetta, GA 30022 Duration: 3 Months (Temp to Perm... assessments on Lost Time claims. Timely and appropriately communicate with internal and external customers relative to accountLocation: Alpharetta, GA, USA
| Salary: unspecified | Date posted: 17 Jun 2026
Appeals Examiner - West Sacramento, Ca (on-site)
Company: Gainwell Technologies |
. Summary As Appeals Examiner - West Sacramento, CA (On-site), you can contribute your skills as we harness the power... and quality standards. Resubmit and adjust claims on approved appeals with the proper claim data correction and documentationLocation: West Sacramento, CA, USA
| Salary: US$37500 - 53500 per year | Date posted: 17 Jun 2026
Senior Investigator Pharmacy - Los Angeles County, Ca
Company: LHC Group |
of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources... level of proficiency with Microsoft Excel and Word Intermediate level of knowledge in pharmacy claims processing AbilityLocation: Los Angeles, CA, USA
| Salary: US$60200 - 107400 per year | Date posted: 16 Jun 2026
Claims Examiner - Workers Compensation (on-site Ontario, Ca)
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner - Workers Compensation (On-Site Ontario...s best brands? Apply your knowledge and experience to adjudicate complex workers compensation claims in the context