Claims Examiner jobs in USA
540 claims examiner jobs found: showing 101 - 150
Complex Claims Specialist
Company: Argo Group |
to those mentioned above can be substituted for a bachelors degree. Licensed Claims Examiner (Based on state) Must be licensed... Title(s): Complex Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location: In Office - Any employeeLocation: Omaha, NE, USA
| Salary: US$93228 - 116994 per year | Date posted: 18 Aug 2026
Risk Control Consultant Boiler And Machinery
Company: The Travelers |
and claims investigations on less complex accounts as assigned. Participates in individual training opportunities to enhance... of controls preventing equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claimsLocation: Orlando, FL, USA
| Salary: US$73900 - 122000 per year | Date posted: 18 Aug 2026
Investigator Iii
Company: Premera Blue Cross |
. (Required) Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI... experience with relevant technology, such as background check systems, claims processing platforms, data mining, and fraudLocation: Mountlake Terrace, WA, USA
| Salary: US$80200 - 118300 per year | Date posted: 18 Aug 2026
Complex Claims Specialist
Company: Argo Group |
be substituted for a bachelors degree. Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain... Title(s): Complex Claims Specialist Employment Type: Full-Time FLSA Status: Exempt Location: In Office - Any employeeLocation: Omaha, NE, USA
| Salary: US$93228 - 116994 per year | Date posted: 18 Aug 2026
Medicaid Payment Integrity Sme
Company: BerryDunn |
(TPL), payment integrity, and claims review initiatives. You will manage forensic review, investigative, and claims audit.... You will provide oversight and management of day-to-day operation of program integrity activities including claims audits, forensicLocation: Kapolei, HI, USA
| Salary: US$110000 - 140000 per year | Date posted: 18 Aug 2026
Assistant Insurance Fund Services Representative
Company: New York State |
only Case Manager in the NYS Segment. Work-up and process Workers' Compensation claims. Approve and deny medical bills... about claims. File forms and correspond with the Workers' Compensation Board. Review claims for retirement or transfer to lostLocation: New York City, NY, USA
| Salary: US$57413 - 69061 per year | Date posted: 18 Aug 2026
Siu Investigator
Company: Kemper |
of insurance claims referred to and accepted for investigation by the Special Investigative Unit. Our Special Investigator... functions include: Investigation of claims, analysis and development of facts and evidence, and conducting and/or directingLocation: Dallas, TX, USA
| Salary: US$61900 - 102900 per year | Date posted: 18 Aug 2026
Senior General Liability Claims Examiner - Remote
Company: The Jonus Group |
Seeking a highly skilled and experienced Senior General Liability Claims Examiner to join a dynamic team. The ideal... candidate will have a strong background in handling complex general liability claims, including both litigated and non-litigatedLocation: Suwanee, GA, USA
| Salary: US$90000 - 100000 per year | Date posted: 18 Aug 2026
Vocational Disab Examiner I-dds Everett
Company: Massachusetts Trial Court |
to fill the role of Vocational Disability Examiner. In this role, the selected candidates will adjudicate SSA Disability cases... Disability Examiner will also evaluate applicants eligibility for disability insurance benefits, contact applicantsLocation: USA, USA
| Salary: unspecified | Date posted: 18 Aug 2026
Claims Examiner Ii - Provider Projects
Company: HealthEdge |
-centricity, and leadership. You Are UST HealthProof is looking for Claims Examiner II, reporting to the Claims Team Leader.... The Claims Examiner II is responsible for the adjudication of healthcare claims utilizing specific policies and proceduresLocation: USA, USA
| Salary: US$40000 - 44000 per year | Date posted: 18 Aug 2026
Career Coach (business & Employment Specialist 2) – Limited Duration Position In Roseburg
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: Roseburg, OR, USA
| Salary: US$4519 - 6276 per month | Date posted: 18 Aug 2026
Medical Payments Examiner
Company: Shelter Insurance |
A company built to serve you. It's your career, Shelter it! Medical Payments Examiner $19.28 minimum starting pay... position. What You Will Be Doing: Investigate, analyze, evaluate, and process insurance claims involving Medical PaymentsLocation: USA, USA
| Salary: unspecified | Date posted: 17 Aug 2026
Director Of Product Management, Infrastructure And Operations
Company: Symetra Life Insurance Company |
and opportunities to learn and grow--both within your role and beyond--make it a great place to build your career." \- Alicia L., Claims... Examiner "Symetra cares about doing what's right for their customers and that we have a great culture." - Jackie B., RegionalLocation: USA, USA
| Salary: unspecified | Date posted: 16 Aug 2026
Siu Investigator
Company: Kemper |
of insurance claims referred to and accepted for investigation by the Special Investigative Unit. Our Special Investigator.... Basic functions include: Investigation of claims, analysis and development of facts and evidence, and conductingLocation: Miami, FL, USA
| Salary: unspecified | Date posted: 15 Aug 2026
Claims Examiner Ii
Company: Partnership HealthPlan of California |
Examiner II is distinguished from Claims Examiner I by a higher level of autonomy and experience, as well as an ability...Overview: To review, research, and resolve claims for all Medi-Cal claim types within established productionLocation: Fairfield, CA, USA
| Salary: unspecified | Date posted: 15 Aug 2026
Customer Solutions Specialist
Company: Symetra Life Insurance Company |
a great place to build your career." \- Alicia L., Claims Examiner "What I was searching for was a company that genuinely... as a resource for internal teams, including customer service, sales, operations, claims and other key stakeholders. BuildLocation: USA, USA
| Salary: unspecified | Date posted: 15 Aug 2026
Manager, Specialty Liability Claims (primarily Home)
Company: American Family Insurance |
property/casualty claims. Determine liability, secure information, reviews coverages, arrange appraisals, and settle claims... with applicable laws, regulations, established standards, and procedures of the company. Will specialize in liability claimsLocation: Madison, WI, USA
| Salary: US$88000 - 145000 per year | Date posted: 14 Aug 2026
State Police Medical Officer
Company: Commonwealth of Pennsylvania |
or duty Disability Assessment: Evaluate work-related injury and disability claims and coordinate care recommendations Duty... Requirement: You must possess a current Federal Aviation Administration certification as an Aviation Medical ExaminerLocation: Dauphin County, PA, USA
| Salary: unspecified | Date posted: 14 Aug 2026
Claims Examiner, Medical Stop Loss, Remote
Company: Crum & Forster Insurance |
Crum & Forster Company Overview Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting Location: Scottsdale, AZ, USA
| Salary: unspecified | Date posted: 14 Aug 2026
Avp, Sr. Claims Examiner
Company: Berkley |
that enhance profitability and reduce susceptibility to loss. Company URL: Responsibilities: The AVP, Senior Claims Examiner..., including cost containment and litigation management. Additionally, the AVP, Senior Claims Examiner supports and assistsLocation: New York City, NY, USA
| Salary: US$132000 - 189000 per year | Date posted: 14 Aug 2026
Garage Property Damage Claims Adjuster
Company: Argo Group |
beyond the minimum experience required above may be substituted in lieu of a degree. Licensed Claims Examiner (Based on state.... Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needsLocation: Omaha, NE, USA
| Salary: US$78336 - 92208 per year | Date posted: 13 Aug 2026
Medical Claims Examiner
Company: Employ-Temps |
Medical Claims Examiner We are currently seeking a candidate with previous experience dealing with medical claims... and disability plan claims administration. Join a dynamic team where your skills in claims processing and customer serviceLocation: Uniontown, OH, USA
| Salary: US$18 per hour | Date posted: 13 Aug 2026
Director Of Internal Audit - Capital Health Plan
Company: Another Source |
) or Certified Public Accountant (CPA) credential required. Certified Fraud Examiner (CFE) and/or Certified Information Systems...-related information, including provider and facility claims, contracts, and medical authorizations. Excellent writtenLocation: Tallahassee, FL, USA
| Salary: US$150000 - 160000 per year | Date posted: 13 Aug 2026
Claims Examiner - Non-subscriber | Jurisdiction: Tx | Licensing: Tx - Hybrid
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner - Non-Subscriber | Jurisdiction: TX | Licensing: TX - Hybrid... days in office, 3 days work from home PRIMARY PURPOSE OF THE ROLE To analyze non subrogation claims on behalfLocation: Houston, TX, USA
| Salary: unspecified | Date posted: 13 Aug 2026
Wc Disability Claims Specialist Ii - Ny
Company: CorVel |
as an Experienced Examiner Minimum of 1 year of industry experience and claims management preferred Preference for previous experience...Description : The WC Disability Claims Specialist manages within company best practices workers compensation claimsLocation: Syracuse, NY, USA
| Salary: US$48143 - 71852 per year | Date posted: 13 Aug 2026
Claims Examiner, Bodily Injury | Commercial Trucking | Remote
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner, Bodily Injury | Commercial Trucking | Remote PRIMARY PURPOSE OF THE ROLE...: To analyze and process complex bodily injury auto and commercial trucking claims by reviewing coverage, completing investigationsLocation: USA, USA
| Salary: US$80000 - 85000 per year | Date posted: 13 Aug 2026
Senior Investigator
Company: LHC Group |
fraud, waste, and abuse. The Senior Investigator will utilize claims data, applicable guidelines, and other sources... Association (NHCAA) Accredited Health Care Fraud Investigator (AHFI) Certified Fraud Examiner (CFE) Certified ProfessionalLocation: New Orleans, LA, USA
| Salary: US$60200 - 107400 per year | Date posted: 13 Aug 2026
Workforce Absence Team Lead
Company: Sedgwick |
technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims within the... for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles, reviewsLocation: Dubuque, IA, USA
| Salary: unspecified | Date posted: 13 Aug 2026
Claims Examiner, Auto | Bodily Injury
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury Claims Examiner, Auto | BI PRIMARY PURPOSE OF THE... ROLE: To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverageLocation: USA, USA
| Salary: US$80000 - 85000 per year | Date posted: 13 Aug 2026
Appeals Examiner - West Sacramento, Ca
Company: Gainwell Technologies |
. Summary As Appeals Examiner - West Sacramento, CA, you can contribute your skills as we harness the power of technology... as you support the Business Process Services team in claims processing that adheres to policy guidelines Meet production and qualityLocation: West Sacramento, CA, USA
| Salary: US$37500 - 53500 per year | Date posted: 13 Aug 2026
Appeals Examiner - West Sacramento, Ca
Company: Gainwell Technologies |
. Summary As Appeals Examiner - West Sacramento, CA, you can contribute your skills as we harness the power of technology... as you support the Business Process Services team in claims processing that adheres to policy guidelines Meet production and qualityLocation: West Sacramento, CA, USA
| Salary: US$37500 - 53500 per year | Date posted: 12 Aug 2026
Medical Fee Examiner
Company: State of North Carolina |
and uncontested claims, review of agreements, and supervision of payment of benefits. Description of Work Medical Fee Examiner...Agency Dept of Insurance Division Industrial Commission Job Classification Title Medical Fee Examiner (NSLocation: Wake County, NC, USA
| Salary: US$45651 - 47000 per year | Date posted: 12 Aug 2026
Auditor
Company: Contact Government Services |
, application materials, identity documents, SNAP/Medicaid/Medicare/SSA records, UI claims, tax records, grant expenditures.... Conduct comprehensive analyses of benefit claims involving SNAP, Medicaid, Medicare, VA programs, SSA benefits, UnemploymentLocation: Detroit, MI, USA
| Salary: US$90000 - 105000 per year | Date posted: 12 Aug 2026
Senior Claims Examiner
Company: University of Florida |
Classification Title: Senior Claims Examiner Classification Minimum Requirements: Bachelor's degree... and health care delivery improvement opportunities and for potential claims falling under the purview of the SIP, includingLocation: Gainesville, FL, USA
| Salary: unspecified | Date posted: 12 Aug 2026
Claims Team Lead, Auto
Company: Sedgwick |
, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication... technical/jurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reportsLocation: USA, USA
| Salary: unspecified | Date posted: 12 Aug 2026
Senior Disability Claims Examiner (virtual)
Company: Prudential Financial |
Short-Term Disability (STD) claims. Oversee a portfolio of complex claims, including those involving co-morbidities.... Provide technical direction to other claims personnel as needed. Strong teamwork skills and the ability to leverageLocation: Portland, ME, USA
| Salary: US$61700 - 101900 per year | Date posted: 12 Aug 2026
Title Processor
Company: Brennan Title Company |
after conducting property search for title issues such as liens, claims, deeds, wills, mortgages, or fraud Examine maps... closing experience, abstractor, title examiner, or closing services experience Must be detail-oriented, analyticalLocation: Annapolis, MD, USA
| Salary: unspecified | Date posted: 11 Aug 2026
Claims Examiner I
Company: Blue Cross Blue Shield |
Blue Cross of Idaho is seeking a Claim Examiner to review and adjudicate paper/electronic claims. Determine whether... to return, deny or pay claims following organizational policies and procedures. We are looking for a Claim ExaminerLocation: USA, USA
| Salary: unspecified | Date posted: 11 Aug 2026
Senior General Liability Claims Adjuster - Remote/west Coast
Company: The Jonus Group |
to commercial clients nationwide. They are seeking a Senior Commercial General Liability Claims Examiner to handle complex liability...Our client is a respected third-party administrator (TPA) providing comprehensive claims management solutionsLocation: Phoenix, AZ, USA
| Salary: US$82000 - 92000 per year | Date posted: 11 Aug 2026
Senior Claims Examiner - General Liability
Company: The Jonus Group |
Seeking a highly skilled and experienced Senior Claims Examiner specializing in General Liability to join a dynamic... and growing claims team. This role involves managing a diverse portfolio of moderate to complex claims, including litigated filesLocation: Atlanta, GA, USA
| Salary: US$80000 - 125000 per year | Date posted: 11 Aug 2026
Commercial General Liability Claims Examiner | Remote
Company: KING'S INSURANCE STAFFING LLC |
, is looking to add an experienced Commercial General Liability Claims Examiner to its New Jersey claims team. In this role, the Claims Adjuster... will manage a caseload of moderate to complex Commercial General Liability claims from initial assignment through final resolutionLocation: USA, USA
| Salary: US$36 - 37.5 per hour | Date posted: 11 Aug 2026
Auto Bodily Injury Claims Examiner | Remote
Company: KING'S INSURANCE STAFFING LLC |
Our client is looking to add an Auto Bodily Injury Claims Examiner to their team. This role plays a vital part... in managing moderate to complex Auto Bodily Injury claims, specifically within the Non-Standard auto market. The positionLocation: USA, USA
| Salary: US$71000 - 78000 per year | Date posted: 11 Aug 2026
Investigator
Company: Highmark Health |
following) Certified Fraud Examiner (CFE) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Accredited..., claims processing systems and coding and billing proficiency Must have understanding of technical and financial aspectsLocation: Pittsburgh, PA, USA
| Salary: unspecified | Date posted: 11 Aug 2026
Physician (radiology-diagnostic) Gp
Company: unknown |
a talented Civilian Physician Diagnostic Radiologist to lead our imaging services in Armed Forces Medical Examiner System (AFMES... within the Department of War." Global Reach: AFMES is the only medical examiner system authorized to support the DepartmentLocation: Dover, DE, USA
| Salary: unspecified | Date posted: 11 Aug 2026
Senior General Liability Claims Adjuster - Remote/midwest - Southeast
Company: The Jonus Group |
to commercial clients nationwide. They are seeking a Senior Commercial General Liability Claims Examiner to handle complex liability...Our client is a respected third-party administrator (TPA) providing comprehensive claims management solutionsLocation: Atlanta, GA, USA
| Salary: US$82000 - 92000 per year | Date posted: 11 Aug 2026
Liability Claims Examiner
Company: Sedgwick |
in Financial Services & Insurance Liability Claims Examiner Are you looking for an opportunity to join a global industry leader... to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutionsLocation: Concord, CA, USA
| Salary: US$85000 - 105000 per year | Date posted: 11 Aug 2026
Workers Compensation Claims Examiner | Md Jurisdiction Knowledge And Experience | Baltimore, Md - Hybrid Scheduled
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | MD Jurisdiction Knowledge and Experience | Baltimore, MD... to help solve problems for some of the worlds best brands? Apply your examiner knowledge and experience to adjudicateLocation: Baltimore, MD, USA
| Salary: unspecified | Date posted: 11 Aug 2026
Investigator
Company: Highmark Health |
following) Certified Fraud Examiner (CFE) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Accredited... Healthcare Fraud Investigator (AHFI) SKILLS Must have knowledge of provider facility payment methodology, claims processingLocation: Home, PA, USA
| Salary: unspecified | Date posted: 10 Aug 2026
Claims Examiner Ii
Company: Johnson Service Group |
Johnson Service Group (JSG) is seeking a Claims Examiner II. This is a remote opportunity for a health plan... supervision, the Claims Examiner reviews and resolves a caseload of claims with varying degrees of complexity within establishedLocation: California, USA
| Salary: US$24 - 30 per hour | Date posted: 10 Aug 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, determining