Claims Examiner jobs in USA
587 claims examiner jobs found: showing 101 - 150
Siu Lead Investigator
Company: LHC Group |
) Professional certification as a Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI) or similar... insurance claims industry 2+ years of knowledge and/or experience with medical/behavioral health codes and service delivery 2Location: Minneapolis, MN, USA
| Salary: US$72800 - 130000 per year | Date posted: 16 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: 16 Jun 2026
Claims Examiner - Xcelys Remote, Temporary
Company: NTT Data |
or Institutional Claims.Ability to interpret provider and health plan contracts to ensure accurate payment of claims or denial.... Including RBRVS and Medicare guidelines as it applies to contracted and non-contracted providers.Adjust claims, as appropriateLocation: Plano, TX, USA
| Salary: unspecified | Date posted: 16 Jun 2026
Lead Claims 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: 16 Jun 2026
Claim Examiner Ii
Company: AmTrust Financial |
. Requires 5+ years of workers compensation claims experience and strong technical knowledge. Lead Claim Examiner... Claim Examiner and Lead Claim Examiner. Both positions play a critical role in managing workers compensation claim filesLocation: Boca Raton, FL, USA
| Salary: unspecified | Date posted: 16 Jun 2026
Indemnity Claims Specialist
Company: CorVel |
Minimum of 1 year of industry experience and claims management preferred State Certification as an Experienced Examiner...Description : The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and nonLocation: Franklin, TN, USA
| Salary: US$52999 - 85473 per year | Date posted: 16 Jun 2026
Claim Examiner- Wc Job In Brea/fulsome/fresno Ca
Company: TalentBurst |
Job Title: Claim Examiner- WC Location: Brea/Fulsome/Fresno CA Duration: 3 Months Job Description: Receives claim... assignment, confirms policy coverages and directs acknowledgement of claims. - Interprets and makes decisions using independentLocation: Brea, CA, USA
| Salary: unspecified | Date posted: 16 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: 16 Jun 2026
Claims Examiner - Xcelys Remote, Temporary
Company: NTT Data |
or Institutional Claims.Ability to interpret provider and health plan contracts to ensure accurate payment of claims or denial.... Including RBRVS and Medicare guidelines as it applies to contracted and non-contracted providers.Adjust claims, as appropriateLocation: Plano, TX, USA
| Salary: unspecified | Date posted: 16 Jun 2026
Claim Examiner Ii
Company: AmTrust Financial |
. Requires 5+ years of workers compensation claims experience and strong technical knowledge. Lead Claim Examiner... Claim Examiner and Lead Claim Examiner. Both positions play a critical role in managing workers compensation claim filesLocation: Boca Raton, FL, USA
| Salary: unspecified | Date posted: 16 Jun 2026
Siu Investigator
Company: Centene |
and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate... in claims Develop new queries and reports to detect potential waste, abuse, and fraud Provide case updates on progressLocation: USA, USA
| Salary: US$56200 - 101000 per year | Date posted: 16 Jun 2026
Claims Examiner - Xcelys Remote, Temporary
Company: NTT Data |
or Institutional Claims.Ability to interpret provider and health plan contracts to ensure accurate payment of claims or denial.... Including RBRVS and Medicare guidelines as it applies to contracted and non-contracted providers.Adjust claims, as appropriateLocation: Plano, TX, USA
| Salary: unspecified | Date posted: 16 Jun 2026
Claims Examiner - Workers Compensation (hybrid- West Hills, Ca/3 Days Remote)
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner - Workers Compensation (HYBRID- West Hills, CA/3 Days Remote...s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic cultureLocation: West Hills, CA, USA
| Salary: US$80000 - 90000 per year | Date posted: 16 Jun 2026
Investigator Ii
Company: Golden1 Credit Union |
of investigation. Investigate and respond to check fraud claims as received by members and/or other financial institutions... Compliance Expert (CUCE), Certified Fraud Examiner (CFE), Bank Secrecy Act Compliance Specialist (BSACS) as well as, or CertifiedLocation: Sacramento, CA, USA
| Salary: US$33.86 - 37 per hour | Date posted: 16 Jun 2026
Workers Compensation Claims Examiner - Orange, Ca
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner - Orange, CA Are you looking for an opportunity...? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovativeLocation: Orange, CA, USA
| Salary: US$80000 - 105000 per year | Date posted: 16 Jun 2026
Lead Claims 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: 15 Jun 2026
Claim Examiner- Wc
Company: TPI Global (formerly Tech Providers, Inc.) |
Description: Sr Claim Examiner- WC 03-month contract with possible extension or conversion Remote Note... judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. ManagesLocation: Brea, CA, USA
| Salary: unspecified | Date posted: 15 Jun 2026
Garage Keeper Claims Examiner – Bodily Injury
Company: The Jonus Group |
We are seeking an experienced Garage Keeper Claims Examiner - Bodily Injury to investigate, evaluate, negotiate..., and resolve complex bodily injury claims arising from garage operations, auto dealerships, repair facilities, service centersLocation: Chicago, IL, USA
| Salary: US$75000 - 110000 per year | Date posted: 15 Jun 2026
Donor Support Specialist
Company: Saving-Sight |
with funeral homes, medical examiner offices, and hospitals to dispatch Recovery Technicians to donor locations. Work... to multitask, adapt, and manage shifting priorities. Customer service, social work, insurance claims or healthcare industryLocation: Missouri - Kansas City, KS, USA
| Salary: US$23.82 per hour | Date posted: 15 Jun 2026
Senior Workers’ Compensation Claims Examiner | Remote
Company: KING'S INSURANCE STAFFING LLC |
Our client is looking for an experienced Workers' Compensation Claims Examiner to join their growing Texas claims team.... This position is ideal for a claims professional who thrives in a fast-paced environment and has a strong background handling TexasLocation: USA, USA
| Salary: US$75000 - 83000 per year | Date posted: 15 Jun 2026
Claims Examiner - Xcelys Remote, Temporary
Company: NTT Data |
or Institutional Claims.Ability to interpret provider and health plan contracts to ensure accurate payment of claims or denial.... Including RBRVS and Medicare guidelines as it applies to contracted and non-contracted providers.Adjust claims, as appropriateLocation: Plano, TX, USA
| Salary: unspecified | Date posted: 15 Jun 2026
Ops Records Analyst
Company: State of Florida |
incumbent's 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: Tallahassee, FL, USA
| Salary: US$20.25 per hour | Date posted: 13 Jun 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: Tallahassee, FL, USA
| Salary: US$20.25 per hour | Date posted: 13 Jun 2026
Senior Claims Compliance Analyst (fpa4)
Company: Washington State |
Commissioner (OIC) seeks 2 qualified individuals for the Senior Claims Compliance Analyst (Functional Program Analyst 4) position... from all backgrounds, cultures, and attributes. About the Position Are you an insurance claims expert who thrives on solving complexLocation: Thurston County, WA - Tumwater, WA, USA
| Salary: US$5666 - 7622 per month | Date posted: 13 Jun 2026
Siu Investigator
Company: Devoted Health |
: Utilize advanced data mining and analysis techniques to identify aberrancies and outliers in claims, medical records... Examiner (CFE) Certified Professional Coder (CPC) #LI-DS1 #LI-Remote Salary range: $58,000 - $90,000 /year The payLocation: USA, USA
| Salary: US$58000 - 90000 per year | Date posted: 13 Jun 2026
Physician (radiology-diagnostic) Gp
Company: unknown |
a talented Diagnostic Radiologist to lead our imaging services in Armed Forces Medical Examiner System (AFMES). "Unlike... Department of War." Global Reach: AFMES is the only medical examiner system authorized to support the Department of WarLocation: Dover, DE, USA
| Salary: unspecified | Date posted: 13 Jun 2026
Medicaid Eligibility Examiner 2 (ny Helps)
Company: New York State |
Duties Description The Medicaid Eligibility Examiner 2 (MEE 2) serves as a critical supervisor within the State... service as a Medicaid Eligibility Examiner 2 , SG-14. Permanent Transfer: A New York State employee with one yearLocation: Albany, NY, USA
| Salary: US$56506 - 68630 per year | Date posted: 13 Jun 2026
Claims Examiner I
Company: Western Health Advantage |
"Our purpose is strong, our impact is lasting, join us on the journey" Western Health Advantage As a Claims Examiner I, youll... play a vital role in delivering on that promise by reviewing and adjudicating medical claims with precision, integrityLocation: Sacramento, CA, USA
| Salary: US$20 - 23 per hour | Date posted: 13 Jun 2026
Temporary Bpaas Claims Processor
Company: HealthEdge |
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 procedures. The Opportunity: Be responsible for processingLocation: USA, USA
| Salary: unspecified | Date posted: 13 Jun 2026
Claims Examiner - Workers Compensation | Jurisdiction: Southeast States | Licensing: Required - Remote
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction: Southeast States | Licensing... problems for some of the worlds best brands? Apply your Workers Compensation examiner knowledge and experience to adjudicateLocation: USA, USA
| Salary: US$63404 - 88765 per year | Date posted: 13 Jun 2026
Senior Analyst - Payment Integrity Analytics
Company: Gainwell Technologies |
(FWA) analytic models to Medicaid claims data and delivering monthly, prequalified FWA lead referrals. This role emphasizes... FWA analytic models to Medicaid claims data to identify potential fraud, waste, and abuse. Deliver monthly, prequalifiedLocation: Texas, USA
| Salary: US$69400 - 99200 per year | Date posted: 13 Jun 2026
Claims Examiner - Workers Compensation | Southeast Jurisdictions | Remote
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner - Workers Compensation | Southeast Jurisdictions | Remote...s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic cultureLocation: USA, USA
| Salary: unspecified | Date posted: 12 Jun 2026
Senior Analyst - Payment Integrity Analytics
Company: Gainwell Technologies |
(FWA) analytic models to Medicaid claims data and delivering monthly, prequalified FWA lead referrals. This role emphasizes... FWA analytic models to Medicaid claims data to identify potential fraud, waste, and abuse. Deliver monthly, prequalifiedLocation: Texas, USA
| Salary: US$69400 - 99200 per year | Date posted: 12 Jun 2026
Workforce Absence Team Lead - Ada
Company: Sedgwick |
, and monitor 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: Cedar Rapids, IA, USA
| Salary: unspecified | Date posted: 12 Jun 2026
Clinical Risk Manager
Company: Trinity Health |
, policies and procedures, incident reports, and medical examiner reports. Inform leaders of occurrences, findings, trends... with legal counsel to coordinate investigations, manage claims against the facility, and interface with defense counselLocation: Hartford, CT, USA
| Salary: unspecified | Date posted: 12 Jun 2026
Auto & Bodily Injury Litigation Claims Examiner | Commercial Auto | Dedicated Client & Capped Caseload License Required
Company: Sedgwick |
in Financial Services & Insurance Auto & Bodily Injury Litigation Claims Examiner | Commercial Auto | Dedicated Client & Capped... ideas to help solve problems for some of the worlds best brands? Apply your examiner knowledge and experienceLocation: USA, USA
| Salary: US$85000 - 95000 per year | Date posted: 12 Jun 2026
Claims Examiner - Workers Compensation
Company: ICONMA |
Our Client, a Business Solutions company, is looking for a Claims Examiner - Workers Compensation for their Rancho...' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensureLocation: Rancho Cucamonga, CA, USA
| Salary: unspecified | Date posted: 12 Jun 2026
California Workers' Compensation Claims Examiner | Remote
Company: KING'S INSURANCE STAFFING LLC |
Workers' Compensation Claims Examiner to join their growing team. This opportunity is ideal for a claims professional... with a strong background handling complex California Workers' Compensation claims, including litigated lost-time exposures. TheLocation: USA, USA
| Salary: US$100000 - 105000 per year | Date posted: 12 Jun 2026
Workers Compensation Claims Examiner | Hybrid | Brea, Ca
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | HYBRID | Brea, CA Are you looking for an opportunity... claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claimsLocation: Brea, CA, USA
| Salary: US$80000 - 105000 per year | Date posted: 12 Jun 2026
Fraud Operations Sr Professl
Company: Citizens Bank |
and analyze fraud cases to identify trends and mitigation opportunities. Partner with Fraud and Claims colleagues and Corporate... and coordinate Fraud and Claims assessment and response to enterprise-level BIRAs (Business Initiative Risk AssessmentsLocation: Irving, TX, USA
| Salary: unspecified | Date posted: 12 Jun 2026
Territory Marketing Consultant
Company: Zenith Insurance Company |
Examiner, ride alongs with a Safety & Health Consultant, experiencing our claims staffing with Senior Leadership, attending... in Claims, Medical Management, Claims Legal, Special Investigation, Safety and Health, and Customer Service. ExternallyLocation: Fresno, CA, USA
| Salary: US$70856 - 88571 per year | Date posted: 12 Jun 2026
Claims Examiner \ 105
Company: Paladin Consulting |
Claims Examiner - ONSITE Summary: The Claims Examiner is responsible for processing UB and CMS 1500 claims...: Adjudicate claims at a rate equal to 150 per normal workday Maintain statistical accuracy of 98%, and financial accuracy of 98Location: Irving, TX, USA
| Salary: unspecified | Date posted: 12 Jun 2026
Casualty Claim Examiner
Company: Chubb |
Job Description: Join Our Talent Pipeline for Casualty Claims Examiner Opportunities at Chubb... a talent pipeline for upcoming Casualty Claims Examiner, Claim Specialist and Claim Manager positions! If you have expertiseLocation: Phoenix, AZ, USA
| Salary: unspecified | Date posted: 12 Jun 2026
Hospital Claims Examiner
Company: MedPOINT Management |
About the Role: Join MedPOINT Management as a Hospital Claims Examiner in Sherman Oaks, CA, where you'll play a crucial role... in ensuring accurate and timely processing of hospital claims. Be part of a dynamic team that values precision and efficiencyLocation: Sherman Oaks, CA, USA
| Salary: US$21 - 26 per hour | Date posted: 11 Jun 2026
Chief Of Medicaid Program Integrity-ahca
Company: State of Florida |
. Knowledge of managed care, provider enrollment, reimbursement, and claims processing. Knowledge of auditing standards... certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified Financial Crimes InvestigatorLocation: Tallahassee, FL, USA
| Salary: US$4615.38 - 5000 per month | Date posted: 11 Jun 2026
Chief Of Medicaid Program Integrity-ahca
Company: State of Florida |
. Knowledge of managed care, provider enrollment, reimbursement, and claims processing. Knowledge of auditing standards... certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified Financial Crimes InvestigatorLocation: Tallahassee, FL, USA
| Salary: US$4615.38 - 5000 per month | Date posted: 11 Jun 2026
Senior Claims Examiner, Workers' Compensation
Company: Gallagher |
. At Gallagher, were united by a commitment to excellence and innovation. As a Senior Claims Examiner, youll play a vital role... in helping businesses and individuals navigate complex Workers' Compensation claims. This is your opportunity to makeLocation: Pleasanton, CA, USA
| Salary: US$76500 - 109500 per year | Date posted: 11 Jun 2026
Workers Compensation Claims Examiner | Ct, Ma, Nh, Ri, Vt Jurisdictional Knowledge | Remote
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | CT, MA, NH, RI, VT Jurisdictional Knowledge | Remote...s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic cultureLocation: USA, USA
| Salary: unspecified | Date posted: 11 Jun 2026
Special Claims Desk Investigator
Company: Great American Insurance |
to prevent, detect and investigate instances of potential insurance claims fraud, collaborating with business units in the proper... handling and required reporting of fraudulent claims while exhibiting high professional standards of conduct. Our SpecialLocation: USA, USA
| Salary: US$70000 - 80000 per year | Date posted: 11 Jun 2026
Claims Examiner Ii, Professional Lines
Company: Tokio Marine |
Claims Examiner Purchase, NY (Hybrid) About TMHCC Tokio Marine HCC (TMHCC) brings 50 years of service to the.... Possesses critical thinking and strong oral/written communication skills. Key Responsibilities: Claims Examiner II