Claims Examiner jobs in USA
587 claims examiner jobs found: showing 151 - 200
Director, Special Investigations Unit
Company: Mass General Brigham Health Plan |
, this position will review claims, look for patterns of potential fraud, waste and/or abuse and interact with medical providers... risk. Manages audit processes, identifies potential fraud, and drives improvement in claims processing and reimbursementLocation: Somerville, MA, USA
| Salary: US$124342.4 - 180897.6 per year | Date posted: 28 May 2026
Claims Hmo - Claims Examiner 140
Company: CommunityCare |
JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated.... The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to payLocation: Tulsa, OK, USA
| Salary: unspecified | Date posted: 28 May 2026
Insurance Market Conduct Examiner 1
Company: Commonwealth of Pennsylvania |
? Apply for this Insurance Market Conduct Examiner 1 position with the Pennsylvania Insurance Department, Property and Casualty Market Actions... Conduct Examiner 1, you will review insurance company practices, policies, and documentation to help ensure complianceLocation: Dauphin County, PA, USA
| Salary: US$59345 - 90211 per year | Date posted: 28 May 2026
Special Claims Field 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 SIU teamLocation: USA, USA
| Salary: US$67000 - 79000 per year | Date posted: 28 May 2026
Fraud, Waste & Abuse (fwa) Investigator – No Surprises Act (nsa)
Company: CVS Health |
and identifies providers submitting non-NSA claims to CIDRE. Prioritizes and manages cases to ensure timely, accurate, and compliant... investigations. Analyzes healthcare data and claims to identify patterns, trends, and anomalies indicative of fraud. Supports riskLocation: New York, USA
| Salary: US$66330 - 145860 per year | Date posted: 28 May 2026
Siu Field Investigator Ii - S. Ca
Company: Root Insurance |
us solve complex problems. We're looking for an investigator who integrates well with our claims culture. Our perfect... candidate understands the auto claims fraud landscape with experience conducting investigations in the field , is financiallyLocation: Los Angeles, CA, USA
| Salary: US$78800 - 98500 per year | Date posted: 28 May 2026
Claim Specialist Float
Company: CorVel |
Description : The Float Claims Specialist manages within company best practices lower-level, non-complex and non...-problematic workers compensation claims within delegated limited authority to best possible outcome, under the direct supervisionLocation: Philadelphia, PA, USA
| Salary: US$25.48 - 41.09 per hour | Date posted: 28 May 2026
Claims Team Lead | Commercial Trucking | Remote
Company: Sedgwick |
. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes... on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintainsLocation: USA, USA
| Salary: unspecified | Date posted: 28 May 2026
Senior Claim Examiner I, Ca
Company: AmTrust Financial |
Overview The Senior Claims Examiner I, CA is responsible for prompt efficient review and disposition of insurance... claims through effective research, evaluation, investigation, negotiation and interaction with insureds or claimantsLocation: Irvine, CA, USA
| Salary: US$44 - 54 per hour | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Chattanooga, TN, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Jersey City, NJ, USA
| Salary: US$28 - 45 per hour | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Orlando, FL, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Cedar Rapids, IA, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Nashville, TN, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Knoxville, TN, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Boston, MA, USA
| Salary: US$28 - 45 per hour | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: El Paso, TX, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Warner Robins, GA, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Charlotte, NC, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Augusta, GA, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Cincinnati, OH, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Salt Lake City, UT, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Chicago, IL, USA
| Salary: US$28 - 36 per hour | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Philadelphia, PA, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Knoxville, TN, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Charlotte, NC, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Nashville, TN, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Sacramento, CA, USA
| Salary: US$28 - 36 per hour | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Tampa, FL, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Independence, MO, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Augusta, GA, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Akron, OH, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Ann Arbor, MI, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: El Paso, TX, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: San Diego, CA, USA
| Salary: US$28 - 45 per hour | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Denver, CO, USA
| Salary: US$28 - 45 per hour | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Jacksonville, FL, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Philadelphia, PA, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Seattle, WA, USA
| Salary: US$28 - 36 per hour | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Boise, ID, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Stamford, CT, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Phoenix, AZ, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Tulsa, OK, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: New York City, NY, USA
| Salary: US$28 - 45 per hour | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Austin, TX, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims managementLocation: Denver, CO, USA
| Salary: US$28 - 36 per hour | Date posted: 27 May 2026
Payment Integrity Analytics, Senior Analyst
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: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Toledo, OH, USA
| Salary: unspecified | Date posted: 27 May 2026
Commercial Auto Claims Adjuster / Examiner - Remote
Company: Work at Home |
carrier clients in Commercial Auto Claims Adjuster / Examiner positions. Responsibilities include: Manage a caseload... of commercial auto claims from first notice of loss through resolution, ensuring timely, fair and accurate claims outcomes. Set-upLocation: Cleveland, OH, USA
| Salary: US$28 - 45 per hour | Date posted: 27 May 2026
Commercial Claims Adjuster - Carrier Or Tpa - Remote
Company: Work at Home |
carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions.../Garagekeepers Legal Liability or Umbrella claims. Knowledge of any/all these lines is acceptable. Set-up claim in claims management