Claims Examiner jobs in USA
588 claims examiner jobs found: showing 1 - 50
Di Benefits Medical Cons
Company: Northwestern Mutual |
Primary Duties and Responsibilities Provide technical medical expertise and support to the Benefit Claims analysts... through thorough review of claims to include evaluation and analysis of provider medical records, test results and courseLocation: Franklin, WI, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Claims Production Supervisor
Company: Lakeview Hospital |
Coordinators to determine level of claims requiring auditing for each examiner. REQUIRED QUALIFICATIONS: Bachelor's Degree...Job Category: Claims Services Job Description: POSITION PURPOSE: Demonstrate a commitment to the CorporateLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Workers Compensation Claims Examiner | Dedicated Client | Jurisdictions: De, Il, La, Mo, Nj, Ok, Tn, Tx | Licensing: Required | Litigation Experience
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | Dedicated Client | Jurisdictions: DE, IL, LA, MO, NJ, OK... leader where you can bring your big ideas to help solve problems for some of the worlds best brands? Apply your examinerLocation: USA, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Claims Production Supervisor
Company: Lakeview Hospital |
Coordinators to determine level of claims requiring auditing for each examiner. REQUIRED QUALIFICATIONS: Bachelor's Degree...Job Category: Claims Services Job Description: POSITION PURPOSE: Demonstrate a commitment to the CorporateLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Healthcare Fraud Investigator (remote)
Company: The Cigna Group |
investigative, analytical, and claims-auditing expertise to identify potential fraud, analyze complex information, document findings... suspected healthcare fraud and potentially fraudulent claim activity. Analyze claims, investigative findings, audit resultsLocation: USA, USA
| Salary: US$68300 - 113900 per year | Date posted: 27 Oct 2026
Healthcare Fraud Investigator (remote)
Company: Cigna |
investigative, analytical, and claims-auditing expertise to identify potential fraud, analyze complex information, document findings... suspected healthcare fraud and potentially fraudulent claim activity. Analyze claims, investigative findings, audit resultsLocation: USA, USA
| Salary: US$68300 - 113900 per year | Date posted: 27 Oct 2026
Workers Compensation Claims Examiner | Nj & Pa Jurisdictional Experience | Open To Remote
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | NJ & PA Jurisdictional Experience | Open to Remote...s best brands? Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energeticLocation: USA, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Life Claims Examiner
Company: Symetra Life Insurance Company |
Symetra offers a thrilling chance to become part of our team as a Life Claims Examiner! About the role The Life... Claims Examiner is responsible for the timely adjudication of group life and Accidental Death & Dismemberment (AD&D) claimsLocation: USA, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Claims Examiner Sr
Company: CalOptima |
Claims Examiner Sr CalOptima Join Us in this Amazing Opportunity The Team You'll Join We are a mission driven... Examiner Sr and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helpingLocation: Orange, CA, USA
| Salary: unspecified | Date posted: 27 Oct 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: Odessa, TX, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Claims Examiner Remote
Company: NTT Data |
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team... to complete compliance training of NTT Data/Client Work independently to research, review and act on the claims Prioritize workLocation: Plano, TX, USA
| Salary: unspecified | Date posted: 27 Oct 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: Odessa, TX, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Claims Examiner
Company: Allianz |
Join a company that puts people first. As a Claims Examiner at Allianz Partners, youll help customers navigate... most. What you will do Review submitted claims to identify the incident, determine applicable coverage based on policy terms, and calculate eligibleLocation: Richmond, VA, USA
| Salary: US$33516 - 49157 per year | Date posted: 27 Oct 2026
Claims Administrative Specialist I
Company: Zenith Insurance Company |
: Under direct supervision, the Claims Admin Specialist I performs administrative duties of moderate technical complexity in support... of the Claims function. Incumbent must achieve a quality claim product on an ongoing basis by consistently applyingLocation: Woodland Hills, CA, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Claims Examiner Remote
Company: NTT Data |
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team... to complete compliance training of NTT Data/Client Work independently to research, review and act on the claims Prioritize workLocation: Plano, TX, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Workers Compensation Claims Examiner | Strong Vt Jurisdictional Experience & Vt Licensing Required | Additional Jurisdictions: Ct, Ma, Nh, Ri
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | Strong VT Jurisdictional Experience & VT Licensing... bring your big ideas to help solve problems for some of the worlds best brands? Apply your examiner knowledgeLocation: USA, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Workers Compensation Claims Examiner | Riverside, Ca
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | Riverside, CA Are you looking for an opportunity...? Apply your knowledge and experience to adjudicate complex workers compensation claims in the context of an energetic culture. DeliverLocation: Riverside, CA, USA
| Salary: US$85000 - 105000 per year | Date posted: 27 Oct 2026
Administrative Support Specialist
Company: Zachary Piper Solutions |
Preferred: Experience supporting VA/VHA, CMS, Medicare, Medicaid, VA Community Care, healthcare claims, payment integrity..., including CIRTS Preferred: Certified Fraud Examiner (CFE) certification or related credential Compensation for theLocation: USA, USA
| Salary: US$60000 - 75000 per year | Date posted: 27 Oct 2026
Claims Team Lead | Auto | Property Damage & Bodily Injury
Company: Sedgwick |
to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex... individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocationalLocation: USA, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Liability Claims Examiner | General Liability And Auto Liability Bodily Injury | License Preferred
Company: Sedgwick |
in Financial Services & Insurance Liability Claims Examiner | General Liability and Auto Liability Bodily Injury | License... problems for some of the worlds best brands? Apply your examiner knowledge and experience to adjudicate complex customerLocation: USA, USA
| Salary: US$80000 per year | Date posted: 27 Oct 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: 27 Oct 2026
Workers Compensation Claims Examiner | Ny Jurisdiction & Subrogation Experience & Ny Licensing Required
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | NY Jurisdiction & Subrogation Experience & NY Licensing...s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic cultureLocation: Syracuse, NY, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Senior Healthcare Fraud Investigator
Company: Zachary Piper Solutions |
, or related federal healthcare systems Working knowledge of the False Claims Act, Anti-Kickback Statute, Stark Law, Civil... with VA Community Care claims, provider exclusion screening, CMS program integrity data, or similar healthcare claims environmentsLocation: Washington DC, USA
| Salary: US$105000 - 115000 per year | Date posted: 27 Oct 2026
Title Searcher / Typist
Company: GPAC |
Seeking an experienced Title Searcher/Typist Examiner. This is an excellent company and the position is in office... ownership and find liens or claims. New York Specifics: Frequently involves handling local systems like NYC's ACRISLocation: Lakewood, NJ, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Program Analyst
Company: Zachary Piper Solutions |
Preferred Qualifications: Experience supporting VA/VHA, CMS, Medicare, Medicaid, healthcare claims, payment integrity... with Power BI, Tableau, Palantir, or similar analytics platforms Lean, Six Sigma, Kaizen, Certified Fraud Examiner (CFELocation: Community, VA, USA
| Salary: US$90000 - 100000 per year | Date posted: 27 Oct 2026
Claims Production Supervisor
Company: Lakeview Hospital |
Coordinators to determine level of claims requiring auditing for each examiner. REQUIRED QUALIFICATIONS: Bachelor's Degree...Job Category: Claims Services Job Description: POSITION PURPOSE: Demonstrate a commitment to the CorporateLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Senior Investigator
Company: Highmark Health |
Required None Preferred 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, claimsLocation: Pittsburgh, PA, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Claims Examiner - Workers Compensation | Jurisdiction: Or | Licensing: Or Cert Preferred - Remote
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction: WA & OR | Licensing: OR Cert preferred... problems for some of the worlds best brands? Apply your Claims Examiner, WC knowledge and experience to adjudicate complexLocation: USA, USA
| Salary: US$64000 - 85000 per year | Date posted: 27 Oct 2026
Claims Examiner - Liability | General And Product Liability | Jurisdiction: All States | Licensing: Home State And Ny Required (remote)
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner - Liability | General and Product Liability | Jurisdiction: All states... liability and ligated claims to determine benefits due; to work with high exposure claims involving litigationLocation: USA, USA
| Salary: US$60000 - 80000 per year | Date posted: 27 Oct 2026
Claims Examiner - Liability | Jurisdiction: Multi States | Licensing: Ia, Tx Or Fl (hybrid)
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner - Liability | Jurisdiction: Multi States | Licensing: IA, TX or FL (Hybrid...s best brands? Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energeticLocation: West Des Moines, IA, USA
| Salary: unspecified | Date posted: 27 Oct 2026
Claims Examiner - Workers Compensation
Company: Sedgwick |
in Financial Services & Insurance Claims Examiner - Workers Compensation Are you looking for an opportunity to join a global..., growth, and inclusion. PRIMARY PURPOSE OF THE ROLE To analyze workers compensation claims on behalf of our valued clientsLocation: USA, USA
| Salary: unspecified | Date posted: 26 Oct 2026
Senior Cargo And Parcel Claims Examiner
Company: Pro Integrate |
Role Title: Senior Cargo and Parcel Claims Examiner Role Type: Contractor Location: Remote Required Skills Air... Cargo Claims Custody Determination Parcel Delivery Disputes Release Rules Freight Documentation LiabilityLocation: New York City, NY, USA
| Salary: unspecified | Date posted: 26 Oct 2026
Departmental Technician 7-e9 - Civil Rights Claims Examiner
Company: State of Michigan |
Job Description This is a limited term position. There is a possibility that it may become permanent, but that is not guaranteed. The Michigan Department of Civil Rights (MDCR) has one of the mostLocation: Detroit, MI, USA
| Salary: US$49774.4 - 68369.6 per year | Date posted: 26 Oct 2026
Ltd Claims Examiner Ii
Company: Vets Hired |
Job Summary The LTD Claims Examiner II investigates, analyzes, and adjudicates long-term disability, voluntary... disability, and waiver of premium claims in accordance with insurance policy provisions, internal procedures, and applicableLocation: South Portland, ME, USA
| Salary: unspecified | Date posted: 26 Oct 2026
Liability Claims Examiner | General Liability & Auto Bi (litigated & Non-litigated), Premises | License Required | Dedicated Client
Company: Sedgwick |
in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto BI (Litigated & Non-Litigated), Premises...? Apply your Examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. DeliverLocation: Marlton, NJ, USA
| Salary: US$70000 - 90000 per year | Date posted: 26 Oct 2026
Ltd Claims Examiner Sr
Company: Vets Hired |
Job Summary The Senior Long-Term Disability (LTD) Claims Examiner investigates, analyzes, and adjudicates complex... long-term disability, voluntary disability, and waiver of premium claims. This role independently makes claimLocation: USA, USA
| Salary: unspecified | Date posted: 26 Oct 2026
Senior Commercial General Liability Property Damage Claims Adjuster
Company: Argo Group |
acquired through: Licensed Claims Examiner (Based on state) Must be licensed or have ability to quickly obtain a license.... Argo offers a full line of products and services designed to meet the unique coverage and claims-handling needsLocation: Omaha, NE, USA
| Salary: unspecified | Date posted: 26 Oct 2026
Claims Examiner Remote
Company: NTT Data |
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team... to complete compliance training of NTT Data/Client Work independently to research, review and act on the claims Prioritize workLocation: Plano, TX, USA
| Salary: unspecified | Date posted: 26 Oct 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: Las Vegas, NV, USA
| Salary: unspecified | Date posted: 25 Oct 2026
Unemployment Insurance Tax Agent 1/2/3
Company: State of Louisiana |
manages the full UI lifecycle, including employer tax collection, benefit claims processing, fraud prevention, and appeals... Fraud Examiner (CFE), or Certified Internal Auditor (CIA) designation. Job Specification The official job specificationsLocation: Hammond, LA, USA
| Salary: US$3127 - 6136 per month | Date posted: 25 Oct 2026
Manager, Fund Administration
Company: Amalgamated Life |
. The Manager is also responsible for working with our Claims Department to manage all Medicare Demands with daily... communications, interaction with our Subrogation vendor, creating and mailing lien packages, and working with internal ClaimsLocation: White Plains, NY, USA
| Salary: unspecified | Date posted: 25 Oct 2026
Unemployment Insurance Tax Agent 1/2/3
Company: State of Louisiana |
of their own. The office manages the full UI lifecycle, including employer tax collection, benefit claims processing, fraud... (CPA) license, Certified Fraud Examiner (CFE), or Certified Internal Auditor (CIA) designation. Job Specification TheLocation: Baton Rouge, LA, USA
| Salary: US$3127 - 6136 per month | Date posted: 24 Oct 2026
Lost Time Claims Examiner
Company: Chubb |
for exceptional claims handling service. Technical Skills & Competencies: Lost Time Claim Examiner position with prior experience...JOB DESCRIPTION Chubb is currently seeking a Workers' Compensation Lost Time Claim Examiner for our Northeast, NewLocation: New Haven, CT, USA
| Salary: US$62700 - 91300 per year | Date posted: 24 Oct 2026
Claims Examiner
Company: Prime Healthcare |
Responsibilities Claims Examiner processes routine and non-routine claims using established claim standards..., and departmental policies and procedures. To accurately evaluate and adjudicate claims in a timely manner and according to setLocation: Victorville, CA, USA
| Salary: US$23 - 27.25 per hour | Date posted: 24 Oct 2026
Claims Hmo - Senior Claims Examiner
Company: CommunityCare |
JOB SUMMARY: The Senior Claims Examiner is responsible for reviewing and examining claims that require additional... Examiner determines the appropriate action to pay, deny, or adjust claims while meeting established standards for accuracyLocation: Tulsa, OK, USA
| Salary: unspecified | Date posted: 24 Oct 2026
Claim Examiner-casualty Property Damage (hybrid)
Company: RLI |
third-party general liability claims (including some bodily injury, but with an emphasis on property damage claims...) to achieve optimum payout results by resolving claims fairly, expeditiously, and economically. -Assess and analyze coverageLocation: Chicago, IL, USA
| Salary: US$71821 - 102704 per year | Date posted: 24 Oct 2026
Claims Examiner
Company: Desert Valley Medical Group |
to making a difference. Responsibilities: Claims Examiner processes routine and non-routine claims using established claim... standards, and departmental policies and procedures. To accurately evaluate and adjudicate claims in a timely mannerLocation: Victorville, CA, USA
| Salary: unspecified | Date posted: 24 Oct 2026
Examiner, I Liability Claims
Company: US Xpress |
Examiner, I Liability Claims USX HEADQUARTERS Monday - Friday 8:00 AM - 5:00 PM Position open to remote: Yes Who...: The Liability Claims Examiner is responsible for reviewing, evaluating, and settling property damage claims to ascertainLocation: Chattanooga, TN, USA
| Salary: unspecified | Date posted: 24 Oct 2026
Senior Cargo And Parcel Claims Examiner
Company: micro1 |
About the role Remote contract work for cargo and parcel claims examiners on an AI training project: review air... is required. Experience 5+ years in air cargo, ground handling or parcel carrier claims or dispute resolution; strong knowledge of custodyLocation: USA, USA
| Salary: unspecified | Date posted: 23 Oct 2026
Ops Operations Analyst I
Company: State of Florida |
to the processing of Social Security disability claims. This position requires the incumbent have good oral and written... examiner, supervisor, or other individual as needed. This requires a broad knowledge of the division's organizational structure