Claims Examiner jobs in USA
587 claims examiner jobs found: showing 1 - 50
Claims Examiner
Company: MagnaCare |
Medical claims. Resolve claim holds, review history records, and determine benefit eligibility for services rendered.... Research and document all pertinent information on claims requiring adjudication. Respond to inquiries related to specificLocation: Melville, NY, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Apd Claim Representative Ii - Tampa, Fl
Company: ACICF Auto Club Insurance Company of Florida |
moderately complex claims within Claim Handling Standards in the field or inside units. Resolve coverage questions..., take statements and establish clear evaluation and resolution plans for claims. In this position, you will have the opportunityLocation: USA, USA
| Salary: US$59134 - 69000 per year | Date posted: 23 Jun 2026
Claims Examiner I
Company: MagnaCare |
Primary Responsibilities Review and adjudicate claims submitted for reimbursement that fall outside auto adjudication... contracts, medical terminology, and claims processing procedures. Prior experience processing claims is required. Minimum 1Location: Las Vegas, NV, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Investigative Auditor
Company: Contact Government Services |
claims, reimbursement data, procurement records, grant expenditures, and related financial records. * Conduct healthcare... claims analysis involving Medicare, Medicaid, TRICARE, VA, and other federally funded healthcare programs. * AssistLocation: Albany, NY, USA
| Salary: US$90000 - 120000 per year | Date posted: 23 Jun 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: 23 Jun 2026
Liability Claims Examiner | General Liability & Auto Bi (litigated & Non-litigated) | License Required | Dedicated Client
Company: Sedgwick |
in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto BI (Litigated & Non-Litigated) | License... customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who representLocation: Marlton, NJ, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Senior Fraud Analyst
Company: AAA Life Insurance Company |
of referrals. Evaluate claims, transactions, applications, and account activities to identify fraud indicators and inform..., NICB, or CFCI, a plus Certifications such as Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCILocation: Livonia, MI, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Claims Hmo - Complex Claims Specialist 140
Company: CommunityCare |
of claims processing. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate...JOB SUMMARY: The Complex Claims Specialist is responsible for examining claims that require review prior to beingLocation: Tulsa, OK, USA
| Salary: unspecified | Date posted: 23 Jun 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: 23 Jun 2026
Medical Management - Medical Review Examiner Nurse 135
Company: CommunityCare |
JOB SUMMARY: The Medical Review Examiner Nurse is responsible for auditing provider and facility claims. Identifying..., waste and abuse, as it relates to provider billing practices. KEY RESPONSIBILITIES: Review claims by requesting medicalLocation: Tulsa, OK, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Medicare Compliance & Workers' Compensation Quality Assurance Examiner (hybrid)
Company: Utica National Insurance |
. What you will do The Examiner owns the design, execution, and continuous improvement of the organizations Medicare compliance program..., this role provides enterprise governance, oversight, and matrix leadership across Workers' Compensation Claims, Legal, ITLocation: North Carolina, USA
| Salary: US$93000 - 136500 per year | Date posted: 23 Jun 2026
Claims Hmo - Complex Claims Specialist 140
Company: CommunityCare |
of claims processing. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate...JOB SUMMARY: The Complex Claims Specialist is responsible for examining claims that require review prior to beingLocation: Tulsa, OK, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Job Service Rep Ii
Company: Massachusetts Trial Court |
events, while partnering with employers to ensure program integrity and compliance. Lead Claims Examiner/Job Service... escalation. Facilitate the program integrity of the DFML by ensuring claims filed with the Department of Family and MedicalLocation: Boston, MA, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Claims Examiner Ii
Company: MagnaCare |
Primary Responsibilities Review and adjudicate claims submitted for reimbursement that fall outside auto adjudication... Professional and Facility claims Perform Claim Adjustments as needed. Execute client-requested claim research and adjustmentsLocation: Las Vegas, NV, USA
| Salary: unspecified | Date posted: 23 Jun 2026
Workers' Compensation Supervisor
Company: Sacramento County |
) Under general direction, the Workers Compensation Supervisor supervises employees that perform specialized claims service in the... of evaluating Workers' Compensation claims and computing benefits Terminology relating to computer software, hardwareLocation: Sacramento, CA, USA
| Salary: US$115257.6 - 140104.8 per year | Date posted: 23 Jun 2026
Claims Examiner - Hybrid
Company: DB Insurance Co., Ltd. |
Job Title Claims Examiner Location 222 S Harbor Blvd, #720, Anaheim, CA 92805 Salary $60,000 - $90,000/year... and detail-oriented Claims Examiner to join our claims team in Hawaii. This role involves overseeing and managing complexLocation: Anaheim, CA, USA
| Salary: US$60000 - 90000 per year | Date posted: 23 Jun 2026
Senior Auditor
Company: Contact Government Services |
Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations... claims and other data. - Create financial damage models for use in litigation. - Conduct asset valuation. - ConductLocation: New York City, NY - Albany, NY, USA
| Salary: US$80000 - 150000 per year | Date posted: 22 Jun 2026
Medical Claims Examiner
Company: Employ-Temps |
Medical Claims Examiner We are currently seeking a qualified candidate with prior experience handling medical claims... and disability plan claims administration in a supportive and collaborative environment. In this role, you will work directlyLocation: Uniontown, OH, USA
| Salary: US$18 per hour | Date posted: 22 Jun 2026
Claims Examiner - Workers Compensation
Company: TechLink Systems |
Job Title: Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Remote in CA Contract... workers' compensation claims to determine benefits due; to work with high exposure claims involving litigationLocation: Ontario, CA, USA
| Salary: unspecified | Date posted: 22 Jun 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: 22 Jun 2026
Non-clinical - Finance/accounting - Claims Examiner
Company: Bestica |
References to Submit. **ONSITE INTERVIEW REQUIRED** JOB TITLE: Claims Examiner Days LOCATION: 9557 Greenleaf Avenue, Whittier...: The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functionsLocation: Whittier, CA, USA
| Salary: unspecified | Date posted: 22 Jun 2026
Claims Examiner
Company: Peyton Resource Group |
Position Summary We are seeking a detail-oriented Claims Examiner & Support Specialist I to support healthcare claims... operations through accurate claims processing, provider communication, and administrative support. This role is responsibleLocation: San Antonio, TX, USA
| Salary: unspecified | Date posted: 22 Jun 2026
Claims Examiner - Workers Compensation
Company: Cynet Systems |
Job Overview: Pay Range: $47hr - $52hr Requirement/Must Have: 5+ years of claims management experience... and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determineLocation: Ontario, CA, USA
| Salary: US$47 - 52 per hour | Date posted: 22 Jun 2026
Claims Examiner - Liability
Company: TechLink Systems |
Job Title: Claims Examiner - Liability Location (On-site, Remote, or Hybrid?): Orlando, FL (Remote) Contract Duration... general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitationLocation: Orlando, FL, USA
| Salary: unspecified | Date posted: 22 Jun 2026
Team Manager- Disability
Company: Crawford & Company |
Disability Claims Management-From Anywhere! Lead with Impact. Work remotely-your office, your vibe! Empower a team... a powerhouse team from wherever you are! You'll oversee investigations, manage claims, and ensure timely resolutions while keepingLocation: Georgia, USA
| Salary: unspecified | Date posted: 21 Jun 2026
Team Manager- Disability
Company: Crawford & Company |
Disability Claims Management-From Anywhere! Lead with Impact. Work remotely-your office, your vibe! Empower a team... a powerhouse team from wherever you are! You'll oversee investigations, manage claims, and ensure timely resolutions while keepingLocation: Georgia, USA
| Salary: unspecified | Date posted: 21 Jun 2026
Travel Claim Examiner And Customer Service Representative
Company: One80 Intermediaries |
Job Summary: As a Travel Claims & Customer Service Representative, you will serve as the first point of contact... for reporting claims and initiating the claims process. This vital frontline role within our Travel department plays a key partLocation: USA, USA
| Salary: US$16 - 21 per hour | Date posted: 21 Jun 2026
Travel Claims Examiner Customer Service Representative
Company: One80 Intermediaries |
Job Summary: As a Travel Claims & Customer Service Representative, you will serve as the first point of contact... for reporting claims and initiating the claims process. This vital frontline role within our Travel department plays a key partLocation: USA, USA
| Salary: US$16.85 - 21 per hour | Date posted: 21 Jun 2026
Claims Examiner - Workers Compensation
Company: Apidel Technologies |
skills Claims Examiner - Workers Compensation... or technically difficult workers\' compensation claims to determine benefits due; to work with high exposure claims involvingLocation: Ontario, CA, USA
| Salary: unspecified | Date posted: 20 Jun 2026
Construction Manager (transportation Planner V)
Company: Fairfax County |
; supports risk management and claims avoidance; and serves as the county's primary point of contact among contractors... plans, specifications, and contract requirements; Supporting risk management, issue resolution, and claims avoidanceLocation: Fairfax, VA, USA
| Salary: unspecified | Date posted: 20 Jun 2026
Claims Investigator/examiner
Company: AIDS Healthcare Foundation |
for the organizations multiple health plans and AHF grants and contracts. The Claims Investigator-Examiner contributes to AHF.... The Claims Investigator-Examiner enhance the experience of providers and the organization by being knowledgeable, friendlyLocation: Los Angeles, CA, USA
| Salary: unspecified | Date posted: 20 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: US$70000 - 80000 per year | Date posted: 19 Jun 2026
Patent Agent – Wireless And Ai Technologies
Company: MNF Global |
and assess patentability Draft claims and respond to USPTO Office Actions Conduct Examiner interviews Work directlyLocation: Dallas, TX, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Claims Examiner
Company: Sigma Systems, Inc. |
9141569- Claims Examiner Irving, TX 3 Months contract Sigma Inc. is currently looking for a Claims Examiner in Irving..., TX. Shift Timings: Mon-Fri 40 hours per week Summary: The Claims Examiner is responsible for processing UB and CMSLocation: Irving, TX, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Team Manager - Wc
Company: Crawford & Company |
a high-performing team , oversee claims investigations , and ensure accurate, compliant service across company, carrier... our claims operations and clients in the region. You'll partner closely with senior leadership -supporting the VP and AssistantLocation: Denver, CO, USA
| Salary: US$57656.93 - 105427.71 per year | Date posted: 19 Jun 2026
Claims Examiner
Company: Core Specialty Insurance Services, Inc. |
- Adjust and manage claims brought against security companies, private investigators and alarm installation... that remain open but currently inactive and are not generating claim activity. Evaluate inactive claims for closure and removalLocation: Cincinnati, OH, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Cob Claims Examiner
Company: Blue Cross Blue Shield |
Blue Cross of Idaho is seeking a COB Claim Examiner to utilize claims systems and established resources to determine... to return, deny or pay claims following organizational policies and procedures. We are looking for a Claim ExaminerLocation: USA, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Claims Examiner, Workers' Compensation
Company: AssuredPartners |
communities we serve. At Gallagher, were united by a commitment to excellence and innovation. As a Claims Examiner, youll... take ownership of indemnity claims, ensuring timely and accurate resolution. Youll use your strong customer service skillsLocation: Rancho Cordova, CA, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Claims Examiner, Workers' Compensation
Company: Gallagher |
. At Gallagher, were united by a commitment to excellence and innovation. As a Claims Examiner, youll take ownership of indemnity... claims, ensuring timely and accurate resolution. Youll use your strong customer service skills to interact with clientsLocation: Rancho Cordova, CA, USA
| Salary: US$57500 - 82500 per year | Date posted: 19 Jun 2026
Virtual Employment Specialist (bes2) – Multiple Permanent Positions Available In Tigard Worksource Office
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: Tigard, OR, USA
| Salary: US$4519 - 6276 per month | Date posted: 19 Jun 2026
Senior Claims Examiner
Company: AssuredPartners |
. 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: Torrance, CA, USA
| Salary: unspecified | Date posted: 19 Jun 2026
Senior Workers' Compensation Claims Examiner | Remote
Company: KING'S INSURANCE STAFFING LLC |
Our client, an A-rated Insurance Carrier, is seeking to add a Senior Workers' Compensation Claims Examiner... Time claims from inception to close. Qualified candidates must reside in the Midwest and possess a strong knowledgeLocation: USA, USA
| Salary: US$80000 - 98000 per year | Date posted: 19 Jun 2026
Senior Auto Liability Special Handling Unit Senior Claims Adjuster
Company: Gallagher |
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: US$85500 - 122000 per year | Date posted: 19 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$60234 - 90000 per year | Date posted: 19 Jun 2026
Senior Claims Examiner-mpl
Company: Hiscox |
, NY Scottsdale, AZ West Hartford, CT The Role: The Senior Claims Examiner-Miscellaneous Professional Liability...! We are a fun, innovative and growing Claims team where youll get the opportunity to learn multiple insurance products and interactLocation: Chicago, IL, USA
| Salary: US$95000 - 120000 per year | Date posted: 19 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: 19 Jun 2026
Certified Medical Coder I (professional Review Specialist I)
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: Syracuse, NY, USA
| Salary: US$19.24 - 31.04 per hour | Date posted: 19 Jun 2026
Unclaimed Property Fraud Examiner (claims Representative 2)
Company: State of Oregon |
: $4,738 - $7,247 Position Type: Employee Position Title: Unclaimed Property Fraud Examiner (Claims Representative 2...) Job Description: Oregon State Treasury is recruiting for the position of Unclaimed Property Fraud Examiner within the Trust Property DivisionLocation: Salem, OR, USA
| Salary: US$4738 - 7247 per month | Date posted: 19 Jun 2026
Workers Compensation Claims Examiner | Hybrid | Orange, Ca
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner | HYBRID | 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: 19 Jun 2026
Claims Team Lead - Workers Compensation
Company: Sedgwick |
training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims.... Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles reviews and analyzes