Claims Examiner jobs in USA
545 claims examiner jobs found: showing 1 - 50
Fraud, Waste, And Abuse (fwa) Program Manager
Company: PacificSource Health Plans |
resources/techniques. Maximize the recoveries and avoidance for Medicare and Medicaid claims payments with a demonstrated... and avoidance through the use of data sources for data mining and analytics to proactively seek out outlying claims activitiesLocation: USA, USA
| Salary: US$83310.45 - 145793.28 per year | Date posted: 15 Jul 2026
Senior General Liability Claims Adjuster - Remote
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$80000 - 95000 per year | Date posted: 15 Jul 2026
Senior Claims Examiner, Complex General Liability
Company: AssuredPartners |
a team thats passionate about helping individuals and organizations thrive. The Senior Claims Examiner will be responsible... possible for the client. In addition, the Sr. Claims Examiner will be responsible for recognizing claims involving coverage issuesLocation: Oakland, CA, USA
| Salary: unspecified | Date posted: 15 Jul 2026
Fraud, Waste, And Abuse (fwa) Program Manager
Company: PacificSource Health Plans |
resources/techniques. Maximize the recoveries and avoidance for Medicare and Medicaid claims payments with a demonstrated... and avoidance through the use of data sources for data mining and analytics to proactively seek out outlying claims activitiesLocation: USA, USA
| Salary: US$83310.45 - 145793.28 per year | Date posted: 15 Jul 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: 15 Jul 2026
Senior Claims Examiner
Company: Transamerica |
Job Family Claims About Us At Transamerica, hard work, innovative thinking, and personal accountability... closely with department manager, legal counsel, medical director, claims assistants, and other departments to gatherLocation: Cedar Rapids, IA, USA
| Salary: unspecified | Date posted: 15 Jul 2026
Senior Claims Examiner, Complex General Liability
Company: AssuredPartners |
a team thats passionate about helping individuals and organizations thrive. The Senior Claims Examiner will be responsible... possible for the client. In addition, the Sr. Claims Examiner will be responsible for recognizing claims involving coverage issuesLocation: Torrance, CA, USA
| Salary: unspecified | Date posted: 15 Jul 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...? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovativeLocation: USA, USA
| Salary: unspecified | Date posted: 15 Jul 2026
Claims Examiner, Medical Only
Company: AmTrust Financial |
Overview The Workers Compensation Medical Only Claims Examiner is responsible for the prompt and effective... investigation of workers compensation claims involving injuries requiring medical treatment without lost wages. Claim adjudicationLocation: South Jordan, UT, USA
| Salary: unspecified | Date posted: 15 Jul 2026
Senior Investigator
Company: PacificSource Health Plans |
decisions and recommendations on case direction, scope and timing; collaborating with managers and staff in Claims, Provider... and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to createLocation: USA, USA
| Salary: US$65296.83 - 111004.62 per year | Date posted: 15 Jul 2026
Healthcare Fraud Investigator I – Medicaid/mco
Company: @Orchard |
develops baseline plans for ensuring the integrity and accuracy of claims processes and protocols. Collects data for audits.../investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentationLocation: USA, USA
| Salary: unspecified | Date posted: 15 Jul 2026
Senior Claims Examiner, Healthcare
Company: Arch Capital Group |
professional to join the Healthcare Claims Team as a Senior Claims Examiner. In this role, the examiner will be responsible... others achieve their goals. In short, We Enable Possibility. Job Summary The Claims Division is seeking a highly experiencedLocation: New York City, NY, USA
| Salary: US$123400 - 191628 per year | Date posted: 15 Jul 2026
Senior Investigator
Company: PacificSource Health Plans |
decisions and recommendations on case direction, scope and timing; collaborating with managers and staff in Claims, Provider... and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to createLocation: Springfield, OR, USA
| Salary: US$65296.83 - 111004.62 per year | Date posted: 15 Jul 2026
Investigator 3, Lead – Working Families Tax Credit Division
Company: Washington State |
) is seeking to potentially hire an Investigator 3, Lead for its Working Families Tax Credit (WFTC) Claims Research Team... and individuals. The mission of the Claims Research Team is to protect the integrity of the Working Families Tax Credit ProgramLocation: Thurston County, WA - Tumwater, WA, USA
| Salary: US$5928 - 7973 per month | Date posted: 15 Jul 2026
Claims Examiner
Company: Delta Dental of California |
Job Category: Claims Administration Job Description: The Claims Examiner is responsible for administratively... across all claims systems. The Claims Examiner reviews supporting documentation, identifies discrepancies or potential fraud, resolvesLocation: Alpharetta, GA, USA
| Salary: US$36900 - 74600 per year | Date posted: 15 Jul 2026
Fraud, Waste, And Abuse (fwa) Program Manager
Company: PacificSource Health Plans |
resources/techniques. Maximize the recoveries and avoidance for Medicare and Medicaid claims payments with a demonstrated... and avoidance through the use of data sources for data mining and analytics to proactively seek out outlying claims activitiesLocation: Portland, OR, USA
| Salary: US$83310.45 - 145793.28 per year | Date posted: 15 Jul 2026
Senior Claims Examiner - Risk Management
Company: Clark County School District |
This is the Senior Claims Examiner 12 Months / 8 Hours per day Please ensure that you complete the entire workLocation: Las Vegas, NV, USA
| Salary: unspecified | Date posted: 15 Jul 2026
Claims Examiner, General Liability Claims
Company: AssuredPartners |
about helping individuals and organizations thrive. The Claims Examiner is responsible for liability claims and property damage... claims to their conclusion in the most cost-effective way possible for the client. In addition, the Claims ExaminerLocation: Torrance, CA, USA
| Salary: unspecified | Date posted: 15 Jul 2026
Senior Investigator
Company: PacificSource Health Plans |
decisions and recommendations on case direction, scope and timing; collaborating with managers and staff in Claims, Provider... and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to createLocation: USA, USA
| Salary: US$65296.83 - 111004.62 per year | Date posted: 15 Jul 2026
Senior Investigator
Company: PacificSource Health Plans |
decisions and recommendations on case direction, scope and timing; collaborating with managers and staff in Claims, Provider... and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to createLocation: USA, USA
| Salary: US$65296.83 - 111004.62 per year | Date posted: 15 Jul 2026
Workforce Absence Team Lead
Company: Sedgwick |
training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims.../jurisdictional direction to examiner reports on claims adjudication. Compiles, reviews and analyzes management reports and takesLocation: Eden Prairie, MN, USA
| Salary: unspecified | Date posted: 15 Jul 2026
Senior Investigator
Company: PacificSource Health Plans |
decisions and recommendations on case direction, scope and timing; collaborating with managers and staff in Claims, Provider... and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to createLocation: Portland, OR, USA
| Salary: US$65296.83 - 111004.62 per year | Date posted: 15 Jul 2026
Workers' Compensation Claims Examiner | Ca Wc Experience Required
Company: Sedgwick |
in Financial Services & Insurance Workers Compensation Claims Examiner Are you looking for an opportunity to join a global...? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovativeLocation: USA, USA
| Salary: US$80000 - 105000 per year | Date posted: 15 Jul 2026
Senior Investigator
Company: PacificSource Health Plans |
decisions and recommendations on case direction, scope and timing; collaborating with managers and staff in Claims, Provider... and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to createLocation: USA, USA
| Salary: US$65296.83 - 111004.62 per year | Date posted: 15 Jul 2026
Fraud, Waste, And Abuse (fwa) Program Manager
Company: PacificSource Health Plans |
resources/techniques. Maximize the recoveries and avoidance for Medicare and Medicaid claims payments with a demonstrated... and avoidance through the use of data sources for data mining and analytics to proactively seek out outlying claims activitiesLocation: Springfield, OR, USA
| Salary: US$83310.45 - 145793.28 per year | Date posted: 15 Jul 2026
Dshs Esa Dds Examiner Support Specialist 2
Company: Washington State |
Description DSHS ESA DDS Examiner Support Specialist 2 The (DDDS), a division within DSHS's , has an opening... for an Examiner Support Specialist to join their team. DDDS staff are Washington State employees whose work is federally fundedLocation: King County, WA - Federal Way, WA, USA
| Salary: US$3917 - 5240 per month | Date posted: 15 Jul 2026
Fraud, Waste, And Abuse (fwa) Program Manager
Company: PacificSource Health Plans |
resources/techniques. Maximize the recoveries and avoidance for Medicare and Medicaid claims payments with a demonstrated... and avoidance through the use of data sources for data mining and analytics to proactively seek out outlying claims activitiesLocation: USA, USA
| Salary: US$83310.45 - 145793.28 per year | Date posted: 15 Jul 2026
Accountant/examiner 2
Company: Commerce |
of claims, collections, billings, payments or review of documents for accuracy, completeness &/or compliance with reporting...; 12 mos. exp. in accounting or other fiscal/financial activity. -Or 12 mos. exp. as Accountant/ Examiner 1, 66111Location: Reynoldsburg, OH - Franklin County, OH, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Fraud, Waste, And Abuse (fwa) Program Manager
Company: PacificSource Health Plans |
resources/techniques. Maximize the recoveries and avoidance for Medicare and Medicaid claims payments with a demonstrated... and avoidance through the use of data sources for data mining and analytics to proactively seek out outlying claims activitiesLocation: Boise, ID, USA
| Salary: US$83310.45 - 145793.28 per year | Date posted: 14 Jul 2026
Senior Investigator
Company: PacificSource Health Plans |
decisions and recommendations on case direction, scope and timing; collaborating with managers and staff in Claims, Provider... and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to createLocation: Boise, ID, USA
| Salary: US$65296.83 - 111004.62 per year | Date posted: 14 Jul 2026
Claims Examiner - Workers Compensation - Remote / Telecommute
Company: Cynet Systems |
Job Overview: Pay Range: $45hr - $50hr Requirement/Must Have: Minimum 3 years of relevant CA WC claims experience... or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on theLocation: Roseville, CA, USA
| Salary: US$45 - 50 per hour | Date posted: 14 Jul 2026
Active Indemnity Examiner
Company: JOINT INDUSTRY BOARD OF THE ELECTRICAL INDUSTRY |
Title: Active Indemnity Examiner Grade: 9 (OPEIU L153) Rate of Pay: $77,384.92 per year (weekly..., under general supervision, the Active Indemnity Examiner, Grade 9 will perform various duties including but not limited to: ManageLocation: New York, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Claims Examiner - Workers Compensation
Company: TechLink Systems |
Job Title: Claims Examiner - Workers Compensation Location (On-site, Remote, or Hybrid?): Remote but within California... Contract Duration: Contract until 10/16/2026 Description: Minimum 3years of relevant CA WC claims experience is mandatoryLocation: Roseville, CA, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Claims Examiner, General Liability
Company: Arch Capital Group |
with the Claims Division on the Mid Corp Casualty Team as a Claims Examiner, Casualty. In this role, the responsibilities... include actively managing commercial general liability claims for medium severity, and general liability, as well as theLocation: Jersey City, NJ, USA
| Salary: US$61900 - 96100 per year | Date posted: 14 Jul 2026
Medical Review Investigator
Company: Lakeview Hospital |
Job Category: Claims Services Job Description: HealthPartners is hiring a Medical Review Investigator. The Medical... evaluating allegations, analyzing claims data, reviewing medical records, conducting interviews, and performing investigativeLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Supplier Quality Assurance Manager, Steel Towers (m/f/d)
Company: Nordex |
Support supplier claims management related to quality deviations Identify risks in the supply chain and implement mitigation... administered by a medical examiner to ensure the ability to safely perform job functions and meet the physical demands of theLocation: Chicago, IL, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Claims Examiner I
Company: CRC Group |
-complex, standard claims in accordance with prescribed authority and best claims practices. ESSENTIAL DUTIES... with policyholders to settle claims of limited monetary value. 3. Develop and direct investigative plans. Conduct timely and detailedLocation: Fort Worth, TX, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Medical Review Associate Investigator
Company: Lakeview Hospital |
Job Category: Claims Services Job Description: HealthPartners is hiring a Medical Review Associate Investigator... of claims and provider data, assessing documentation and medical record completeness, identifying investigative risks or trendsLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 14 Jul 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: Tampa, FL, USA
| Salary: US$20.25 per hour | Date posted: 14 Jul 2026
Technician, Facility Services, Exterior Services-dot
Company: Walmart |
to uphold service standards. Control costs through price comparisons, warranty claims, and purchase approvals. Communicate... day Medical Examiners Certification (MEC) card, Associates degree or equivalent in Engineering, MaintenanceLocation: Cleveland, TN, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Ops Operations Analyst I
Company: State of Florida |
of Social Security disability claims. This position requires the incumbent have good oral and written communication skills... with claimants on the phone to ensure all incoming phone calls are correctly and timely routed to the appropriate examinerLocation: Tampa, FL, USA
| Salary: US$20.25 per hour | Date posted: 14 Jul 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: Guthrie, OK, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Wc Underwriter Supervisor (pn 20067858)
Company: Workers' Compensation |
of Underwriting - supervises Underwriting Consultants, Account Examiner 2 Supervisors, and Account Examiner 2's within the... Classification, Claims Coding and Audit Review Units. Reviews underwriting determinations for sound judgement & compliance with lawsLocation: Franklin County, OH - Columbus, OH, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Claims Examiner I
Company: CRC Group |
-complex, standard claims in accordance with prescribed authority and best claims practices. ESSENTIAL DUTIES... with policyholders to settle claims of limited monetary value. 3. Develop and direct investigative plans. Conduct timely and detailedLocation: Fort Worth, TX, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Medical Review Associate Investigator
Company: Lakeview Hospital |
Job Category: Claims Services Job Description: HealthPartners is hiring a Medical Review Associate Investigator... of claims and provider data, assessing documentation and medical record completeness, identifying investigative risks or trendsLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Medical Review Associate Investigator
Company: Lakeview Hospital |
Job Category: Claims Services Job Description: HealthPartners is hiring a Medical Review Associate Investigator... of claims and provider data, assessing documentation and medical record completeness, identifying investigative risks or trendsLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Medical Review Investigator
Company: Lakeview Hospital |
Job Category: Claims Services Job Description: HealthPartners is hiring a Medical Review Investigator. The Medical... evaluating allegations, analyzing claims data, reviewing medical records, conducting interviews, and performing investigativeLocation: Bloomington, MN, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Claims Examiner I
Company: CRC Group |
-complex, standard claims in accordance with prescribed authority and best claims practices. ESSENTIAL DUTIES... with policyholders to settle claims of limited monetary value. 3. Develop and direct investigative plans. Conduct timely and detailedLocation: Fort Worth, TX, USA
| Salary: unspecified | Date posted: 14 Jul 2026
Sr. Claims Examiner
Company: Berkley |
, providing expertise to meet the unique business needs of our customers. Responsibilities: The Senior Claims Examiner... or bodily injury claims with the authority level generally up to $100,000.00. This position requires an understandingLocation: Jersey City, NJ, USA
| Salary: US$90000 - 140000 per year | Date posted: 14 Jul 2026
Claims Examiner Iii
Company: CRC Group |
personal lines property claims. Responsible for adjusting major and complex losses in their entirety, including high dollar... claims. May also adjust standard losses. ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential