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As an Examiner, you will be conducting Compensation & Pension(C&P) Examinations for Veterans applying for disability compensation from the Department of Veteran Affairs (VA) in relation to their in-service injury claims.
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Develops, implements, and follows-up on the return-to-work plan for employees in the case management program in concert with the client, supervisor, treating physician, Fort Shafter Injury Compensation Program Administrator (ICPA) , Office of the Worker's Compensation Program (OWCP) claims examiner, OWCP nurse case manager, lawyer, and union representatives.
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Works with the Fort Shafter Federal Employee Compensation Act (FECA) Claims Administrator to identify cases that require review, screens all FECA claims and selects those cases meeting the selection criteria for medical case management.
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Claims Examiner, Miscellaneous Professional Liability page is loaded. The Claims Examiner – MPL adjudicates assigned claims within given authority. Resolves moderate to complex claims that includes all phases of litigation.
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3-5 years of experience as a claims examiner handling professional and facility claims. Support Claims Manager in reviewing auditing tracking and reporting. Understanding of claims processing rules, managed care benefits, and adjudication.
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JCW is currently recruiting on behalf of a rapidly growing Property & Casualty Insurance Company who are looking to add a claims examiner. The ideal candidate will have experience commercial general liability or professional liability claims.
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Seeking an accomplished general liability/litigation claim examiner to handle NY Construction/Labor Law claims from onset through litigation and settlement. Must have 5+ years of experience handling moderate to complex general liability claims.
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The Claims Examiner works both independently and in conjunction the Claims Team Manager to adjudicate claims, respond to provider or client inquiries in an accurate, timely and professional manner.
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The Senior Claims Examiner will play a pivotal role in managing and adjudicating complex insurance claims, ensuring accuracy, efficiency, and adherence to company policies and regulatory guidelines.
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Contract role for Claims Examiner –Remote f or our client. Claims Examiner –Remote- Confer with legal counsel on claims requiring litigation. Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
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Registered Nurse (RN), Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), or Accredited Health Care Fraud Investigator (AHFI) preferred. Experience with relevant technology, such as background check systems, claims processing platforms, data mining and fraud detection software.
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We are seeking a Senior Claims Examiner to join our team. A JD from an ABA accredited law school may be considered as a supplement to claims handling experience Advanced knowledge of claims analysis and adjusting practices.
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To supervise the operation of multiple teams of examiners and technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims.
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Senior Construction Claim Examiner. 100% Remote - Suffolk County NY Office Location. Property and Casualty Insurance Industry. A New York adjuster license is highly desirable; however, they will consider a candidate willing to obtain a license.
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CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Specialist Adjuster Examiner Analyst Attorney Environmental Toxic Tort Asbestos Pollution Health Hazard DiedreMoire JobSearch JobHunt JobOpening Hiring Job Jobs Careers Employment jobposting InsuranceJobs DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application.
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