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Sponsorship not Offered for this Role Responsibilities The AVP, Sr. Claims Examiner handles all aspects of claims notices and files related to professional liability and accompanying coverages, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel.
Full-timeExpandApply NowActive JobUpdated 15 days ago - UpvoteDownvoteShare Job
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As an Auto Claims Examiner, you will be responsible for accurately assessing and processing auto insurance claims. As they continue to expand our operations, we are seeking an experienced and detail-oriented Claims Examiner with expertise in assessing auto damage to join our team.
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Key Words: Billing, Claims, Reconcile, IHS, Indian Health Services, Tribal Liaison, Medicaid, MCO, Managed Care, Tribal, Value Added, Community, Tribal 638, Tribal Governments, TCBOs, HSD/MAD, Claims Examiner, Auditor, Claims Processor.
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For more information watch the linked video: Please note that this video uses the term 'claims examiner' which is the same position in Maine as 'claims Adjudicator'. As a Disability Claims Adjudicator, you request and research prior medical records, collaborate with in-house Doctors and Psychologists around functional limitations, conduct vocational work analyses, and ultimately make disability determinations for the Social Security Administration.
ExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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CERTIFICATIONS/LICENSES : One or more of the following preferred: Active license in good standing to practice law in one or more jurisdictions; Certified Fraud Examiner (ACFE); Certified Insurance Fraud Investigator (CIFI); Chartered Property Casualty Underwriter (CPCU); Self-Insurance Certification (Claims/SIP.
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WHAT WE ARE SEEKING We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated experienced Claims professional to join our team. Review open and closed files to ensure adherence to claim handling guidelines and state's Fair Claims Practices.
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3-5 years of multi-line claims handling experience with increasing responsibilities. Review and monitor open claims files. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave.
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A minimum of one (1)year experience as a Claims Examiner for medical, dental claims and vision, subrogation, and accident claims. Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department guidelines, as well as meet established quality and production performance benchmarks to include research and review of applicable documentation.
$33,280 - $47,271 a yearFull-timeExpandApply NowActive JobUpdated 21 days ago - UpvoteDownvoteShare Job
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The Senior Claim Examiner will independently handle a diverse mix of claims consisting primarily of employment practices liability and directors and officers liability claims underwritten primarily out of the Private/Non-Profit unit.
$100,000 - $130,000 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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PRIMARY PURPOSE: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
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Workers Compensation Claims Examiner - Hybrid. PRIMARY PURPOSE : To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
$70,000 - $97,000 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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Examines, investigates and evaluates information from policyholders, attorneys, physicians, hospital personnel, police departments, employers, State Medicaid personnel, funeral homes, Probate courts and other professionals needed to determine the disposition of life, annuity, health and disability claims within authority limits.
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Claims Examiner - Workers Compensation. To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
ExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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As a dedicated injury examiner, you will adjust complex bodily injury claims and UIM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations.
ExpandApply NowActive JobUpdated 4 days ago
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