Healthcare Jobs for Claims Examiner - Healthcare News Journal

RN Field Case Manager - Sedgwick - Chantilly, VA

Posted: Sep 21, 2021 Claims Examiner

Manages one-time task assignment or full field case management referral to meet with attending physician, injured worker and/or employer to clarify medical and…From Sedgwick - Tue, 16 Feb 2021 02:49:35 GMT - View all Chantilly, VA...

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Health Fraud Investigator - HRS Consulting, Inc. - Seattle, WA

Posted: Sep 21, 2021 Claims Examiner

HRS Consulting, Inc. is seeking a Health Fraud Investigator with a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator background to…From HRS Consulting, Inc. - Wed, 26 Aug 2020 20:25:45 GMT - View all Seattle, WA...

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Forensic Data Analyst - CareFirst BlueCross BlueShield - Fairfax, VA

Posted: Sep 21, 2021 Claims Examiner

Develop and maintain general knowledge healthcare reimbursement policies and state and federal regulations related to healthcare fraud and abuse.From CareFirst BlueCross BlueShield - Mon, 13 Sep 2021 08:27:08 GMT - View all Fairfax, VA...

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Subrogation Examiner-PS4718 - Anthem - Waukesha, WI

Posted: Sep 21, 2021 Claims Examiner

Responds to inquiries regarding information on injury claims. Reviews diagnostic and procedure codes to determine claims relevant to each case.From Anthem - Thu, 16 Sep 2021 20:30:24 GMT - View all Waukesha, WI...

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Subrogation Examiner - Anthem - Madison, WI

Posted: Sep 21, 2021 Claims Examiner

Responds to inquiries regarding information on injury claims. Reviews diagnostic and procedure codes to determine claims relevant to each case.From Anthem - Thu, 16 Sep 2021 14:58:33 GMT - View all Madison, WI...

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SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Shelburne, VT

Posted: Sep 21, 2021 Claims Examiner

Domestic postal money orders; accepting and responding to customer claims and inquiries, and providing information to the. Dental, Vision and Long-Term Care. $23.12 an hourFrom USPS - Fri, 10 Sep 2021 14:46:21 GMT - View all Shelburne, VT...

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SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - South Londonderry, VT

Posted: Sep 21, 2021 Claims Examiner

Domestic postal money orders; accepting and responding to customer claims and inquiries, and providing information to the. Dental, Vision and Long-Term Care. $23.12 an hourFrom USPS - Wed, 15 Sep 2021 14:46:36 GMT - View all South Londonderry, VT...

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Field Nurse Case Manager (RN) - Part-Time - EK Health Services Inc - Spokane, WA

Posted: Sep 21, 2021 Claims Examiner

Communicating with the claim’s examiners regarding directives, and provides updates on file status. Preparing comprehensive notes following any discussions had…From EK Health Services Inc - Wed, 21 Apr 2021 18:13:24 GMT - View all Spokane, WA...

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SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Royal City, WA

Posted: Sep 21, 2021 Claims Examiner

Domestic postal money orders; accepting and responding to customer claims and inquiries, and providing information to the. Dental, Vision and Long-Term Care. $23.12 an hourFrom USPS - Sat, 18 Sep 2021 14:52:48 GMT - View all Royal City, WA...

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P&C Claims Specialist - James River Insurance Company - Richmond, VA

Posted: Sep 21, 2021 Claims Examiner

Minimum of seven years claims handling experience. Multi-jurisdictional claims and litigation experience. Perform coverage, liability, and damage analysis on…From Indeed - Wed, 11 Aug 2021 16:21:52 GMT - View all Richmond, VA...

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P&C Senior Claims Examiner - James River Insurance Company - Richmond, VA

Posted: Sep 21, 2021 Claims Examiner

The Sr. Claims examiner will handle claims in accordance with established James River Claims Best Practices. Perform coverage, liability, and damage analysis on…From Indeed - Wed, 11 Aug 2021 16:21:56 GMT - View all Richmond, VA...

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Quality Assurance Specialist (Notional) - Caliburn International - Reston, VA

Posted: Sep 21, 2021 Claims Examiner

Three (3) years of Quality Assurance and Quality Control knowledge and experience in a healthcare environment. Follows the corporate safety policy.From Caliburn International - Wed, 30 Dec 2020 07:53:26 GMT - View all Reston, VA...

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Subrogation Examiner/Subrogation Examiner Sr - Anthem - Waukesha, WI

Posted: Sep 21, 2021 Claims Examiner

Responds to inquiries regarding information on injury claims. Reviews diagnostic and procedure codes to determine claims relevant to each case.From Anthem - Fri, 17 Sep 2021 08:28:35 GMT - View all Waukesha, WI...

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Details Clerk (OA) - US Veterans Health Administration - Milwaukee, WI

Posted: Sep 21, 2021 Claims Examiner

The incumbent is a quasi-legal examiner who conducts all administrative and operational details relating to deceased patients, applies the pertinent laws of the… $36,789 - $47,828 a yearFrom usajobs.gov - Thu, 26 Aug 2021 16:09:04 GMT - View all Milwaukee, WI...

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VA MDE Program Manager (Notional) - Caliburn International - Reston, VA

Posted: Sep 21, 2021 Claims Examiner

Ensure proper training of CHS employees, subcontractors and examiners. The MDE is a key component in the claims adjudication process for entitlement…From Caliburn International - Fri, 29 Jan 2021 00:46:39 GMT - View all Reston, VA...

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Training Director (Notional) - Caliburn International - Reston, VA

Posted: Sep 21, 2021 Claims Examiner

Experience with VA healthcare, training, coursework and culture. Oversee the relationships with Caliburn employees, subcontractors and examiners to ensure all…From Caliburn International - Wed, 30 Dec 2020 07:53:24 GMT - View all Reston, VA...

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Staff Attorney (HE 1, In-Training to HE 3) DOH5548 - State of Washington Dept. of Health - Tumwater, WA

Posted: Sep 21, 2021 Claims Examiner

Proof ofvaccination will be verified by the Office of Human Resources after anemployment offer has been extended and accepted. $4,398 - $7,761 a monthFrom State of Washington - Thu, 13 May 2021 22:52:05 GMT - View all Tumwater, WA...

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Hearings Examiner 3 (DOH5743) - State of Washington Dept. of Health - Tumwater, WA

Posted: Sep 21, 2021 Claims Examiner

This position also serves to provide legal review for records requests related to subpoenas, torts, and data sharing. $5,913 - $7,761 a monthFrom State of Washington - Sat, 21 Aug 2021 02:25:19 GMT - View all Tumwater, WA...

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Health Fraud Investigator - HRS Consulting, Inc. - Seattle, WA

Posted: Sep 20, 2021 Claims Examiner

HRS Consulting, Inc. is seeking a Health Fraud Investigator with a Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator background to…From HRS Consulting, Inc. - Wed, 26 Aug 2020 20:25:45 GMT - View all Seattle, WA...

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Subrogation Examiner - Anthem - Madison, WI

Posted: Sep 20, 2021 Claims Examiner

Responds to inquiries regarding information on injury claims. Reviews diagnostic and procedure codes to determine claims relevant to each case.From Anthem - Thu, 16 Sep 2021 14:58:33 GMT - View all Madison, WI...

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