Healthcare Jobs for Claims Examiner - Healthcare News Journal

SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Friona, TX

Posted: Oct 24, 2020 Claims Examiner

Selection process, please make your request to the examiner, selecting official or local manager of Human Resources. This job has an exam requirement. $20.75 - $27.96 an hourFrom USPS - Mon, 19 Oct 2020 14:43:02 GMT - View all Friona, TX...

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Senior Property Adjuster - Engle Martin & Associates - Seattle, WA

Posted: Oct 24, 2020 Claims Examiner

Knowledge of property claim law; Ability to understand claims adjudication process. Investigates commercial insurance claims in any of a variety of settings.From Engle Martin & Associates - Fri, 18 Sep 2020 01:56:24 GMT - View all Seattle, WA...

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Program Manager - Comprehensive Health Serv - Reston, VA

Posted: Oct 24, 2020 Claims Examiner

Ensure proper training of CHS employees, subcontractors and examiners. Master’s Degree in Business Administration or Healthcare Administration or a relevant…From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:27 GMT - View all Reston, VA...

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Benefit Fraud Manager (WMS1 2020-06852) Lacey - State of Washington Employment Security Department - Lacey, WA

Posted: Oct 24, 2020 Claims Examiner

Write, review, and implement mechanisms to prevent fraudulent PFML claims. Assign, conduct, and review investigations of healthcare providers and claimants for… $68,667 - $96,324 a yearFrom State of Washington - Tue, 20 Oct 2020 14:06:38 GMT - View all Lacey, WA...

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General Adjuster - Commercial Property - Engle Martin & Associates - Dallas, TX

Posted: Oct 24, 2020 Claims Examiner

Knowledge of property claim law; Ability to understand claims adjudication process. Investigates commercial property insurance claims in any of a variety of…From Engle Martin & Associates - Mon, 14 Sep 2020 19:55:46 GMT - View all Dallas, TX...

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Fraud & Abuse Investigator, SR - Remote (Multiple States) - Sentara Healthcare - Virginia Beach, VA

Posted: Oct 24, 2020 Claims Examiner

Minimum of 5 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) ORInternal/External Audit OR Regulatory…From Sentara Healthcare - Thu, 27 Aug 2020 00:31:06 GMT - View all Virginia Beach, VA...

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Medical Claims Examiner - Caprock HealthPlans – A 90 Degree Benefits Company - Lubbock, TX

Posted: Oct 24, 2020 Claims Examiner

Handle all claim negotiations and case management claims accurately and timely. Process claims to established dollar authority. Knowledge of MS Office products.From Indeed - Fri, 02 Oct 2020 20:13:45 GMT - View all Lubbock, TX...

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Training Director - Comprehensive Health Serv - Reston, VA

Posted: Oct 24, 2020 Claims Examiner

Experience with VA healthcare, training, coursework and culture. Oversee the relationships with Caliburn employees, subcontractors and examiners to ensure all…From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:26 GMT - View all Reston, VA...

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RN Clinical Manager - Pinnacle Senior Care - Milwaukee, WI

Posted: Oct 24, 2020 Claims Examiner

Timely submissions of Final Claims within 10 calendar days. A national organization built on a continuum of care with premier healthcare providers, clinicians…From Pinnacle Senior Care - Wed, 21 Oct 2020 04:35:04 GMT - View all Milwaukee, WI...

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Corporate Health Services Specialist - Harley-Davidson - Milwaukee, WI

Posted: Oct 24, 2020 Claims Examiner

Evaluate and refer claims to the Case Managers (onsite and offsite) as appropriate. Develop effective, collaborative relationships across the organization with…From Harley-Davidson - Thu, 17 Sep 2020 22:25:22 GMT - View all Milwaukee, WI...

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Quality Control Analyst-Remote - Conifer Health Solutions - Frisco, TX

Posted: Oct 24, 2020 Claims Examiner

The Quality Control Analyst is responsible for claims auditing and identifying examiner and system errors. 2-3 years of experience as Claims Adjuster.From Tenet Healthcare - Wed, 02 Sep 2020 08:21:26 GMT - View all Frisco, TX...

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Human Resources Specialist (Emp Rel/Lab Rel) - US Department of Veterans Affairs - Hampton, VA

Posted: Oct 24, 2020 Claims Examiner

Provides services to an integrated healthcare network, ensuring strict adherence to all contractual and regulatory timeframes. This is not a virtual position. $77,091 - $100,223 a yearFrom usajobs.gov - Tue, 13 Oct 2020 22:24:53 GMT - View all Hampton, VA...

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Medical Claims Manager - CNSI - Cheyenne, WY

Posted: Oct 24, 2020 Claims Examiner

The Claims Manager manages the Claims Department composed of Claims Resolution Specialists, Adjustment Examiner, Appeals Examiner, Data Entry Technician, and…From CNSI - Wed, 06 May 2020 01:06:12 GMT - View all Cheyenne, WY...

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Senior Property Adjuster - Engle Martin & Associates - Dallas, TX

Posted: Oct 24, 2020 Claims Examiner

Knowledge of property claim law; Ability to understand claims adjudication process. Investigates commercial insurance claims in any of a variety of settings.From Engle Martin & Associates - Tue, 22 Sep 2020 19:55:48 GMT - View all Dallas, TX...

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Senior Property Adjuster - Crawford & Company - Casper, WY

Posted: Oct 24, 2020 Claims Examiner

Investigates claims by interviewing claimants and witnesses, obtaining official reports, and comparing claim information with evidence gathered.From Crawford & Company - Mon, 12 Oct 2020 23:26:54 GMT - View all Casper, WY...

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

Posted: Oct 24, 2020 Claims Examiner

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

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Quality Assurance Specialist - Comprehensive Health Serv - Reston, VA

Posted: Oct 24, 2020 Claims Examiner

Three (3) years of Quality Assurance and Quality Control knowledge and experience in a healthcare environment. Performs duties in a safe manner.From Comprehensive Health Serv - Fri, 21 Aug 2020 09:51:26 GMT - View all Reston, VA...

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RN Field Case Manager - Sedgwick - Seattle, WA

Posted: Oct 24, 2020 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 - Thu, 10 Sep 2020 20:49:27 GMT - View all Seattle, WA...

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Medicare Claims Examiner (Multiple Opportunities) - AllyAlign Health - Glen Allen, VA

Posted: Oct 24, 2020 Claims Examiner

The Claims Examiner is responsible for the accurate and timely processing Healthcare Claims in compliance with AAH Policies and CMS regulatory guidelines.From AllyAlign Health - Wed, 16 Sep 2020 16:46:40 GMT - View all Glen Allen, VA...

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Medical Claims Supervisor - Cognizant Technology Solutions - Plano, TX

Posted: Oct 24, 2020 Claims Examiner

5+ years in claims processing or claims administration preferred. Senior Process Executives (Senior Examiners). Directly reporting to the Claims Manager.From Cognizant - Thu, 01 Oct 2020 19:44:44 GMT - View all Plano, TX...

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Claims Examiner Job Opportunities

SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Friona, TX

Senior Property Adjuster - Engle Martin & Associates - Seattle, WA

Program Manager - Comprehensive Health Serv - Reston, VA

Benefit Fraud Manager (WMS1 2020-06852) Lacey - State of Washington Employment Security Department - Lacey, WA

General Adjuster - Commercial Property - Engle Martin & Associates - Dallas, TX

Fraud & Abuse Investigator, SR - Remote (Multiple States) - Sentara Healthcare - Virginia Beach, VA

Medical Claims Examiner - Caprock HealthPlans – A 90 Degree Benefits Company - Lubbock, TX

Training Director - Comprehensive Health Serv - Reston, VA

RN Clinical Manager - Pinnacle Senior Care - Milwaukee, WI

Corporate Health Services Specialist - Harley-Davidson - Milwaukee, WI

Quality Control Analyst-Remote - Conifer Health Solutions - Frisco, TX

Human Resources Specialist (Emp Rel/Lab Rel) - US Department of Veterans Affairs - Hampton, VA

Medical Claims Manager - CNSI - Cheyenne, WY

Senior Property Adjuster - Engle Martin & Associates - Dallas, TX

Senior Property Adjuster - Crawford & Company - Casper, WY

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

Quality Assurance Specialist - Comprehensive Health Serv - Reston, VA

RN Field Case Manager - Sedgwick - Seattle, WA

Medicare Claims Examiner (Multiple Opportunities) - AllyAlign Health - Glen Allen, VA

Medical Claims Supervisor - Cognizant Technology Solutions - Plano, TX

341,832 Healthcare Job Opportunities: