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Claims Examiner Job Opportunities

Chief Medical Officer - All In Solutions - Fredericksburg, VA

Posted: Mar 01, 2021 Claims Examiner
Chief medical officer, healthcare management_. Examiners will return the signed examination upon completion via email using E-Signature within the designated… $150,000 - $175,000 a yearFrom Indeed - Wed, 17 Feb 2021 00:37:53 GMT - View all Fredericksburg, VA...
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Examiner Claims II - Kaiser Permanente - Spokane, WA

Posted: Mar 01, 2021 Claims Examiner
Accurate processing/reprocessing of claims for members including Medicare, Commercial, COB and Visiting Member claims using KFHPW processing procedures,…From Kaiser Permanente - Tue, 09 Feb 2021 16:31:34 GMT - View all Spokane, WA...
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HBS-Trainee Claims - Intermountain Healthcare - West Valley City, UT

Posted: Mar 01, 2021 Claims Examiner
Provides backup for claims processors and examiners. One year of claims processing, claims logging, or customer service experience.From Intermountain Healthcare - Fri, 26 Feb 2021 23:10:07 GMT - View all West Valley City, UT...
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Claims Examiner Specialist, PPS - Full Time - Days - ProMedica - Wheeling, WV

Posted: Mar 01, 2021 Claims Examiner
Participate in monthly/quarterly claim review with Employers providing detailed reports and claim reviews. Responsible for providing workers’ compensation third…From ProMedica - Sat, 13 Feb 2021 10:42:13 GMT - View all Wheeling, WV...
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Quality Assurance Specialist (Notional) - Caliburn International - Reston, VA

Posted: Mar 01, 2021 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 Caliburn International - Wed, 30 Dec 2020 07:53:26 GMT - View all Reston, VA...
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Medicare Claims Examiner II - AllyAlign Health - Glen Allen, VA

Posted: Mar 01, 2021 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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Workers Compensation Surveillance Specialist (WCSS) - ECS Federal LLC - Arlington, VA

Posted: Mar 01, 2021 Claims Examiner
Must have healthcare fraud experience. WCSS’s are prohibited from performing or commenting on claims management duties of the IC specialists.From ECS Federal LLC - Tue, 17 Nov 2020 01:54:25 GMT - View all Arlington, VA...
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Claims Assistant - CorVel Healthcare Corporation - Glen Allen, VA

Posted: Mar 01, 2021 Claims Examiner
Assist claims examiners with telephone calls including provider, claimant and customer calls. Send out the Welcome Information Packet on new claims;From CorVel Healthcare Corporation - Thu, 18 Feb 2021 17:08:36 GMT - View all Glen Allen, VA...
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Financial Examiner 2 (FE2/DPI) - State of Washington Health Care Authority - Olympia, WA

Posted: Mar 01, 2021 Claims Examiner
OR certification as a Certified Financial Examiner from the Society of Financial Examiners; Knowledge of current and developing trends in medical healthcare… $5,102 - $6,691 a monthFrom State of Washington - Fri, 19 Feb 2021 20:09:18 GMT - View all Olympia, WA...
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Sr. Statistician - Integrity Management Services, Inc. - Alexandria, VA

Posted: Mar 01, 2021 Claims Examiner
Understanding of claims and health care terminology and codes (i.e. 3+ years of statistical analysis experience within Medicare/Medicaid or similar health…From Integrity Management Services, Inc. - Fri, 07 Aug 2020 16:15:55 GMT - View all Alexandria, VA...
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Sr. Fraud and Abuse Investigator- Remote - Sentara Healthcare - Virginia Beach, VA

Posted: Mar 01, 2021 Claims Examiner
Minimum of 5 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) OR Internal/External Audit OR…From Sentara Healthcare - Sun, 28 Feb 2021 00:32:23 GMT - View all Virginia Beach, VA...
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Training Director (Notional) - Caliburn International - Reston, VA

Posted: Mar 01, 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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Senior Property Adjuster - Crawford & Company - Seattle, WA

Posted: Mar 01, 2021 Claims Examiner
Investigates claims by interviewing claimants and witnesses, obtaining official reports, and comparing claim information with evidence gathered.From Crawford & Company - Fri, 06 Nov 2020 05:17:11 GMT - View all Seattle, WA...
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SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Wellsville, UT

Posted: Mar 01, 2021 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 - Wed, 24 Feb 2021 14:42:49 GMT - View all Wellsville, UT...
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Fraud and Abuse Investigator- Remote - Sentara Healthcare - Virginia Beach, VA

Posted: Mar 01, 2021 Claims Examiner
Minimum of 2 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) OR Internal/External Audit OR…From Sentara Healthcare - Sat, 27 Feb 2021 00:31:59 GMT - View all Virginia Beach, VA...
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VA MDE Program Manager (Notional) - Caliburn International - Reston, VA

Posted: Mar 01, 2021 Claims Examiner
Ensure proper training of CHS employees, subcontractors and examiners. Master’s Degree in Business Administration or Healthcare Administration or a relevant…From Caliburn International - Fri, 29 Jan 2021 00:46:39 GMT - View all Reston, VA...
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Risk Manager - RN - Steward Health Care - Amarillo, TX

Posted: Mar 01, 2021 Claims Examiner
Managing claims against the facility; Reviews national and local claims data; Participates in evaluation of claims for settlement;From Indeed - Fri, 20 Nov 2020 13:41:17 GMT - View all Amarillo, TX...
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Health Fraud Investigator - HRS Consulting, Inc. - Seattle, WA

Posted: Mar 01, 2021 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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Sr. Fraud and Abuse Investigator- Remote - Sentara Healthcare - Virginia Beach, VA

Posted: Feb 28, 2021 Claims Examiner
Minimum of 5 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) OR Internal/External Audit OR…From Sentara Healthcare - Sun, 28 Feb 2021 00:32:23 GMT - View all Virginia Beach, VA...
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Risk Manager - RN - Steward Health Care - Amarillo, TX

Posted: Feb 28, 2021 Claims Examiner
Managing claims against the facility; Reviews national and local claims data; Participates in evaluation of claims for settlement;From Indeed - Fri, 20 Nov 2020 13:41:17 GMT - View all Amarillo, TX...
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Workers Compensation Surveillance Specialist (WCSS) - ECS Federal LLC - Arlington, VA

Posted: Feb 28, 2021 Claims Examiner
Must have healthcare fraud experience. WCSS’s are prohibited from performing or commenting on claims management duties of the IC specialists.From ECS Federal LLC - Tue, 17 Nov 2020 01:54:25 GMT - View all Arlington, VA...
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Senior Property Adjuster - Crawford & Company - Seattle, WA

Posted: Feb 28, 2021 Claims Examiner
Investigates claims by interviewing claimants and witnesses, obtaining official reports, and comparing claim information with evidence gathered.From Crawford & Company - Fri, 06 Nov 2020 05:17:11 GMT - View all Seattle, WA...
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HBS-Trainee Claims - Intermountain Healthcare - West Valley City, UT

Posted: Feb 28, 2021 Claims Examiner
Provides backup for claims processors and examiners. One year of claims processing, claims logging, or customer service experience.From Intermountain Healthcare - Fri, 26 Feb 2021 23:10:07 GMT - View all West Valley City, UT...
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Claims Assistant - CorVel Healthcare Corporation - Glen Allen, VA

Posted: Feb 28, 2021 Claims Examiner
Assist claims examiners with telephone calls including provider, claimant and customer calls. Send out the Welcome Information Packet on new claims;From CorVel Healthcare Corporation - Thu, 18 Feb 2021 17:08:36 GMT - View all Glen Allen, VA...
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Health Fraud Investigator - HRS Consulting, Inc. - Seattle, WA

Posted: Feb 28, 2021 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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SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Wellsville, UT

Posted: Feb 28, 2021 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 - Wed, 24 Feb 2021 14:42:49 GMT - View all Wellsville, UT...
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Financial Examiner 2 (FE2/DPI) - State of Washington Health Care Authority - Olympia, WA

Posted: Feb 28, 2021 Claims Examiner
OR certification as a Certified Financial Examiner from the Society of Financial Examiners; Knowledge of current and developing trends in medical healthcare… $5,102 - $6,691 a monthFrom State of Washington - Fri, 19 Feb 2021 20:09:18 GMT - View all Olympia, WA...
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Medicare Claims Examiner II - AllyAlign Health - Glen Allen, VA

Posted: Feb 28, 2021 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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Fraud and Abuse Investigator- Remote - Sentara Healthcare - Virginia Beach, VA

Posted: Feb 28, 2021 Claims Examiner
Minimum of 2 years combined experience required in Medical Coding OR Healthcare (Medical Chart Review/Insurance Billing) OR Internal/External Audit OR…From Sentara Healthcare - Sat, 27 Feb 2021 00:31:59 GMT - View all Virginia Beach, VA...
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Chief Medical Officer - All In Solutions - Fredericksburg, VA

Posted: Feb 28, 2021 Claims Examiner
Chief medical officer, healthcare management_. Examiners will return the signed examination upon completion via email using E-Signature within the designated… $150,000 - $175,000 a yearFrom Indeed - Wed, 17 Feb 2021 00:37:53 GMT - View all Fredericksburg, VA...
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Sr. Statistician - Integrity Management Services, Inc. - Alexandria, VA

Posted: Feb 28, 2021 Claims Examiner
Understanding of claims and health care terminology and codes (i.e. 3+ years of statistical analysis experience within Medicare/Medicaid or similar health…From Integrity Management Services, Inc. - Fri, 07 Aug 2020 16:15:55 GMT - View all Alexandria, VA...
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Training Director (Notional) - Caliburn International - Reston, VA

Posted: Feb 28, 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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VA MDE Program Manager (Notional) - Caliburn International - Reston, VA

Posted: Feb 28, 2021 Claims Examiner
Ensure proper training of CHS employees, subcontractors and examiners. Master’s Degree in Business Administration or Healthcare Administration or a relevant…From Caliburn International - Fri, 29 Jan 2021 00:46:39 GMT - View all Reston, VA...
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Quality Assurance Specialist (Notional) - Caliburn International - Reston, VA

Posted: Feb 28, 2021 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 Caliburn International - Wed, 30 Dec 2020 07:53:26 GMT - View all Reston, VA...
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Examiner Claims II - Kaiser Permanente - Spokane, WA

Posted: Feb 28, 2021 Claims Examiner
Accurate processing/reprocessing of claims for members including Medicare, Commercial, COB and Visiting Member claims using KFHPW processing procedures,…From Kaiser Permanente - Tue, 09 Feb 2021 16:31:34 GMT - View all Spokane, WA...
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Claims Assistant - CorVel Healthcare Corporation - Glen Allen, VA

Posted: Feb 27, 2021 Claims Examiner
Assist claims examiners with telephone calls including provider, claimant and customer calls. Send out the Welcome Information Packet on new claims;From CorVel Healthcare Corporation - Thu, 18 Feb 2021 17:08:36 GMT - View all Glen Allen, VA...
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SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Yellowstone National Park, WY

Posted: Feb 27, 2021 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 - Fri, 19 Feb 2021 14:46:10 GMT - View all Yellowstone National Park, WY...
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Claims Examiner Specialist, PPS - Full Time - Days - ProMedica - Wheeling, WV

Posted: Feb 27, 2021 Claims Examiner
Participate in monthly/quarterly claim review with Employers providing detailed reports and claim reviews. Responsible for providing workers’ compensation third…From ProMedica - Sat, 13 Feb 2021 10:42:13 GMT - View all Wheeling, WV...
View Job Post Jobs in Wheeling Jobs in WV Jobs Posted Today

Examiner Claims II - Kaiser Permanente - Spokane, WA

Posted: Feb 27, 2021 Claims Examiner
Accurate processing/reprocessing of claims for members including Medicare, Commercial, COB and Visiting Member claims using KFHPW processing procedures,…From Kaiser Permanente - Tue, 09 Feb 2021 16:31:34 GMT - View all Spokane, WA...
View Job Post Jobs in Spokane Jobs in WA Jobs Posted Today

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

Posted: Feb 27, 2021 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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Senior Property Adjuster - Crawford & Company - Seattle, WA

Posted: Feb 27, 2021 Claims Examiner
Investigates claims by interviewing claimants and witnesses, obtaining official reports, and comparing claim information with evidence gathered.From Crawford & Company - Fri, 06 Nov 2020 05:17:11 GMT - View all Seattle, WA...
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Risk Manager - RN - Steward Health Care - Amarillo, TX

Posted: Feb 27, 2021 Claims Examiner
Managing claims against the facility; Reviews national and local claims data; Participates in evaluation of claims for settlement;From Indeed - Fri, 20 Nov 2020 13:41:17 GMT - View all Amarillo, TX...
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Claims Team Lead - Guidewell webtpa - Irving, TX

Posted: Feb 27, 2021 Claims Examiner
Assist claim examiners with questions and claim audits to ensure accurate and timely adjudication of claims; Some claim processing and adjudication;From Guidewell webtpa - Wed, 24 Feb 2021 15:59:51 GMT - View all Irving, TX...
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SALES,SVCS/DISTRIBUTION ASSOC - United States Postal Service - Wellsville, UT

Posted: Feb 27, 2021 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 - Wed, 24 Feb 2021 14:42:49 GMT - View all Wellsville, UT...
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Financial Examiner 2 (FE2/DPI) - State of Washington Health Care Authority - Olympia, WA

Posted: Feb 27, 2021 Claims Examiner
OR certification as a Certified Financial Examiner from the Society of Financial Examiners; Knowledge of current and developing trends in medical healthcare… $5,102 - $6,691 a monthFrom State of Washington - Fri, 19 Feb 2021 20:09:18 GMT - View all Olympia, WA...
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Risk Manager - RN - Steward Health Care - Lubbock, TX

Posted: Feb 27, 2021 Claims Examiner
Managing claims against the facility; Reviews national and local claims data; Participates in evaluation of claims for settlement;From Indeed - Fri, 20 Nov 2020 13:41:17 GMT - View all Lubbock, TX...
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Sr. Statistician - Integrity Management Services, Inc. - Alexandria, VA

Posted: Feb 27, 2021 Claims Examiner
Understanding of claims and health care terminology and codes (i.e. 3+ years of statistical analysis experience within Medicare/Medicaid or similar health…From Integrity Management Services, Inc. - Fri, 07 Aug 2020 16:15:55 GMT - View all Alexandria, VA...
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NURSE ADVANCED PRACTICE - Metrocare Services - Dallas, TX

Posted: Feb 27, 2021 Claims Examiner
Documentation in individual service records will be sufficient for filing and justification of insurance/third-party claims for the service provided.From Dallas County Mental Health & Menta - Tue, 01 Sep 2020 16:09:21 GMT - View all Dallas, TX...
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Workers Compensation Surveillance Specialist (WCSS) - ECS Federal LLC - Arlington, VA

Posted: Feb 27, 2021 Claims Examiner
Must have healthcare fraud experience. WCSS’s are prohibited from performing or commenting on claims management duties of the IC specialists.From ECS Federal LLC - Tue, 17 Nov 2020 01:54:25 GMT - View all Arlington, VA...
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HBS-Trainee Claims - Intermountain Healthcare - West Valley City, UT

Posted: Feb 27, 2021 Claims Examiner
Provides backup for claims processors and examiners. One year of claims processing, claims logging, or customer service experience.From Intermountain Healthcare - Fri, 26 Feb 2021 23:10:07 GMT - View all West Valley City, UT...
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