CLAIMS EXAMINER III jobs in UNITED STATES, United Kingdom #2

Description : The Senior Claims Specialist manages within company standards and best practices complex... and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work...

Description : The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality..., productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor...

Description : The Senior Claims Specialist manages within company standards and best practices complex... and problematic, high visibility workers' compensation claims within delegated limited authority to determine benefits due; work...

Description : The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality..., productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor...

Claims Examiner III Must have TEXAS workers' compensation license and seeking 5 years experience in lost time work... comp claims for TEXAS jurisdiction. POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims...

of contractor costs in claims and proposals; Examines contracts and compliance with contract provisions; Conducts investigative...) Certified Information System Auditor (CISA) Certified Fraud Examiner (CFE) These additional certifications are preferred...

Overview Now hiring a Health Care Investigator The SIU Investigator III supports Program Integrity Department... initiatives at Presbyterian Health Plan. The Special Investigative Unit (SIU) Investigator III is responsible for conducting...

of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make...-A required Previous experience in the following areas preferred: Medical bill auditing Knowledge of worker's compensation claims...

to determine RTW potential and coordinate RTW efforts Active participation in RTW efforts with examiner and nurse case managers... to re-review claims where function is expected to increase and/or release to RTW is anticipated Accurate RTW screen coding...

of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make...-A required Previous experience in the following areas preferred: Medical bill auditing Knowledge of worker's compensation claims...