- State of Michigan (Lansing, MI)
- …legal interpretations and conclusions of law, on occasion, an Administrative Law Examiner may handle some Small Claims cases that are more complex, under ... Administrative Law Examiner 13-P15 Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4783861)...Benefits + Questions Job Description This position presides over administrative hearings in the Small Claims division… more
- City of New York (New York, NY)
- …an accredited college and four years of full-time experience investigating and settling liability claims , 18 months of which must have been in an administrative , ... or supervising a staff performing the investigation and settlement of liability claims or related work; 2. Education and/or experience equivalent to "1" above.… more
- State of Michigan (Lansing, MI)
- …experience in legal work equivalent to an Administrative Law Specialist 13 or Administrative Law Examiner 13, or as an attorney. Administrative Law ... Specialist will also conduct hearings in the Tribunal's Small Claims division as well as provide legal and procedural...to an Administrative Law Specialist 14 or Administrative Law Examiner 14; or, two years… more
- MetLife (Oriskany, NY)
- …Interpret policy provisions and manually adjudicate FEGLI Life claims to make claim determinations. * Work with our customer administrative staff to clarify ... turnaround and customer satisfaction are met. * Evaluate life claims to identify claim situations requiring referral to Complex Case Manager Specialist or… more
- Fallon Health (Worcester, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief Summary of purpose:** The Claims Examiner should have thorough claim processing knowledge at a ... **Overview** **The Claims Examiner position is a hybrid...in a quality manner. + Solid working knowledge of claim processing from all perspectives (submissions, processing, dependencies) +… more
- CHS (Clearwater, FL)
- **Overview** **Health Insurance Medical Claims Examiner ** **(Initial Training on Site - 30 days - Remote after training)** **Must live within a reasonable ... FL** **Monday-Friday Schedule with daytime hours** **Responsibilities** **Summary:** The Medical Claims Examiner adjudicates medical claims based on… more
- Dignity Health (Bakersfield, CA)
- …Off and Sick Leave. **Responsibilities** Under the guidance and supervision of the Manager of Claims , the Claims Examiner II is responsible for the efficient ... to ensure compliance with applicable policies, procedures, and regulations. The Claims Examiner II will handle complex cases, resolve discrepancies, and… more
- Dignity Health (Bakersfield, CA)
- …employer-match. Other benefits include Paid Time Off and Sick Leave. **Responsibilities** The Claims Examiner III is an advanced-level role responsible for the ... Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health... claims processing, coding, and regulatory compliance. The Claims Examiner III will handle the most… more
- Robert Half Office Team (Oakland, CA)
- … claims knowledge and experience in Medicare/Medi-Cal processes? We're looking for a Senior Claims Examiner to join our team! In this role, you will evaluate ... and process routine to moderately complex insurance claims while ensuring eligibility requirements are met and appropriate documentation is maintained. If you're… more
- Dignity Health (Bakersfield, CA)
- …coding preferred. **Preferred Qualifications:** + Six (6) months experience as a Claims Examiner preferred. + Associate's Degree in Healthcare Administration, ... pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and… more