Talent.com
Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

VirtualVocationsSioux Falls, South Dakota, United States
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for a Claims Examiner, Medical Only.

Key Responsibilities

Investigate workers' compensation claims for medical care without lost wages

Approve medical treatments, schedule appointments, and manage medical reserves

Ensure data integrity and compliance with policy conditions and regulatory reporting

Required Qualifications

Proficiency with MS Word, Excel, and other business applications

State licensing requirements (if applicable)

2 years of experience handling Medical Only or other Workers' Compensation claims preferred

Basic knowledge of medical conditions and treatment plans related to occupational injuries

Ability to make independent decisions and demonstrate critical thinking skills

serp_jobs.job_alerts.create_a_job

Examiner • Sioux Falls, South Dakota, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
New York Licensed Claims Examiner

New York Licensed Claims Examiner

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner I.Key Responsibilities Investigates and evaluates insurance claims through contact with involved parties Negotiates claims effectively to achiev...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Specialist (PAWP).Key Responsibilities Adjust claims for assigned PAWP programs Build and maintain relationships with internal and external customers Investiga...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Pennsylvania Licensed Insurance Specialist

Pennsylvania Licensed Insurance Specialist

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Enrollment Specialist.Key Responsibilities Maintains knowledge of the IntelliApp database and creates customized reports for insurance enrollment Maximizes ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Scheduler / Insurance Specialist

Scheduler / Insurance Specialist

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Scheduler / Insurance Specialist - Remote.Key Responsibilities Manage patient financial account services, including benefit assessment and insurance verification Coordin...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Insurance Intern

Insurance Intern

Marsh McLennanSioux Falls, SD, US
serp_jobs.job_card.full_time
Insurance Intern (Summer 2026).Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people. The industry's brightest talent drive our ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Senior Claims Examiner

Senior Claims Examiner

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner to adjudicate complex life insurance claims.Key Responsibilities Lead the adjudication of complex or contested life insurance claims Conduct tho...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Workers' Compensation Claims Adjuster (FL, RI, TX Licensed)

Workers' Compensation Claims Adjuster (FL, RI, TX Licensed)

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Workers' Compensation Claims Adjuster to manage complex claims in various jurisdictions across the United States. Key Responsibilities Adjudicate higher complexity worke...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Claims Representative Internship - Summer 2026

Claims Representative Internship - Summer 2026

Auto-Owners InsuranceSioux Falls, SD, US
serp_jobs.job_card.internship
A career at Auto-Owners is challenging and rewarding.Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.Auto-Owners I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Title Express Auditor

Title Express Auditor

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Title Express Auditor.Key Responsibilities Perform comprehensive audits of open and closed assignments from various TE teams Conduct full-lot reviews, including call a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensing and Commissions Specialist

Licensing and Commissions Specialist

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Licensing & Contracting / Commissions Specialist.Key Responsibilities Maintain and update contracting data and hierarchy information in the CMS Process contract paperwor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Claims Operations Associate

Claims Operations Associate

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claim Operations Associate to support their Claim Operations department remotely.Key Responsibilities Address simple requests and complaints via telephone, email, or vo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Hawaii Licensed Claims Trainee

Hawaii Licensed Claims Trainee

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Guardian Associate (Workers Compensation Claims Trainee).Key Responsibilities Participate in structured learning through instructor-led sessions, online modules, and jo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claim Operations Associate

Claim Operations Associate

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claim Operations Associate in the Pacific Time Zone.Key Responsibilities Address simple requests and complaints received via telephone, email, or voicemail Utilize cal...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Licensed Claims Analyst

Licensed Claims Analyst

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Claims Analyst to join their team in a remote capacity.Key Responsibilities Provide exceptional resolution of claim files to ensure a best-in-class claims experience I...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Insurance Specialist - Michigan Licensed

Insurance Specialist - Michigan Licensed

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Specialist to manage financial and insurance information for patients.Key Responsibilities Verify the accuracy and completeness of financial and insurance in...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claims Operations Executive

Claims Operations Executive

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Head of Claims Operations & Technology.Key Responsibilities Manage departmental relationships across a matrixed organization and oversee the Claims budget Drive techno...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_less
  • serp_jobs.job_card.promoted
Accreditation Specialist

Accreditation Specialist

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for an Accreditation Specialist to lead quality improvement efforts and ensure NCQA Health Plan Accreditation. Key Responsibilities : Develops and prepares documentation for NC...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Michigan Licensed Workers Compensation Adjuster

Michigan Licensed Workers Compensation Adjuster

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze and resolve claims while managing claims exposure Interact with var...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Stop Loss Claims Examiner

Stop Loss Claims Examiner

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Stop Loss Examiner.Key Responsibilities Manage a block of business and audit Stop Loss claims according to policy provisions Adjudicate claim reimbursements within spe...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Stop Loss Claims Coordinator

Stop Loss Claims Coordinator

VirtualVocationsSioux Falls, South Dakota, United States
serp_jobs.job_card.full_time
A company is looking for a Stop Loss Filing Coordinator to manage the end-to-end stop loss claims process.Key Responsibilities : Prepare and submit stop-loss claims and supporting documentation A...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day