Talent.com
California Licensed Claims Examiner

California Licensed Claims Examiner

VirtualVocationsBuffalo, New York, United States
job_description.job_card.30_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 Workers Compensation Claims Examiner III (Temporary).

Key Responsibilities

Manage a caseload of 150 to 180 workers' compensation files, including complex claims

Conduct timely investigations and determine compensability of claims while administering benefits

Communicate with claimants, providers, and vendors regarding claims issues and manage medical treatment and billing

Required Qualifications

High School Diploma or GED required; Bachelor's degree in a related field preferred

Three or more years of related experience or equivalent combination of education and experience

Technical knowledge of statutory regulations and medical terminology

Certifications and / or licenses as required by State regulation

Proficiency in Word and Excel preferred

serp_jobs.job_alerts.create_a_job

Examiner • Buffalo, New York, United States

Job_description.internal_linking.related_jobs
  • serp_jobs.job_card.promoted
Workers' Compensation Claims Examiner

Workers' Compensation Claims Examiner

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
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 ap...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

VirtualVocationsBuffalo, New York, 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
Insurance Senior Specialist

Insurance Senior Specialist

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for an Insurance Sr.Specialist to manage complex accounts and support team operations remotely.Key Responsibilities Resolve complex accounts and act as a subject matter exper...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
Medicaid Compliance Assistant

Medicaid Compliance Assistant

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Medicaid Pending Compliance Assistant.Key Responsibilities : Assist with tracking and maintaining Medicaid Pending reports for assigned Skilled Nursing Facilities Follo...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

VirtualVocationsBuffalo, New York, 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
Arizona Licensed Workers' Comp Adjuster

Arizona Licensed Workers' Comp Adjuster

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Examiner I responsible for examining, investigating, and settling insurance claims efficiently. Key Responsibilities Investigate workers' compensation clai...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Licensing and Commissions Specialist

Licensing and Commissions Specialist

VirtualVocationsBuffalo, New York, 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
  • serp_jobs.job_card.new
Wisconsin Licensed Claims Representative

Wisconsin Licensed Claims Representative

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Claims Representative - Workers Compensation.Key Responsibilities Manage moderate to complex claims with minimal supervision Conduct thorough investigations, ev...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
Workers Compensation Adjuster (GA Licensed)

Workers Compensation Adjuster (GA Licensed)

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Senior Workers Compensation Claims Adjuster.Key Responsibilities Manage claims by analyzing exposure, planning actions, and resolving claims effectively Communicate wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Florida Workers' Compensation Adjuster

Florida Workers' Compensation Adjuster

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Workers Compensation Legal Claim Adjuster.Key Responsibilities Evaluate claims based on Florida Statute and case law to determine compensability and total value; set re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
  • serp_jobs.job_card.promoted
Insurance Specialist

Insurance Specialist

Genesis10Amherst, NY, US
serp_jobs.job_card.permanent
Genesis10 is seeking an Insurance Specialist for a 3-month remote contract position with a leading client in Brooklyn, OH. Job Duties : Under the direction of the department manager, the person in th...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
New York Certified Appeals Technician

New York Certified Appeals Technician

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for an Appeals Technician responsible for managing incoming requests for appeals while ensuring high customer service and productivity. Key Responsibilities Maintain quality a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Life Claims Analyst

Life Claims Analyst

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Life Claims Analyst to evaluate claims accurately and promptly while ensuring compliance with regulations. Key Responsibilities Determine complex claim benefits based on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Temporary Fact Checker

Temporary Fact Checker

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for a temporary Fact Checker.Key Responsibilities Verify factual accuracy of content across editorial sections, including text and visuals Evaluate writers' arguments for lo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
  • serp_jobs.job_card.promoted
California Licensed Claims Specialist

California Licensed Claims Specialist

VirtualVocationsBuffalo, New York, 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
Insurance Specialist - Michigan Licensed

Insurance Specialist - Michigan Licensed

VirtualVocationsBuffalo, New York, 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_30
  • serp_jobs.job_card.promoted
Life Insurance QA Lead

Life Insurance QA Lead

VirtualVocationsBuffalo, New York, United States
serp_jobs.job_card.full_time
A company is looking for a Life Insurance Software QA Lead to oversee testing efforts for transformation projects in the life insurance domain. Key Responsibilities : Lead and manage the testing ph...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
  • serp_jobs.job_card.promoted
  • serp_jobs.job_card.new
Claim Operations Associate

Claim Operations Associate

VirtualVocationsBuffalo, New York, 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