488 claims examiner jobs at 145 companies in United States
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Claims Examiner I
Huntington Beach or Los Angeles County
$27-$32/hr HybridFull Time
1+ YOEAssociate degree and one year of related experience, or equivalent education and experience. Requires medical terminology, CMS claims guidance, coding knowledge, analytical skills, attention to detail, and MS Office proficiency.
Microsoft PowerPoint, Microsoft Excel, Microsoft Word, CPT, HCPCS, ICD-10, CMS
3w
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Claims Examiner
Bellaire, Texas, United States
OnsiteFull Time
1+ YOEHigh school diploma/GED and at least 1 year of claims examination experience; ability to adjudicate claims accurately and document findings.
1w
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Claims Examiner
Bakersfield, California, United States
$21-$32/hr OnsiteFull Time
1+ YOEHigh school diploma or equivalent and at least one year of medical claims examiner processing experience.
Microsoft SharePoint
3mo
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Claims Examiner
San Bernardino, California, United States
$29-$34/hr HybridFull Time
2+ YOETwo years healthcare claims processing/adjudication; high school diploma; knowledge of CPT, HCPCS, ICD-10; experience with claims systems/EDI preferred.
CPT, HCPCS, ICD-10, Revenue Codes, EDI, Claims Systems, Microsoft Office, Google Workspace
1w
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Workers Compensation Claims Examiner
Alabama or South Carolina or Mississippi or Georgia or Florida or North Carolina or Tennessee
RemoteFull Time
Workers’ compensation claims handling experience required, including lost-time claims preferred. Requires analytical, communication, organizational, customer-service, and Microsoft Office skills; high school diploma required.
Microsoft Office
4d
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Commercial Auto Liability Claims Examiner III
Albany, New York, United States
$65k-$80k/yr RemoteFull Time
5+ YOEHigh school diploma or GED and at least 5 years of commercial automobile liability claims experience. Requires a valid New York adjuster license, analytical, negotiation, communication, and computer skills.
10-key, printer, copier, fax/scanner machine, computer
2w
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Senior Claims Examiner
Irvine or Fresno
$54k-$70k/yr RemoteFull Time
7+ YOE7+ years claims examiner experience preferred, high school required, advanced knowledge of medical/dental claims, ERISA, CPT/ICD10 coding, Microsoft Office proficiency, strong communication and critical thinking, home office and internet requirements.
Valenz, Occunet, Anthem, Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
1mo
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Claims - Claims Examiner
Pensacola, Florida, United States
OnsiteFull Time
2+ YOEHigh school diploma or equivalent, 2+ years claims or healthcare administration experience, knowledge of long-term care policies and medical terminology, proficiency with claims systems and Microsoft Office, strong analytical and communication skills.
Microsoft Excel, Microsoft Word, Microsoft Outlook
2w
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Claims Examiner
Schaumburg, Illinois, United States
$55k-$102k/yr HybridFull Time
Managing and resolving medical professional liability claims through investigation, coverage interpretation, counsel management, reserve setting, and client-facing claim reviews and meetings.
Microsoft Office
2w
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Claims Examiner
Oakland, California, United States
$80k-$114k/yr RemoteFull Time
5+ YOEHigh school diploma and 5+ years claims experience required; must be licensed/certified in states where handling claims; strong analytical, negotiation, and communication skills.
1mo
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Claims Examiner
Cincinnati, Ohio, United States
HybridFull Time
3+ YOEHandle third-party liability claims from intake through resolution; analyze coverage, oversee defense counsel, maintain claim files, prepare reports, and attend mediations. Bachelor's degree required; 3+ years claims experience preferred; state adjuster licenses where required.
1w
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Claims Examiner
San Antonio, Texas, United States
$19-$27/hr OnsiteFull Time
2+ YOEHigh school diploma/GED, 2+ years claim processing or billing experience, knowledge of Medicaid, CHIP, commercial claims, ICD-9, CPT-4, and medical terminology.
1w
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Claims Examiner
Alpharetta, Georgia, United States
OnsiteFull Time
3+ YOEHandle workers compensation lost-time claims, perform investigations, assess losses, document strategies, and communicate with stakeholders; adjuster license required and 3+ years WC claims experience.
5d
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Claims Examiner
United States
RemoteFull Time
High school diploma required; health claims processing experience required, including claims software. Requires communication, analytical, negotiation, typing, computer, medical coding, and HIPAA knowledge.
claims processing software, ICD-9, ICD-10, CPT, HCPCS, HIPAA
3w
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Claims Examiner
Richmond or Omaha or Plano or Milwaukee or Tampa
$62k-$86k/yr OnsiteFull Time
2+ YOEInvestigate, evaluate, negotiate and settle low-to-moderate exposure claims; must have 2+ years claims experience or equivalent, ability to obtain adjuster license, strong communication and analytical skills.
Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word
2mo
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Claims Examiner/Senior Claims Examiner
Walnut Creek, California, United States
$65k-$115k/yr OnsiteFull Time
2+ YOE2+ years claims experience, professional workers' compensation certification preferred (WCCP), strong negotiation, analytical, written/verbal communication, and PC literacy.
3mo
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Claims Examiner
Houston, Texas, United States
OnsiteFull Time
Entry-level claims role; associate's degree preferred. Insurance/financial or medical claims experience preferred. Knowledge of medical coding (ICD-9/ICD-10) and terminology, strong phone/customer service, and Word/Excel skills.
Microsoft Word, Microsoft Excel, WebEx
1w
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Claims Examiner (Project Hire)
Anaheim, California, United States
$72k-$97k/yr OnsiteFull Time, Temporary
2+ YOERequires 2+ years administering California workers' compensation claims, California claims examiner designation, Self-Insurance Plans Administrator certification, analytical and communication skills, and claims systems proficiency.
automated claims management systems, paperless document management systems, web access portals
3w
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CLAIMS EXAMINER I MSO
Burlingame, California, United States
$38/hr OnsiteFull Time
2+ YOEConduct claim examination, audit, adjudication; knowledge of Medi‑Cal/Medicare and medical billing; strong data entry, analytical and communication skills; 2 years claims experience preferred.
3w
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Claims Examiner
New York City, New York, United States
RemoteFull Time
Experience in claims processing for accident/critical illness/LTC/hospital indemnity, strong analytical and communication skills, proficiency with Microsoft Office, bachelor's degree or equivalent preferred.
Microsoft Excel, Microsoft Word, Microsoft Outlook
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