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Claims Examiner jobs in USA

565 claims examiner jobs found: showing 1 - 50

Claims Examiner
Company: Firstsource Solutions |

Location: Illinois, USA

| Salary: unspecified | Date posted: 12 Sep 2026
/Adjustor DEPARTMENT: Claims REPORTS TO: Manager, Claims PAY STATUS: Non-Exempt OVERVIEW OF POSITION: The Claim... Processor/Adjustor is responsible for providing service to the DDIL client base through accurate processing of dental claims
Bilingual Associate Claims Examiner (english/french)
Company: Assurant |

Location: USA, USA

| Salary: unspecified | Date posted: 12 Sep 2026
Title Bilingual Associate Claims Examiner (English/French) Overview of Position What we do: We offer shipping... are at a discount to the carrier rates, and the claims process is completely online and processed quickly. We are a small, casual inside
Casualty Claims Examiner Ii
Company: J.B. Hunt |

Location: Lowell, AR, USA

| Salary: unspecified | Date posted: 12 Sep 2026
Job Title: Casualty Claims Examiner II Department: Insurance Country: United States of America State/Province... Work Experience: Loss Prevention/Claims Management Job Opening ID: 00643141 Casualty Claims Examiner II (Open
Claims Examiner - Workers Compensation
Company: ICONMA |

Location: Alpharetta, GA, USA

| Salary: unspecified | Date posted: 12 Sep 2026
Our client, a Global Insurance company, is looking for a Claims Examiner - Workers Compensation for their Alpharetta... assessments on Lost Time claims. Timely and appropriately communicate with internal and external customers relative to account
Unclaimed Property Fraud Examiner (claims Representative 2)
Company: State of Oregon |

Location: Salem, OR, USA

| Salary: US$4738 - 7247 per month | Date posted: 12 Sep 2026
: $4,738 - $7,247 Position Type: Employee Position Title: Unclaimed Property Fraud Examiner (Claims Representative 2...) Job Description: Oregon State Treasury is recruiting for the position of Unclaimed Property Fraud Examiner within the Trust Property Division
Claims Examiner, Auto | Bodily Injury
Company: Sedgwick |

Location: Seven Hills, OH, USA

| Salary: US$70000 per year | Date posted: 12 Sep 2026
in Financial Services & Insurance Claims Examiner, Auto | Bodily Injury PRIMARY PURPOSE OF THE ROLE: To analyze and process... complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining
Employee Insurance Examiner 1
Company: New York State |

Location: Albany, NY, USA

| Salary: US$49841 - 61076 per year | Date posted: 12 Sep 2026
Employee Insurance Examiner 1 in the Employee Benefits Division will be assigned to the Program Administration Unit (PAU). The... administrative/clerical duties, processing claims and/or bookkeeping, processing personnel or benefits transactions. Examples
Transportation Examiner-cpi Claims
Company: Davies Group |

Location: Texas, USA

| Salary: US$55000 - 65500 per year | Date posted: 12 Sep 2026
Transportation Examiner-CPI Claims Department: Claims Administration & Adjusting Employment Type: Permanent - Full... Examiner to join our team. In this role, you will be responsible for managing and processing GAP insurance claims
Sr Claims Examiner (ph)
Company: The Walt Disney Company |

Location: Anaheim, CA, USA

| Salary: US$87100 - 116800 per year | Date posted: 12 Sep 2026
Job Posting Title: Sr Claims Examiner (PH) Req ID: 10160221 Job Description: At The Disneyland Resort, you'll... help inspire that magic by enabling our teams to push the limits of Risk Management and create the magic of handling claims
Accountant/examiner 3 - 20058338, 20061686
Company: Commerce |

Location: Franklin County, OH - Columbus, OH, USA

| Salary: unspecified | Date posted: 12 Sep 2026
. What You'll Do: Examines, reviews, verifies and processes claims Collects background information for validity Ensures... to claims Processes complex claims with in-depth research Primary contact person for incoming claimants Qualifications 12
Claims Examiner
Company: Harris Computer |

Location: Texas, USA

| Salary: unspecified | Date posted: 12 Sep 2026
Job Title: Claims Examiner Life, Accident, Critical Illness, LTC, and Hospital Indemnity Overview: As a Claims..., you will be responsible for accurately assessing and processing claims related to these insurance products. Your role will involve
Lead Claim Examiner I
Company: AmTrust Financial |

Location: Oak Brook, IL, USA

| Salary: unspecified | Date posted: 12 Sep 2026
and medical providers. The Lead Examiner is often, though not always, assigned to larger or more complex claims than an Adjuster...Overview: The Workers' Compensation Examiner Lead is responsible for prompt and efficient investigation, evaluation
Claims Examiner - Workers Compensation (hybrid- West Hills, Ca)
Company: Sedgwick |

Location: West Hills, CA, USA

| Salary: US$80000 - 92000 per year | Date posted: 12 Sep 2026
in Financial Services & Insurance Claims Examiner - Workers Compensation (Hybrid- West Hills...s best brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture
New York Labor Law Claims Examiner
Company: Raphael & Associates |

Location: Rutherford, NJ, USA

| Salary: unspecified | Date posted: 12 Sep 2026
Job Summary: We are currently seeking a New York Labor Law Examiner to join our growing team. This position may... liability claims and third-party property and bodily injury. Maintain a current understanding of relevant statutes and case law
Assistant Insurance Fund Services Representative (ny Helps)
Company: New York State |

Location: Monroe, NY, USA

| Salary: US$55817 - 67990 per year | Date posted: 12 Sep 2026
only Case Manager in the NYS Segment. Work-up and process Workers' Compensation claims. Approve and deny medical bills... about claims. File forms and correspond with the Workers' Compensation Board. Review claims for retirement or transfer to lost
Claims Team Lead - Workers Compensation | Jurisdiction: Ca - Remote
Company: Sedgwick |

Location: Orlando, FL, USA

| Salary: unspecified | Date posted: 12 Sep 2026
activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary... direction to examiner reports on claims adjudication. Compiles reviews and analyzes management reports and takes appropriate
Voucher Examiner Nf
Company: Federal government of the United States |

Location: Texarkana, TX, USA

| Salary: US$50460 - 79000 per year | Date posted: 12 Sep 2026
only on official, secure websites. MENU Sign out Voucher Examiner NF-03 Department of Defense Defense Finance... treatment, for payment of service expenses, acquisitions, claims, and other documents. Audits completed vouchers for errors
Lead Claim Examiner I
Company: AmTrust Financial |

Location: Oak Brook, IL, USA

| Salary: unspecified | Date posted: 11 Sep 2026
and medical providers. The Lead Examiner is often, though not always, assigned to larger or more complex claims than an Adjuster...Overview The Workers' Compensation Examiner Lead is responsible for prompt and efficient investigation, evaluation
Claims Examiner
Company: Sigma Systems, Inc. |

Location: Irving, TX, USA

| Salary: unspecified | Date posted: 11 Sep 2026
9151476 - Claims Examiner Irving, TX 3 Months contract Sigma Inc. is currently looking for a Claims Examiner in Irving..., TX. Shift Timings: Work Schedule: 5 Days - 8 Hours Summary: The Claims Examiner Senior is responsible for reviewing
Billing Coordinator
Company: Techgene Solutions LLC |

Location: Boise, ID, USA

| Salary: unspecified | Date posted: 11 Sep 2026
to obtain missing documentation. Review and route bills through the system to the Claims Examiner for payment. Maintain...Position: Claims Specialist/Billing Specialist Location: Boise, Idaho Work Arrangement: In Person Interview
Ppd Claims Associate, Temp
Company: JOINT INDUSTRY BOARD OF THE ELECTRICAL INDUSTRY |

Location: New York, USA

| Salary: US$36.96 per hour | Date posted: 11 Sep 2026
Examiner will be responsible for the following duties: Review of electrical industry workers compensation claims and determine...Title: PPD Claims Associate, Temp Duration: 3-6 months, Potential to convert to permanent Rate of Pay:$36.96 per hour
Senior Claims Examiner
Company: Chubb |

Location: Simsbury, CT, USA

| Salary: unspecified | Date posted: 11 Sep 2026
JOB DESCRIPTION The Senior Claim Examiner, under an appropriate level of direction from the manager, investigates..., evaluates, and resolves Professional Liability claims while ensuring the highest level of customer service. Responsibilities
Technician, Facility Services, Exterior Services-dot
Company: Walmart |

Location: Florence, SC, USA

| Salary: unspecified | Date posted: 11 Sep 2026
of parts, equipment, and travel-related costs. Submits warranty claims. Completes and submits forms (for example, expense... and be able to maintain a minimum of a 90 day Medical Examiners Certification (MEC) card, Associates degree or equivalent
Total Loss Recovery Specialist
Company: Penske |

Location: Reading, PA, USA

| Salary: unspecified | Date posted: 11 Sep 2026
is strongly valued. Internal Penske Liability Claims Examiner experience may suffice in lieu of external experience Knowledge... for managing the end-to-end lifecycle of total loss recovery claims on behalf of the company. This role protects the company
Senior Investigator
Company: LHC Group |

Location: Houston, TX, USA

| Salary: US$60200 - 107400 per year | Date posted: 11 Sep 2026
fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources... (NHCAA) Accredited Health Care Fraud Investigator (AHFI) Certified Fraud Examiner (CFE) Certified Professional Coder (CPC
Claims Examiner -chc
Company: UPMC |

Location: Pittsburgh, PA, USA

| Salary: unspecified | Date posted: 11 Sep 2026
UPMC Health Plan has an exciting opportunity for a Claims Examiner position in the CHC Claims Operations department..., PA to be considered. The Claims Examiner will manage adjudication of moderate to complex claims while meeting or exceeding production
Unemployment Insurance Examiner 8-e10
Company: State of Michigan |

Location: Saginaw, MI, USA

| Salary: US$23.69 - 33.05 per hour | Date posted: 11 Sep 2026
of experience equivalent to an Unemployment Claims Interviewer 8 or one year equivalent to an Unemployment Insurance Examiner 8.... Unemployment Insurance Examiner E10 Two years of experience equivalent to an Unemployment Claims Interviewer 9 or one year
Dshs Esa Claims Officer 3
Company: Washington State |

Location: Washington, USA

| Salary: US$80496 - 108228 per year | Date posted: 11 Sep 2026
: One year as a Claims Officer 1 plus two years as a Claims Officer 2 or higher; OR One year as a Hearings Examiner 1...Description DSHS ESA - Claims Officer 3 Join the Economic Services Administration (ESA), Division of Child Support
Senior Claim Examiner I
Company: AmTrust Financial |

Location: Princeton, NJ, USA

| Salary: unspecified | Date posted: 11 Sep 2026
. Requires 5+ years of workers compensation claims experience and strong technical knowledge. Lead Claim Examiner... Claim Examiner and Lead Claim Examiner. Both positions play a critical role in managing workers compensation claim files
Contractual Insurance Investigator Ii/ Iii
Company: State of Maryland |

Location: Annapolis, MD, USA

| Salary: unspecified | Date posted: 11 Sep 2026
which we have jurisdiction have complied with the applicable laws and the relevant terms of insurance policies when settling claims, canceling...'s insurance regulatory agency, in a property and casualty capacity as an investigator, examiner, enforcement officer, customer
Senior Investigator Pharmacy - Los Angeles County, Ca
Company: LHC Group |

Location: Los Angeles, CA, USA

| Salary: US$60200 - 107400 per year | Date posted: 11 Sep 2026
of healthcare fraud, waste and abuse. The Senior Investigator will utilize claims data, applicable guidelines and other sources... level of proficiency with Microsoft Excel and Word Intermediate level of knowledge in pharmacy claims processing Ability
Senior Claim Examiner I
Company: AmTrust Financial |

Location: New York, USA

| Salary: unspecified | Date posted: 11 Sep 2026
Overview: The Lead Claim Examiner is responsible for prompt and efficient investigation, evaluation and settlement... or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical
Appeals Examiner - West Sacramento, Ca (on-site)
Company: Gainwell Technologies |

Location: West Sacramento, CA, USA

| Salary: US$37500 - 53500 per year | Date posted: 11 Sep 2026
. Summary As Appeals Examiner - West Sacramento, CA (On-site), you can contribute your skills as we harness the power... and quality standards. Resubmit and adjust claims on approved appeals with the proper claim data correction and documentation
Pharmacy Fraud Program Manager
Company: Devoted Health |

Location: USA, USA

| Salary: US$73000 - 130000 per year | Date posted: 11 Sep 2026
including prescribing, dispensing, and pharmacy claims activity across a wide range of internal and external data sources...: fluency with pharmacy claims data and pharmacy benefit operations, including NCPDP claim fields, NDCs, quantity and days
Fraud Risk Management Investigator
Company: Fulton Bank |

Location: Pennsylvania, USA

| Salary: US$51600 - 86000 per year | Date posted: 11 Sep 2026
. This position independently decisions bank liability for fraud claims, requires the ability to identify trends or anomalies.... (Required) Certifications Certified Fraud Examiner, Certified Financial Crimes Investigator, and/or Certified Cyber Crimes Investigator
Claims Examiner - Workers Compensation
Company: Sunrise Systems |

Location: Alpharetta, GA, USA

| Salary: unspecified | Date posted: 11 Sep 2026
Job Title: Claims Examiner - Workers Compensation Location: Alpharetta, GA 30022 Duration: 3 Months (Temp to Perm... assessments on Lost Time claims. Timely and appropriately communicate with internal and external customers relative to account
Claims Examiner Remote
Company: NTT Data |

Location: Plano, TX, USA

| Salary: unspecified | Date posted: 11 Sep 2026
a Claims Examiner Remote to join our team in Plano, Texas (US-TX), United States (US). NTT DATA is seeking to hire a Remote... Claims Processing Associate to work for our end client and their team. In this Role the candidate will be responsible
Fraud Risk Management Investigator
Company: Fulton Bank |

Location: Pennsylvania, USA

| Salary: US$51600 - 86000 per year | Date posted: 11 Sep 2026
independently decisions bank liability for fraud claims, requires the ability to identify trends or anomalies within complex.... (Required) Certifications Certified Fraud Examiner, Certified Financial Crimes Investigator, and/or Certified Cyber Crimes Investigator
Senior Claim Examiner I
Company: AmTrust Financial |

Location: Princeton, NJ, USA

| Salary: unspecified | Date posted: 10 Sep 2026
. Requires 5+ years of workers compensation claims experience and strong technical knowledge. Lead Claim Examiner... Claim Examiner and Lead Claim Examiner. Both positions play a critical role in managing workers compensation claim files
Senior Claim Examiner I
Company: AmTrust Financial |

Location: New York, USA

| Salary: unspecified | Date posted: 10 Sep 2026
Overview The Lead Claim Examiner is responsible for prompt and efficient investigation, evaluation and settlement... or declination of insurance claims through effective research, negotiation and interaction with insureds, claimants and medical
Claims Examiner - Workers Compensation | Jurisdiction: Southeast States | Licensing: Fl Or Home State Required - Remote
Company: Sedgwick |

Location: USA, USA

| Salary: unspecified | Date posted: 10 Sep 2026
in Financial Services & Insurance Claims Examiner - Workers Compensation | Jurisdiction: Southeast states | Licensing: FL or Home..., growth, and inclusion. PRIMARY PURPOSE OF THE ROLE To analyze Workers Compensation claims on behalf of our valued clients
Hr Business Partner
Company: FreeState Electric Cooperative |

Location: Topeka, KS, USA

| Salary: US$77237 per year | Date posted: 10 Sep 2026
resources.Promptly responds to notices of unemployment claims and keeps cooperative management apprised of benefits awarded....Maintains DOT driver qualification files, as well as ensures DOT employees have current medical examiner certifications, driver
Appeals Examiner - West Sacramento, Ca (on-site)
Company: Gainwell Technologies |

Location: West Sacramento, CA, USA

| Salary: US$37500 - 53500 per year | Date posted: 10 Sep 2026
. Summary As Appeals Examiner - West Sacramento, CA (On-site), you can contribute your skills as we harness the power... and quality standards. Resubmit and adjust claims on approved appeals with the proper claim data correction and documentation
Manager, Chief Claims Examiner
Company: AAA Life Insurance Company |

Location: Livonia, MI, USA

| Salary: unspecified | Date posted: 10 Sep 2026
management and complex vendor relationships. Experience developing technical claims curriculum, case-based learning, or examiner..., contestable, appealed, escalated, and litigation-related life insurance claims. Serve as the senior claims subject-matter expert
Sr Claim Examiner-liability
Company: Crawford & Company |

Location: New Orleans, LA, USA

| Salary: unspecified | Date posted: 10 Sep 2026
We're Hiring: Senior Claims Examiner - Liability This is an exciting opportunity to join a global leader in claims... Employee Referral Bonus Program Access to Multiple Employee Discounts We're looking for a Senior Claims Examiner
Benefits Support Specialist, Workforce Benefits - Remote
Company: Symetra Life Insurance Company |

Location: USA, USA

| Salary: US$27.1 - 45.16 per hour | Date posted: 10 Sep 2026
and opportunities to learn and grow--both within your role and beyond--make it a great place to build your career." \- Alicia L., Claims... Examiner What we offer you We don't take a "one-size-fits-all" approach when it comes to our employees. Our programs
Chief Of Medicaid Program Integrity-ahca
Company: State of Florida |

Location: Tallahassee, FL, USA

| Salary: US$4615.38 - 5000 per month | Date posted: 10 Sep 2026
. Knowledge of managed care, provider enrollment, reimbursement, and claims processing. Knowledge of auditing standards... certification, such as: Certified Fraud Examiner; Accredited Healthcare Fraud Investigator; Certified Financial Crimes Investigator
Technician, Facility Services, Exterior Services-dot
Company: Walmart |

Location: Frisco, TX, USA

| Salary: unspecified | Date posted: 10 Sep 2026
, cost estimates, and warranty claims for parts and equipment. Lead and support third-party providers and team members... and be able to maintain a minimum of a 90 day Medical Examiners Certification (MEC) card, Associates degree or equivalent
Fraud & Financial Investigation Manager
Company: Peak Credit Union |

Location: USA, USA

| Salary: US$104632 - 118900 per year | Date posted: 10 Sep 2026
Fraud Examiner (CFE) and Bank Secrecy Act Compliance Specialist (BSACS) or comparable certifications. Preferred... strategies. Skilled in resolving escalated member service issues related to fraud and fraud claims, using sound judgment
Senior Workers' Compensation Claims Examiner | Remote
Company: KING'S INSURANCE STAFFING LLC |

Location: USA, USA

| Salary: US$40 - 50 per hour | Date posted: 10 Sep 2026
Our client is seeking a highly experienced Senior Workers Compensation Claims Examiner for a contract-to-hire... assignment supporting their New England office. This position requires a seasoned claims professional with extensive knowledge