San Antonio, Texas
Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and managing customized health plans. Key position details: Anticipated Training Clas...
3d
| Job Type | Full Time |
Dental Claims Review Analyst - Remote
New York, New York
Summary of Job Analyze, review, and process suspended claims, predetermination, and Service Requests based on industry standards and clinical guidelines. Research, analyze, and investigate member benefits, policy and procedures for claims, ...
3d
| Job Type | Full Time |
Addison, Texas
*Core Responsibilities* *1. Heavy Research (Audit & Analysis)* * Execute *vertical audits* (multiple payers, same denial reason) to extract systemic underpayment trends. * Use EHR systems such as *Cerner* and *Epic* to investigate claim his...
3d
| Job Type | Full Time |
Edinburg, Texas
Surveillance Investigator Job Locations US-TX-Edinburg Requisition ID 2025-1430618 Category (Portal Searching) Compliance & Investigations Business Unit CNI Overview Advance Your Career in Insurance Claims with Allied Universal Compliance a...
3d
| Job Type | Full Time |
Phoenix, Arizona
Surveillance Investigator Job Locations US-AZ-Phoenix Requisition ID 2025-1430666 Category (Portal Searching) Compliance & Investigations Business Unit CNI Overview Advance Your Career in Insurance Claims with Allied Universal Compliance an...
3d
| Job Type | Full Time |
Pensacola, Florida
Surveillance Investigator Job Locations US-FL-Pensacola Requisition ID 2025-1430659 Category (Portal Searching) Compliance & Investigations Business Unit CNI Overview Advance Your Career in Insurance Claims with Allied Universal Compliance ...
3d
| Job Type | Full Time |
New Orleans, Louisiana
Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. Works within established authority on moderate-to-difficult claims. Reviews coverages, determines liability and compensability, se...
3d
| Job Type | Full Time |
Phoenix, Arizona
Resolves complex commercial property losses generally in excess of $100,000 by investigating damages, negotiating adjustment of losses with corporate management, brokerage personnel, lawyers, accountants or public adjusters representing the...
3d
| Job Type | Full Time |
Personal Lines Account Examiner
Westfield Center, Ohio
Ohio Farmers Insurance Company
Job Summary: The Personal Lines Account Examiner supports underwriting operations by reviewing and updating new business, endorsements, and renewals. The role applies established guidelines, communicates with agencies, and maintains policy ...
3d
| Job Type | Full Time |
Workers' Compensation Claim Administrator Trainee
Tacoma, Washington
You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible ...
3d
| Job Type | Full Time |