111 claims examiner jobs found

Join Pacific Guardian Life (PGL), a trusted leader in Hawai‘i since 1961 and voted as one of Hawaii’s Best Places to Work, delivering comprehensive life insurance and employee benefits solutions. We are seeking growth-oriented professionals who are eager to make an impact and build meaningful careers in a supportive environment dedicated to continuous learning and professional development. At PGL, our mission reflects our commitment to providing security for our clients while fostering growth, opportunity, and long-term success for our employees. We are seeking a TDI Claims Examiner 1 to join our Honolulu office. In this role, you will be responsible for all phases of Temporary Disability Insurance (TDI) claims processing, including establishing new claims accounts in the policy administration system, reviewing claim forms for completeness and accuracy, verifying eligibility requirements, calculating benefit payments, and following up on required documentation for ongoing...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Sedgwick. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be the...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for NTT Data Americas, Inc.. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA Services and for the people who work here. NTT DATA seeks a Claims Examiner on a...

At AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Examiner to grow your career at the forefront of Federal Workers Compensation insurance. Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. Through a robust stakeholder feedback loop and supported by consistent processes and leadership, we take pride in delivering responsive, fair and professional service with empathy and efficiency. How you will create an impact Provide technical expertise in proactively directing and resolving Defense Based Act claims in accordance with best claim practice approach, in line with AIGs quality standards. Manage indemnity, medical and legal aspects of assigned claims using available resources. Utilize investigation, claim handling, litigation, and...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of claims of average complexity and low to mid exposure claims. The primary purpose of this job is to investigate, evaluate, negotiate and settle assigned claims by collecting and analyzing data according to policy application and/or contract provisions. The position will have responsibility for decision making within their authority and work under the general direction from their manager. Draft coverage position letters. Conducts, coordinates, and...

Date: Feb 19, 2026 Primary Location: Omaha, NE, US Company: Lincoln Financial Alternate Locations: Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Radnor, PA (Pennsylvania); Work from Home Work Arrangement: Remote : Work at home employee residing outside of a commutable distance to an office location. Relocation assistance: is not available for this opportunity. Requisition #: 75803 The Role at a Glance We are excited to bring on a Recovery Specialist to join our Claims Organization supporting Group Protection in our Omaha, Atlanta, Charlotte, or Dover based office. Background Details The Financial Services Team will provide you with several weeks of paid training, coaching and development to perform in this fast-paced environment. Training will be led by one of our dedicated trainers in a virtual setting, along with a cohort of peers, and will provide you with foundational knowledge...

Work Environment The position is based in a brand new, modern office in Naperville with a vibrant and energetic environment. The office features a 'pit style' layout and a nice kitchen area equipped with a super cool soda machine. The work schedule during training is Monday through Friday, from 7:30 am to 4:00 pm. After training, you can choose from the following hours: 7:00 am-3:30 pm, 7:30 am-4:00 pm, or 8:00 am-4:30 pm. Job Description This position is responsible for reviewing, investigating, evaluating, and determining the eligibility of claims. The role involves negotiating the resolution of claims in compliance with all policies and state regulatory requirements while managing a large volume of claims. This is not a call center role. Responsibilities Ensure customers and providers are paid timely and accurately. Communicate effectively with both internal and external customers. Handle customer reimbursement requests. Validate daily NHS...

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State’s career page and indicate on the application that they have previously worked for the State. . Department of Health and Human Services (DHHS) Opening Date: March 20, 2026 Closing Date: April 2, 2026 Job Class Code: 3065 Grade: 25 (Professional & Technical) Salary: $54,412.80 - $76,315.20 per year Position Number: 020004012, 020004013, 020004014, 020004015, 020004016, 020241622 Location: Winthrop Currently, this position is not eligible for visa sponsorship or STEM OPT extensions. Are you interested in a career in Public Service and assisting some of Maine’s most vulnerable? Do you enjoy complex, fast-paced work with a high degree of independence? Do you want to be part of a growing team and have a positive work...

Summary: This position is responsible for designing, delivering, and maintaining training programs for both existing and newly hired Claims personnel based on their current job duties and performance expectations. This role provides instruction across general claims processes, systems and application usage, product knowledge and end to end claim adjudication. The Claims Trainer also develops, maintains and updates the centralized claims training documentation library. Training supports claims handled both in the United States and Canada. Why Jewelers Mutual: Since 1913 we’ve been committed to supporting the Jewelry industry and putting customers at the center of everything we do. With over a century of trusted expertise, we’re financially strong, forward-thinking, and driven by curiosity. Guided by our core values of Agility, Accountability, and Relevancy, we lead through innovation. As a technology focused organization, we embrace cutting-edge tools and data-driven...

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of cyber and privacy liability claims. The position will have increased responsibility for decision making within their authority and will work with minimal oversight. Responsibilities: Investigate, negotiate and settle primary and excess cyber, privacy liability and technology E&O claims. Investigate and analyze coverage under primary and excess cyber and errors and omissions policies; make coverage determinations; draft routine and complex...

Date: Mar 23, 2026 Primary Location: Omaha, NE, US Company: Lincoln Financial Alternate Locations: Work from Home; Charlotte, NC (North Carolina); Omaha, NE (Nebraska) Work Arrangement: Remote : Work at home employee residing outside of a commutable distance to an office location. Relocation assistance: is not available for this opportunity. Requisition #: 75898 The Role at a Glance We are excited to bring on a Service Processor II into our Payment Services team to join our Group Protection Shared Services Team supporting Workplace Solutions. Background Details The Group Protection Operations Team will help you grow your group benefits knowledge and establish strong partnerships (internally/externally) while working in this fast-paced environment. As a Payment Specialist II, you will be responsible for supporting our claims organization by calculating and issuing complex short and/or long-term disability...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be an acknowledged technical expert in Markel Claims, responsible for resolving claims posing the highest exposure to the company. The position will have significant autonomy. The position will act as a leader and resource to other examiners and managers in the Casualty Claims division and will provide legal and claims support to the Casualty underwriting business partners. Job Responsibilities Manage a full case load of the most complex/high exposure claims within Casualty...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be an acknowledged technical expert in Markel Claims, responsible for resolving claims posing the highest exposure to the company. The position will have significant autonomy. The position will act as a leader and resource to other examiners and managers in the Casualty Claims division and will provide legal and claims support to the Casualty underwriting business partners. Job Responsibilities Manage a full case load of the most complex/high exposure claims within Casualty...

What part will you play? If you’re looking for a place where you can make a meaningful difference, you’ve found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you’ll find your fit amongst our global community of optimists and problem-solvers. We’re always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be an acknowledged technical expert in Markel Claims, responsible for resolving claims posing the highest exposure to the company. The position will have significant autonomy. The position will act as a leader and resource to other examiners and managers in the Casualty Claims division and will provide legal and claims support to the Casualty underwriting business partners. Job Responsibilities Manage a full case load of the most complex/high exposure claims within Casualty...

The County of Nassau is seeking qualified candidates for the position of Social Welfare Examiner I. GENERAL STATEMENT OF DUTIES Determines financial eligibility of applicants for the various programs administered by the Department of Social Services; recommends amounts of assistance in accordance with established policies, and/or refers applicant to appropriate resources; performs related duties as required. COMPLEXITY OF DUTIES Under general supervision, the work requires the use of judgment in interviewing applicants and reviewing and evaluating applications and records. TYPICAL DUTIES * 1. Interviews applicants regarding their eligibility, and/or continuing need for assistance under the various programs administered by the Department. * 2. By means of eligibility interview, identifies barriers to employment, educational development, or normal family function, and refers client to appropriate remedial resource. * 3. Evaluates and determines applicant's eligibility for...

Department Information The Consumer Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud, Abuse & Neglect Unit (“MFANU”). The MFANU’s mission is to hold providers accountable for Medicaid fraud and patient abuse across the state of Colorado. This position is ideal for someone with experience investigating criminal and civil cases who seeks to make a difference for Colorado’s most vulnerable populations. WHO WE ARE The Office of the Attorney General/Department of Law is the "People's Lawyer". The Attorney General, Phil Weiser, was elected by the people of Colorado and is the State's chief lawyer and law enforcement official. Our vision for the Department of Law is: "Together, we serve Colorado and its people, advancing the rule of law, protecting our democracy and promoting justice for all." Our core values and commitment to diversity, equity, and inclusion, drive our actions and demonstrate our focus on being...

Provide leadership and management direction of a claim adjusting team. Claim adjusting teams investigate and maintain property/casualty claims. Determines liability, secures information, reviews coverages, arranges appraisals, and settles claims. May work in the field or central location. Directs conformity with the terms of each policy and in compliance with applicable laws, regulations, established standards, and procedures of the company. You will report to the Adjusting Services Senior Manager. In this primarily home-based role must be proximate to one of our office locations in Phoenix, AZ; Boston, MA; Madison, WI; St. Joseph, MO; Keene, NH; Denver, CO or Minneapolis, MN; Atlanta, GA. #LI-Remote Position Compensation Range: $88,000.00 - $145,000.00 Pay Rate Type: Salary Compensation may vary based on the job level and your geographic work location. Relocation support is offered for eligible candidates. Primary Accountabilities -Create a collaborative,...

Tax Examiner I - STAS Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5268696) Apply ? Tax Examiner I - STAS Salary $52,884.00 Annually Location Statewide, CO Job Type Full Time Job Number TAA-03827-03.2026 Department Department of Revenue Division Taxation - TPS: STAS Opening Date 03/17/2026 Closing Date 3/27/2026 5:00 PM Mountain FLSA Determined by Position Type of Announcement This position is open only to Colorado state residents. FLSA Status Non-Exempt; position is eligible for overtime compensation. Department Contact Information Lakisha Boggs, Lakisha.Boggs@state.co.us Primary Physical Work Address This is a remote position that is primarily tasked with performing work duties via flex-place (aka telework, work-from-home arrangements) with infrequent on-site visits with client groups, including to the position address at 2829 W Howard Place. How To Apply Please submit an online application for...

Company : Highmark Inc. Job Description : JOB SUMMARY The incumbent is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is responsible for interviews which might include providers and members and may be conducted onsite or offsite. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse. Must be able to testify in a court of law, prepare cases for referral to various...

Company : Highmark Inc. Job Description : JOB SUMMARY The incumbent is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is responsible for interviews which might include providers and members and may be conducted onsite or offsite. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse. Must be able to testify in a court of law, prepare cases for referral to various...

Company : Highmark Inc. Job Description : JOB SUMMARY The incumbent is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is responsible for interviews which might include providers and members and may be conducted onsite or offsite. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse. Must be able to testify in a court of law, prepare cases for referral to various...

Company : Highmark Inc. Job Description : JOB SUMMARY The incumbent is responsible for developing and maintaining an anti-fraud program which includes development and delivery of training and filing of Fraud Plans and Reports. The incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is responsible for interviews which might include providers and members and may be conducted onsite or offsite. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse. Must be able to testify in a court of law, prepare cases for referral to various...