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Senior Workers Compensation Claims Examiner Jobs

Claims Examiner I Jobs
By Western Growers At Irvine, CA, United States
A minimum of one (1)year experience as a Claims Examiner for medical, dental claims and vision, subrogation, and accident claims
Ability to interpret Plan Documents or Summary Plan Descriptions (SPD) for the purpose of accurate claim adjudication and/or benefit determination
Basic knowledge of medical terminology. Familiar with UB-04 and HCFA 1500 forms (837/5010 format), ICD10, CPT, and HCPCS codes.
Good verbal and written communication skills.
Working knowledge of Employee Retirement Income Security Act of 1974 (ERISA) claims processing/adjudication guidelines.
Ensure compliance with all appropriate policies and practices, local, State, Federal regulations and requirements regarding claims and contract administration.
National Claims Examiner Jobs
By UPCIC At , Fort Lauderdale, Fl
Manage workload and provide management with reports for late reporting according to established UAC guidelines.
Rely on training and guidance from management to plan and accomplish goals.
Possession of other state license as required by management.
Required Knowledge, Skills & Ability
Knowledge of multiple policy forms.
Working knowledge of Microsoft Office including Word, Excel and Outlook.
Seasonal Storm Claims Examiner
By Farm Bureau Financial Services At , West Des Moines, 50266, Ia
College degree or equivalent required. Experience handling property claims is preferred.
Must have experience with property estimating and construction nomenclature.
Proficiency with Xactimate is required, while XactAnalysis experience is preferred.
Strong customer service skills, including excellent verbal and written communication skills are required.
Must have excellent problem solving, analytical and organizational skills.
Ability to work under pressure and shift priorities to organize and process work with limited supervision under tight deadlines is required.
Claims Examiner Jobs
By Royal Etiquette Services At San Mateo, CA, United States
Strong communication and interpersonal skills to effectively interact with clients and gather information.
Excellent organizational skills with meticulous attention to detail.
Ability to work independently and manage time effectively.
Ensuring accurate and thorough case reports.
Conduct in-person visits to clients' homes to gather accident information, close cases, and perform accident investigations.
Set up a rapport and effectively communicate with clients to collect relevant details and understand their perspectives.
Claims Examiner I - Evicore - Remote
By The Cigna Group At Bloomfield, CT, United States
Use your knowledge of medical terminology, health insurance plans and medical billing concepts
1 + years of experience with claims processing and/or medical billing - Required.
1+ years of experience with medical terminology and ICD and CPT codes Required
Proficient in data entry and Microsoft Office Products (Word, Outlook, Excel) - Required.
Image one and/or MC400 experience preferred
Review, evaluation and processing of medical claims
Senior Compensation Consultant Jobs
By Disney At , Lake Buena Vista, Fl
Proven experience in project management
Minimum 3 years experience (within the last 5 years) in Finance, Human Resources or related field
Demonstrated ability to manage multiple projects and priorities
Demonstrated written and verbal communication skills
Proven analytical, problem solving, partnering and program-design skills
Proven experience in SAP HR
Supervisory Workers’ Compensation Claims Examiner
By US Office of Workers' Compensation Programs At , Wallops Island, Va $98,496 - $158,432 a year
Administration and Management - Knowledge of planning, coordination, and execution of business functions, resource allocation, and production.
If you are relying on your education to meet qualification requirements:
Requires a probationary period if the requirement has not been met.
Requires supervisory probationary period if requirement has not been met.
Experienced reading, interpreting, and applying government regulations.
Experienced in the processing of complex medical or compensation claims.
Senior Underwriter- Workers Compensation
By Progressive Insurance At United States
Bachelor's degree or higher and/or seven years of relevant commercial lines, insurance industry and/or underwriting experience
Multi-State workers’ compensation underwriting experience
Ability to manage multiple priorities with accuracy and efficiency
Strong analytical and problem-solving skills
Insurance certifications (Chartered Property Casualty Underwriter (CPCU), Associate in Commercial Underwriting (ACU), or similar designation) a plus
Gainshare bonus up to 24% of your eligible earnings based on company performance
Tdi-Claims Examiner I Jobs
By Texas Department of Insurance At Dallas County, TX, United States

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Senior Workers Compensation Claims Examiner
By TheBest Claims Solutions At Folsom, CA, United States
3+ years of Workers Compensation Indemnity claims handling experience in California
Strong computer proficiency, excellent written and verbal communication skills
Ability to handle claims from initial report to final settlement