Top 476 Disability Claims Examiner Jobs

Claims Examiner
ICONMA, LLC —New Haven, CT
- $20.00 - $35.91 an hour
- Contract
- Mid-level
- Office
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
8d
Claims Examiner
FBL Financial Group, Inc. —West Des Moines, IA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
- Paid holidays
- Disability insurance
4d
Claims Examiner, Workers' Compensation
Gallagher —Rancho Cordova, CA
- $57,500 - $82,500 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- 3 years
- Paid parental leave
- Health savings account
Claims Examiner, General Liability Claims
Gallagher —Torrance, CA
- $76,500 - $110,000 a year
- Full-time
- Remote
- 5 years
- Mid-level
- High school diploma or GED
- Paid parental leave
- Health savings account
3d
Claim Examiner Associate - South Jordan Office
AmTrust Financial Services, Inc. —South Jordan, UT
- $28.50 an hour
- Full-time
- Office
- 3 years
- Analysis skills
- Paid training
- Wellness program
Claims - Claims Examiner
Wellcove —Remote
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- HIPAA
Quick Apply
Claims - Examiner, Claims
Wellcove —Remote
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Basic math
Quick Apply
Claims Examiner (Reinsurance)
One80 Intermediaries —Remote
- $100,000 a year
- Full-time
- Office
- Analysis skills
- Bachelor's degree
Healthcare Claims Examiner, Remote
NTT DATA —Tampa, FL
- $18 an hour
- Temporary
- Remote
- Microsoft Outlook
- Computer literacy
- HIPAA
Quick Apply
Disability Claims Examiner - LTD
Prudential —Newark, NJ
- $53,300 - $88,000 a year
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Computer literacy
- Employee stock purchase plan
- Disability insurance
Claims Examiner
Allcat Claims Service —Florida
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid holidays
- Health insurance
7d
Xcelys Medical Claims Examiner-REMOTE
NTT DATA —Ontario, CA
- $20 an hour
- Contract
- Remote
- High school diploma or GED
- Analysis skills
- Continuous improvement
Quick Apply
4d
Claims Examiner
Delta Dental —Alpharetta, GA
- $36,900 - $74,600 a year
- Full-time
- Hybrid work
- Background check
- Mid-level
- US work authorization
- Paid holidays
- Health insurance
3d
Claims Examiner- Voluntary Benefits
Accenture —Irving, TX
- $20.10 - $40.53 an hour
- Full-time
- Remote
- Writing skills
- Windows
- Math
- Paid holidays
- Disability insurance
3d
Workers' Comp & Disability Claims Examiner
Greater Cleveland Regional Transit Authority —Cleveland, OH
- $62,950 - $97,580 a year
- Full-time
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance
Claims Examiner I
Americo Financial Life and Annuity —Kansas City, MO
- Full-time
- Communication skills
- Entry level
- Disability insurance
- Life insurance
Quick Apply
Workers Compensation Claims Examiner
Association County Commissioners of GA —Atlanta, GA
- From $75,000 a year
- Full-time
- Remote
- Basic math
- English
- Mid-level
Quick Apply
Senior Disability Claims Examiner (LTD)
Prudential —Newark, NJ
- $61,700 - $101,900 a year
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Computer literacy
- Employee stock purchase plan
- Disability insurance
Workers' Compensation Claims Examiner
JT2 Integrated Resources —California
- From $90,000 a year
- Full-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Examiner Physician Assistant
Loyal Source Government Services —Lincoln, NE
- $109,452.80 a year
- Monday to Friday
- Microsoft Word
- Microsoft Outlook
- Military
Quick Apply

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Claims Examiner

ICONMA, LLC -
New Haven, CT

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Job Details

Contract
$20.00 - $35.91 an hour
8 days ago

Benefits

Disability insurance
Health insurance
Opportunities for advancement
Referral program

Qualifications

Client relationship management
Customer relationship building
Phone communication
Presentations for conferences or internal meetings
Regulatory compliance in claims processing
Workers' compensation insurance knowledge
Customer relationship management
Productivity software
Cross-functional collaboration
Technical Proficiency
Data analytics technologies

Full Job Description

Our Client, a Property and Casualty Insurance company, is looking for a Claims Examiner for their New Haven, CT location.

Responsibilities:

Handles all aspects of workers’ compensation claims from set-up to case closure ensuring strong customer relations are maintained throughout the process.
Reviews claim and policy information to provide background for investigation.
Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant, and medical providers.
Evaluates the facts gathered through the investigation to determine compensability of the claim.
Informs insureds, claimants, and attorneys of claim denials when applicable.
Prepares reports on investigation, settlements, denials of claims and evaluations of involved parties, etc.
Timely administration of statutory medical and/or indemnity benefits throughout the life of the claim.
Sets reserves within authority limits for medical, indemnity and expenses and recommends reserve changes to Team
Reviews the claim status at regular intervals and makes recommendations to Team Leader to discuss problems and remedial actions to resolve them.
Prepares and submits to Team Leader unusual or possible undesirable exposures when encountered.
Works with attorneys to manage hearings and litigation
Controls and directs vendors, nurse case managers, telephonic cases managers and rehabilitation managers on medical management and return to work initiatives.
Complies with customer service requests including Special Claims Handling procedures, file status notes and claim reviews.
Files workers’ compensation forms and electronic data with states to ensure compliance with statutory regulations.
Refers appropriate claims to subrogation and secures necessary information to ensure that recovery opportunities are maximized.
Works with in-house Technical Assistants, Special Investigators, Nurse Consultants, Telephonic Case Managers as well as Team Supervisors to exceed customer's expectations for exceptional claims handling service.

Requirements:

Claim Examiner position with prior experience in workers’ compensation as a claim examiner, or commensurate examiner experience in paralegal, short-term / long-term disability, auto personal injury protection / medical injury, general liability, medical billing or as a claim technical assistant for lost time claims.
Requires knowledge of workers’ compensation statutes, regulations, and compliance.
Ability to incorporate data analytics and modeling into daily activities to expedite fair and equitable resolution of claims and claim issues.
Exceptional customer service and focus.
Ability to openly collaborate with leadership and peers to accomplish goals.
Demonstrates a commitment to a career in claims.
Exceptional time management and multi-tasking capabilities with consistent follow through to meet deadlines.
Use analytical skills to find mutually beneficial solutions to claim and customer issues.
Ability to prepare and make exceptional presentations to internal and external customers.
Conscientious about the quality and professionalism of work product and relationships with co-workers and clients.
Willing to take ownership and tackle obstacles to meet client quality standards for service, investigation, reserving, inventory management, teamwork, and diversity appreciation.
Superior verbal and written communication skills.
Experience working in a customer focused, fast-paced, fluid environment
Experience utilizing strong communication and telephonic skills
Prior experience requiring a high level of organization, follow-up, and accountability
Prior workers’ compensation claim handling experience is a plus but not required
Familiarity with claim handling (healthcare, short-term / long-term disability, auto personal injury protection / medical injury, medical billing, or general liability) is a plus but not required
Prior insurance, legal or corporate business experience is a plus but not required
AIC, RMA, or CPCU completed coursework or designation(s) is a plus but not required
Proficiency with Microsoft Office Products
Knowledge of medical terminology is a plus but not required
Knowledge of bill processing is a plus but not required
Claim Adjuster licenses in Connecticut, New Hampshire, Rhode Island and Vermont, are necessary; however, they are not required at the time of posting for the position. If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure

Why Should You Apply?

Health Benefits
Referral Program
Excellent growth and advancement opportunities

#mcb
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