Top 6 Claims examiner Jobs in Orem, Ut

Claims Examiner, Medical Only
AmTrust Financial Services, Inc. —South Jordan, UT
- Full-time
- Mid-level
- Office
- Children
- Health insurance
- Dental insurance
Staff Claims Examiner, Litigation
Tesla —Draper, UT
- Full-time
- Team management
- Mentoring
- Senior level
- Commuter assistance
- Health savings account
3d
Claim Examiner Associate - South Jordan
AmTrust Financial Services, Inc. —South Jordan, UT
- $28.50 an hour
- Full-time
- Office
- 3 years
- Analysis skills
- Paid training
- Wellness program
Casualty Examiner (Injury Claims Adjuster)
Bear River Mutual Insurance Company —Murray, UT
- Full-time
- Computer literacy
- Mid-level
- Office
- Paid holidays
- Disability insurance
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Workers Compensation Claims Examiner | MI, KY, IN & OH Jurisdictions | MI, IN & KY Licensing Preferred
Sedgwick —Dublin, OH
Professional certification as applicable to line of business preferred. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting,…
3d

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claims examiner jobs near orem, ut

Claims Examiner, Medical Only

AmTrust Financial Services, Inc. -
South Jordan, UT

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Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Opportunities for advancement
Life insurance

Qualifications

Productivity software

Full Job Description

Overview:

The Workers’ Compensation Medical Only Claims Examiner is responsible for the prompt and effective investigation of workers’ compensation claims involving injuries requiring medical treatment without lost wages. Claim adjudication requires interaction with employers, claimants, medical providers, and other parties to ensure adequate medical treatment is provided utilizing company resources in a cost-effective manner.

Note, this is a hybrid opportunity out of our South Jordan, UT office.

Responsibilities:

Ability to multitask and prioritize work in a fast-paced environment and manage time effectively
Investigates losses of low to moderate severity to determine cause, scope and extent of injury and/or liability for potential subrogation
Verifies coverage and confirms policy conditions have been met
Obtains missing information and ensures data integrity for regulatory reporting
Communicates effectively with claimants, policyholders, underwriters, agents, and other internal and external stakeholders
Authorizes medical treatment and schedules medical appointments
Establishes medical reserves, approves medical bills and reviews/requests medical records
Documents all correspondence, reports, discussions, and decisions in claim file notes
Knowledge of multi-state jurisdictions (if applicable)
Obtain appropriate examiner licensing (if applicable)
Performs other related duties as assigned

Qualifications:

Required

Proficiency with MS Word, Excel, and other business applications
Demonstrated skills in critical thinking and independent decision making
State licensing requirements (if applicable)

Preferred:

Minimum of 2 years handling Medical Only or other Workers’ Compensation claims experience
Basic knowledge of medical conditions, treatment plans and casual relation to occupational injury/illness
Drive and desire to use this position as a starting point to potentially enter the Claim Associate training program and become a lost time adjuster in the future

What We Offer:

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

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claims examiner jobs in orem, ut

Claims Examiner, Medical Only

Staff Claims Examiner, Litigation

Claim Examiner Associate - South Jordan

Casualty Examiner (Injury Claims Adjuster)

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