Claims Examiner jobs in Bartlesville, OK
Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner jobs
Claims HMO - Claims Examiner 140-1044
- CommunityCare
-
Tulsa, OK
FULL_TIME
- JOB SUMMARY:The Claims Examiner is responsible for examining claims that require review prior to being adjudicated.The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance expectations in accuracy and efficiency.KEY RESPONSIBILITIES: Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.Identify claims requiring additional resources and route to the team lead, supervisor or other departments as needed.Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials.Identify and communicate trends or problems identified during adjudication process.Contribute to the creation of a pleasant working environment with peers and other departments.Assist in investigating and solving claims that require additional research.Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations.Perform other duties as assigned.QUALIFICATIONS:Self-motivated and able to work with minimal direction.Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures.Ability to read and understand health benefit booklets.Demonstrated learning agility.Successful completion of Health Care Sanctions background check.Knowledge in the contracted managed care plan terms and rates.General understanding of unbundling methods, COB, and other over-billing methodologies.Must have high attention to detail.Proficient in Microsoft applications.Ability to perform basic mathematical calculations.Possess strong oral and written communication skills.EDUCATION/EXPERIENCE: High School Diploma or Equivalent required.Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required.
- 6 Days Ago
Claims HMO - Claims Examiner 140-1025
- CommunityCare
-
Tulsa, OK
FULL_TIME
- JOB SUMMARY: The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to dete...
- 6 Days Ago
Legal Instruments Examiner
- US Interior, Bureau of Indian Affairs
-
Muskogee, OK
FULL_TIME
- Duties Analyze, examine or prepare title documents ensuring land/parcel transactions are accurate using standardized and well-established guidelines as a reference. Review and identify inaccuracies or...
- 1 Month Ago
Domestic Violence Nurse Examiner (DYNE)
- Domestic Violence Intervention Services
-
Tulsa, OK
FULL_TIME
- Description: The Domestic Violence Nurse Examiner (DVNE) will provide timely and comprehensive assessment and documentation in domestic violence cases, and accurate collection of forensic evidence whe...
- 3 Days Ago
Claims Adjuster
- Melton Truck Lines
-
Tulsa, OK
FULL_TIME
- Summary: Melton Truck Lines is a Qualified Self-Insured under the FMCSA; and as such its Claims Adjusters perform office work on a daily basis essential to the operations of Melton Truck Lines and are...
- 11 Days Ago
Claims Specialist
- Social Security Administration
-
Bartlesville, OK
FULL_TIME
- Social SecurityIs Hiring Now APPLY TODAY Send your resume/transcripts. Social Insurance Specialist(Claims Specialist) – Field Office __Bartlesville OK_______ Federal Grade Levels Location: & Salaries:...
- 18 Days Ago
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0 Claims Examiner jobs found in Bartlesville, OK area
Insurance Agent
- Farm Bureau Financial Services
-
Coffeyville, KS
- Being a Farm Bureau agent is much more than just sales – it’s all about building relationships, being a pillar in your c...
- 4/18/2024 12:00:00 AM
Insurance Agent
- PMA USA
-
Independence, KS
- Job Description Job Description PMA USA representing Washington National Insurance Company is looking to hire several ca...
- 4/18/2024 12:00:00 AM
Coles Express Customer Service Assistant - Singleton
- The Scone Advocate
-
Independence, KS
- 1d ago ** Coles Express Customer Service Assistant - Singleton** ** ** Save job Unlock your match score Applying for thi...
- 4/18/2024 12:00:00 AM
Phlebotomist - Fulltime
- Labcorp
-
Bartlesville, OK
- We are currently seeking a Phlebotomist to work nights in either a Patient Service Center or Client office in Bartlesvil...
- 4/18/2024 12:00:00 AM
LOCAL Class A CDL Driver - Home Daily
- Comprehensive Logistics Co Inc
-
Bartlesville, OK
- ** LOCAL Class A CDL Driver - Home Daily** **Job Category****:** SPI Jobs **Requisition Number****:** LOCAL002852 Showin...
- 4/18/2024 12:00:00 AM
Lead Teacher
- The Learning Experience - Corporate Childcare Centers
-
Owasso, OK
- Benefits: Dental insurance Free uniforms Health insurance Paid time off Lead Teachers at The Learning Experience are not...
- 4/16/2024 12:00:00 AM
Lead Teacher
- The Learning Experience
-
Owasso, OK
- Benefits: Dental insurance Free uniforms Health insurance Paid time off Lead Teachers at The Learning Experience are not...
- 4/15/2024 12:00:00 AM
Coles Express Customer Service Assistant - Singleton
- The Singleton Argus
-
Independence, KS
- 1d ago ** Coles Express Customer Service Assistant - Singleton** ** ** Save job Unlock your match score Applying for thi...
- 4/14/2024 12:00:00 AM
About Bartlesville, Oklahoma
Bartlesville is a city mostly in Washington County in the U.S. state of Oklahoma. The population was 35,750 at the 2010 census, with a 2015 estimate of 36,595 according to the U.S. Census Bureau. Bartlesville is 47 miles (76 km) north of Tulsa and 18 miles (29 km) south of the Kansas border. It is the county seat of Washington County. The Caney River runs through Bartlesville.
Bartlesville is the primary city of the Bartlesville Micropolitan area, which consists of Washington County and had a population of 52,021 in 2015. A small portion of the city is in Osage County. The city is also part o...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$44,848 to $59,470
Bartlesville, Oklahoma area prices
were up 1.2% from a year ago
were up 1.2% from a year ago