Claims Examiner jobs in Broken Arrow, 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.
- 7 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...
- 7 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...
- 4 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...
- 12 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:...
- 19 Days Ago
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0 Claims Examiner jobs found in Broken Arrow, OK area
Remote Insurance Agent
- Propel Personnel
-
Tulsa, OK
- Job Description Job Description Remote Insurance Agent Job Overview Join one of the nation’s leading Fortune 100 Insuran...
- 4/17/2024 12:00:00 AM
Financial Advisor
- New York Life Tulsa
-
Tulsa, OK
- Are you a leader who has the following traits? Competitive Ambitious Coachable Communicative Self-disciplined Authentic ...
- 4/17/2024 12:00:00 AM
Lead Teacher
- The Learning Experience - Corporate Childcare Centers
-
Bixby, OK
- Benefits: Competitive salary Dental insurance Free uniforms Health insurance Paid time off Lead Teachers at The Learning...
- 4/17/2024 12:00:00 AM
Remote Insurance Agent
- Dorr Agency
-
Tulsa, OK
- Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
- 4/16/2024 12:00:00 AM
INSURANCE AGENT - REMOTE
- The Slaton Agency
-
Tulsa, OK
- Are you looking to take your career in a new direction or are you already a licensed insurance agent? At The Slaton Agen...
- 4/15/2024 12:00:00 AM
Remote Life Insurance Agent
- The Sudhoff Agency
-
Tulsa, OK
- Description: We are seeking insurance professionals who have a commitment to serve their community by assisting families...
- 4/15/2024 12:00:00 AM
Lead Teacher
- The Learning Experience - Corporate Childcare Centers
-
Bixby, OK
- Benefits: Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Lead Teachers a...
- 4/15/2024 12:00:00 AM
REMOTE LIFE INSURANCE AGENT
- Melendez Agency
-
Broken Arrow, OK
- We are looking for agents who are currently licensed in Life, Health and Accident to work remotely for one of the fastes...
- 4/14/2024 12:00:00 AM
About Broken Arrow, Oklahoma
Broken Arrow is a city located in the northeastern part of the U.S. state of Oklahoma, primarily in Tulsa County but also with a section of the city in western Wagoner County. It is the largest suburb of Tulsa. According to the 2010 census, Broken Arrow has a population of 98,850 residents and is the fourth-largest city in the state. However, a July 2017, estimate reports that the population of the city is just under 112,000, making it the 280th-largest city in the United States. The city is part of the Tulsa Metropolitan Area, which has a population of 961,561 residents.
The Missouri–Kansas–T...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$45,135 to $59,851
Broken Arrow, Oklahoma area prices
were up 1.2% from a year ago
were up 1.2% from a year ago