Claims Examiner jobs in Utah

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)

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Disability Claims Examiner I - Salt Lake City
  • State of Utah
  • Salt Lake, UT FULL_TIME


  • The Department of Workforce Services (DWS) is seeking a motivated and highly skilled Disability Claims Examiner I to join the Disability Determination Services (DDS) team in our Salt Lake City office.

    Posting will be used to fill equivalent positions for 6 months.
    Telework will be considered after a 1 year probationary period and if all performance standards are met.

    Watch our video!  Becoming A Disability Examiner

    Principal Duties
    The Claims Examiner II performs the following tasks:
    • Adjudicates a variety of medical disability claims for the Social Security Administration in compliance with federal laws.
    • Analyzes, summarizes and/or reviews data; reports findings, interprets results and/or makes recommendations.
    • Assesses client/patient needs and develops and implements plans to meet those needs.
    • Schedules and/or coordinates appointments, meetings, facilities or other activities; gathers materials and follows up as needed.
    • Writes or drafts correspondence, reports, documents and/or other written materials.
    • Makes authorized adjustments and corrections to previously processed claims.
    • Identifies and develops sources of evidence from claim folder application, the applicant, government sources, medical sources, district offices, private institutions or employers, deciding the most effective way to procure such information.
    • Reviews cases, applications, files and records to determine action to be taken.
    • Decides the need for additional data or information.
    • Authorizes the means necessary to obtain the required information.
    The Ideal Candidate 
    The model applicant for this position is someone who:
    • Has a Bachelor's Degree.
    • Has at least one year of experience providing excellent customer service.
    • Has current or prior experience working as a Disability Examiner for DDS.
    Preference 
    Preference points will be given for the following:
    • Current or previous work experience with Disability Determination Services (DDS).
    Why You Should Join Our Team
    Along with the satisfaction of helping individuals you will also receive great health and retirement benefits, such as, generous paid time off so you can spend more time with your family and have a positive work life balance. Click here to view a summary of all the benefits we offer.

    The Agency
    The mission of Workforce Services is we strengthen Utah’s communities by connecting the workforce to new opportunities and providing services to individuals and families in need. Today, more than 2,200 Workforce Services employees assist individuals in preparing for and finding jobs, meeting workforce needs of Utah businesses, administering temporary assistance, and providing economic data and analysis. Through a collaborative approach, the department has served millions of Utahns and has become a leader on several statewide initiatives. These include intergenerational poverty, homelessness, affordable housing, supporting refugees, helping rural communities, serving veterans and individuals with disabilities, and getting Utahns trained and back to work. To learn more about Workforce Services, click here.DHRM rules regarding promotions and transfers apply to current state of Utah employees.
  • 9 Days Ago

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Structural Research Specialist
  • Claims Solutions
  • Lehi, UT FULL_TIME
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 19 Days Ago

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Billing specialist
  • Claims Solutions
  • Lehi, UT FULL_TIME
  • Job Description Job Summary : Part-time, 4 hours per day. Handle incoming calls regarding invoices, payments and account status. Assist customers with updating and maintaining contacts on the account....
  • Just Posted

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Developer II
  • Claims Solutions
  • Lehi, UT FULL_TIME
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 29 Days Ago

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Executive Administrative Assistant
  • Claims Solutions
  • Lehi, UT OTHER
  • Company Description We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society be...
  • 1 Month Ago

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Test Automation Team Lead- HYBRID
  • Claims Solutions
  • Lehi, UT OTHER
  • Company Description THIS IS A HYBRID POSITION, 2 DAYS A WEEK IN LEHI, UTAH. NO FULLY REMOTE OPTIONS. We help the world see new possibilities and inspire change for better tomorrows. Our analytic solut...
  • 1 Month Ago

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Claims Examiner
  • Berkley
  • Jersey City, NJ
  • Company Details: W. R. Berkley Corporation, founded in 1967, is one of the nations premier commercial lines property cas...
  • 4/26/2024 12:00:00 AM

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Claims Examiner
  • JT2 Integrated Resources
  • Oakland, CA
  • JT2 has over two decades of experience in claims administration and has delivered consistent cost savings to clients whi...
  • 4/26/2024 12:00:00 AM

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Claim Examiner
  • Kansas City Life Insurance Company
  • Kansas City, MO
  • QUALIFICATIONS/REQUIREMENTS: Bachelor of Arts or Sciences degree in business field, related field, or equivalent work ex...
  • 4/26/2024 12:00:00 AM

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Claim Examiner
  • Kansas City Life Insurance Company
  • Kansas City, MO
  • QUALIFICATIONS/REQUIREMENTS: Bachelor of Arts or Sciences degree in business field, related field, or equivalent work ex...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Chicago, IL
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • New York, NY
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Phoenix, AZ
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • D3 Search
  • Mount Kisco, NY
  • D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a highly respected global insurer w...
  • 4/22/2024 12:00:00 AM

Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau. Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$45,518 to $60,359