Claims Examiner, Sr. jobs in Clovis, NM

Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. 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, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Sr Claims Tech
  • Health Care Service Corporation
  • Amarillo, TX FULL_TIME
  • At HCSC, we consider our employees the cornerstone of our business and the foundation to our success. We enable employees to craft their career with curated development plans that set their learning path to a rewarding and fulfilling career.

    Come join us and be part of a purpose driven company who is invested in your future!

    Job Summary

    See CClear understanding of CPT, ICD-10, and HCPCS
    Prior experience with Texas Medicaid/TMHP billing guidelines.
    Comprehension of Medicaid reimbursement guidelines.
    Claims processing and/or coding platform experience.
    Clear and concise verbal and written communication skills.
    PC proficiency to include multi-tasking with various applications, Microsoft Office products (Word, Excel and Outlook), and working a high volume of claims with time constraints.
    Ability to adapt to changing industry trends, regulations, and internal processes.

    See Compensation for job description

    Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

    HCSC Employment Statement:

    HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

     

  • 10 Days Ago

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Field Auto Physical Damage Appraiser – Amarillo/Lubbock, TX
  • Brezina Claims
  • Amarillo, TX FULL_TIME
  • Field Auto Physical Damage Appraiser - Amarillo/Lubbock, TX 3/5/2024 As an Appraiser for Brezina Claim Associates, Inc., you will serve as a field auto damage appraiser knowledgeable of auto body mech...
  • 1 Month Ago

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Auto Damage Photo Runner
  • Volta Claims Service
  • Fritch, TX FULL_TIME
  • Get paid to snap photos of cars at your own schedule! No experience needed!Who we are:Volta is Texas-based firm that provides a wide array of claims support and inspection services for self-insured fi...
  • 20 Days Ago

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Paramedical Examiner
  • APPS Paramedical Services
  • Amarillo, TX CONTRACTOR
  • oin Our Team as a Mobile Examiner: A Prime Opportunity for Medical Professionals Seeking Unparalleled Flexibility!APPS Paramedical, a leading force in the paramedical services sector across the US, is...
  • 11 Days Ago

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Paramedical Examiner
  • American Para Professional Systems (APPS)
  • Amarillo, TX CONTRACTOR
  • About the JobAPPS Paramedical is one of the largest paramedical companies in the United States, offering nationwide coverage as we complete insurance physicals for people applying for life, health, or...
  • 3 Days Ago

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Claims Processing Auditor
  • ProAg
  • Amarillo, TX FULL_TIME
  • Grow with Us ProAg has an exciting opportunity for a Claims Auditor to join our team. You will audit and process claims, checking for accuracy and completeness. Bring your passion for innovation and c...
  • 30 Days Ago

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0 Claims Examiner, Sr. jobs found in Clovis, NM area

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KFC General Manager
  • KFC
  • Clovis, NM
  • At KFC, we feed the world. But we do more than fill people up. We fulfill their life. Our meals matter, and when we serv...
  • 4/19/2024 12:00:00 AM

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Food Service (Full Time)
  • Sodexo
  • Clovis, NM
  • Responsibilities The Food Service Worker may work anywhere on property where food is prepared This person will assist in...
  • 4/19/2024 12:00:00 AM

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Warehouse Worker
  • Grainger
  • Clovis, NM
  • Responsibilities Primary Function: DCA PICKING - PACKING Full Time Performs tasks associated with the receipt, storage, ...
  • 4/19/2024 12:00:00 AM

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Retail Fulfillment Associate
  • Macys
  • Clovis, NM
  • Responsibilities As a Fulfillment Associate, you will be responsible for driving a great shopping experience for our omn...
  • 4/19/2024 12:00:00 AM

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Gastroenterologist Gastroenterology Physician MD / DO
  • Presbyterian Healthcare Services
  • Clovis, NM
  • Presbyterian Medical Group seeks a BE/BC Gastroenterologist trained physician to join our established practice in Clovis...
  • 4/19/2024 12:00:00 AM

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Caregiver
  • ambercare
  • Clovis, NM
  • Caregivers can now make BONUS PAY!! Apply now for additional details!! Pay rates now starting at $12 dollars per hour! N...
  • 4/19/2024 12:00:00 AM

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Globe Life: American Income Life/AO Union Insurance Agent
  • American Income Life AO - John Crespin
  • Portales, NM
  • AIL/AO is seeking enthusiastic, hard-working, and friendly individuals across the United States, to join our team and pr...
  • 4/18/2024 12:00:00 AM

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Insurance Agent
  • Farm Bureau Insurance
  • Muleshoe, TX
  • Job Description Job Description Multi-line insurance agent-Home, Auto, Life, Health, Commercial Company Description Sinc...
  • 4/15/2024 12:00:00 AM

Clovis is the county seat of Curry County, New Mexico, United States, with a population of 37,775 as of the 2010 census, and a 2014 estimated population of 39,860. Clovis is located in the New Mexico portion of the Llano Estacado, in the eastern part of the state. A largely agricultural community, closely bordering Texas, it is noted for its role in early rock music history and for nearby Cannon Air Force Base. After the discovery of several "Clovis culture" sites in eastern North America in the 1930s, the Clovis people came to be regarded as the first human inhabitants who created a widesprea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$55,628 to $71,720
Clovis, New Mexico area prices
were up 1.2% from a year ago

Claims Examiner, Sr. in Riverside, CA
Health Claims Examiners, or Health Information Technicians, enter data electronically to process transactions.
December 14, 2019
Claims Examiner, Sr. in Evansville, IN
If you’re in dire straits, we can advise you on steps to get the OWCP claims examiner to pay attention to your needs, such as contacting the Department of Labor’s district director, or the national director via mail.
February 12, 2020
Claims Examiner, Sr. in Springfield, IL
No, the examiner is only involved in performing the exam and providing the results to the claims processor.
January 13, 2020