Disability Claims Examiner jobs in Oklahoma

Disability Claims Examiner reviews, evaluates and processes disability insurance claims according to procedure and practice. Examines claims material to ensure insurance coverage and validity. Being a Disability Claims Examiner has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner typically reports to a supervisor/manager. To be a Disability Claims Examiner typically requires 0-2 years of related experience. Works on projects/matters of limited complexity in a support role. Work is closely managed. (Copyright 2024 Salary.com)

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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 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.
    CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin
  • 4 Days Ago

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Property Insurance Claims Adjuster - Work From Home!
  • Claims Management Resources Inc
  • Oklahoma, OK FULL_TIME
  • Are you interested in working for a company that not only “talks the talk” but “walks the walk”? Lucrative Compensation Plan! Starting base of $15.00 per hour, PLUS monthly bonus! Do you thrive in a c...
  • 18 Days Ago

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Property Insurance Claims Adjuster - Work From Home!
  • CLAIMS MANAGEMENT RESOURCES INC
  • Oklahoma, OK OTHER
  • Job Details Job Location: Remote - Oklahoma City, OK Salary Range: $11.54 - $15.00 Hourly DescriptionAre you interested in working for a company that not only “talks the talk” but “walks the walk”? Lu...
  • 1 Month Ago

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Appraiser
  • Pacesetter Claims
  • Tulsa, OK FULL_TIME
  • Pacesetter is growing our footprint in handling property claim Appraisals and we need YOU! Qualified adjusters must have six years of adjusting experience, to include two years of Appraisal experience...
  • 18 Days Ago

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FNOL Customer Service Representative
  • Claims Management Resources Inc
  • Oklahoma, OK FULL_TIME
  • Please note: We are unable to consider candidates residing outside of the United States. In addition, applicants residing in the following states are ineligible for employment at this time: California...
  • 18 Days Ago

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Customer Relations Manager
  • Claims Management Resources Inc
  • Oklahoma, OK FULL_TIME
  • The Customer Relations Manager oversees and is responsible for maintaining healthy customer relationships. Additionally, they serve as a primary contact person for resolving claim issues for customers...
  • Just Posted

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Rebate Analyst
  • Daikin Comfort
  • Waller, TX
  • REBATE ANALYST 1 (Temporary Position) The Opportunity Daikin Comfort Technologies Manufacturing, L.P. is seeking a skill...
  • 3/28/2024 12:00:00 AM

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Behavioral Health Counselor- Eunice, LA
  • HAART, Inc.
  • Baton Rouge, LA
  • Job Purpose: The Behavioral Health Counselor will conduct patient assessments, implement therapeutic interventions, comp...
  • 3/28/2024 12:00:00 AM

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INSPECTOR II - STRUCTURAL
  • City of Plantation, FL
  • Fort Lauderdale, FL
  • Salary: $68,012.86 - $108,820.57 Annually Location : Plantation, FL Job Type: Full time Job Number: 476-06 Department: B...
  • 3/28/2024 12:00:00 AM

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POLICE OFFICER - PRESERVICE
  • City of Riverside, CA
  • Riverside, CA
  • Salary : $93,360.00 - $119,124.00 Annually Location : Riverside, CA Job Type: Full-time Job Number: 24-2240-01 Departmen...
  • 3/28/2024 12:00:00 AM

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Registered Nurse - 60010621
  • Florida Department of Transportation
  • Macclenny, FL
  • Requisition No: 806536 Agency: Children and Families Working Title: REGISTERED NURSE - 60010621 Position Number: 6001062...
  • 3/28/2024 12:00:00 AM

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REGISTERED NURSE SPECIALIST - 60042430
  • MyFlorida
  • Macclenny, FL
  • REGISTERED NURSE SPECIALIST - 60042430 Date: Feb 24, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System ...
  • 3/28/2024 12:00:00 AM

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Registered Nurse Specialist - 60042430
  • State of Florida
  • Macclenny, FL
  • Requisition No: 539008 Agency: Children and Families Working Title: REGISTERED NURSE SPECIALIST - 60042430 Position Numb...
  • 3/28/2024 12:00:00 AM

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Deputy Fire Chief - Operations
  • City of Copperas Cove
  • Copperas Cove, TX
  • DEFINITION / GENERAL PURPOSE: Performs a variety of administrative, supervisory, and technical work in the supervision a...
  • 3/28/2024 12:00:00 AM

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner jobs
$46,110 to $57,247