Disability Claims Examiner, Sr. jobs in Oklahoma

Disability Claims Examiner, Sr. 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, Sr. has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner, Sr. typically reports to a supervisor/manager. To be a Disability Claims Examiner, Sr. typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)

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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

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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 dete...
  • 7 Days Ago

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Health Provider - Veteran Disability Claims
  • Body Worx PT
  • Oklahoma, OK CONTRACTOR
  • Health Provider: We are looking for a Health Provider to be responsible for assisting veterans seeking to gain service connection for their disability with the VA disability compensation system, many ...
  • 17 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”? Do...
  • 7 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...
  • 8 Days Ago

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CDL-A OTR Truck Driver
  • Disability Solutions
  • Nardin, OK FULL_TIME
  • Earn GREAT PAY, consistent miles & 24/7 supportSOLO DRIVERS:2,220 Miles Per Week On Average 45-60 CPM based on location and experienceTEAM DRIVERS:UP TO $15,000 SIGN-ON BONUS/SPLIT WITH AVERAGE OF 5,5...
  • 18 Days Ago

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Licensed Clinical Psychologist
  • Loyal Source Government Services
  • Anchorage, AK
  • Give Back to Those that Gave to Us We offer part-time and full-time positions with excellent benefits – opportunities fo...
  • 4/18/2024 12:00:00 AM

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Psychologist
  • Loyal Source Government Services
  • Spokane, WA
  • Give Back to Those that Gave to Us We offer part-time and full-time positions with excellent benefits – opportunities fo...
  • 4/18/2024 12:00:00 AM

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Audiologist
  • Veterans Evaluation Services
  • As an Audiology examiner you will conducting audiology exams and completing applicable disability benefits questionnaire...
  • 4/18/2024 12:00:00 AM

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Staff Counsel -Workers Compensation
  • AmTrust Financial Services, Inc.
  • Irvine, CA
  • Summary Responsible for competent, ethical and diligent representation of AmTrust North America and its carriers in all ...
  • 4/18/2024 12:00:00 AM

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Workers Compensation Claims Analyst
  • World Insurance Associates LLC
  • Syosset, NY
  • Summary World Insurance Associates is a unique insurance organization offering top products and services from major prov...
  • 4/18/2024 12:00:00 AM

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Audiologist
  • Veterans Evaluation Services
  • As an Audiology examiner you will conducting audiology exams and completing applicable disability benefits questionnaire...
  • 4/18/2024 12:00:00 AM

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Audiologist
  • Loyal Source Government Services
  • Boise, ID
  • Give Back to Those that Gave to Us We offer full- and part-time positions with excellent benefits – opportunities for gr...
  • 4/18/2024 12:00:00 AM

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Short Term Disability Claims Examiner I, II or Sr - Remote
  • USAble Life
  • Little Rock, AR
  • * Short Term Disability Claims Experience Required* When it comes to making a meaningful difference in the lives of our ...
  • 4/17/2024 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, Sr. jobs
$53,144 to $68,859

Disability Claims Examiner, Sr. in Cleveland, OH
A disability claims examiner is a specialist who works for the Social Security Administration and whose job it is to determine if applicants for Supplemental Security Income or Social Security Disability Insurance are sufficiently disabled to receive benefits.
January 13, 2020
Disability Claims Examiner, Sr. in Oakland, CA
ULSTER COUNTY IS AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER All qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, creed, national origin, physical or mental disability, marital status, veteran status, disabled veteran status, or status as a member of any other protected group or activity.
February 18, 2020
Disability Claims Examiner, Sr. in Des Moines, IA
A suitability determination by the Social Security Administration is necessary to determine whether an employee can be issued credentials in order to have access to Social Security disability data, records, and systems.
December 18, 2019