Disability Claims Examiner, Sr. jobs in Sparks, NV

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)

U
Claims Examiner
  • UHS
  • RENO, NV FULL_TIME
  • Responsibilities

    Job Summary: The Claims Examiner is detail-oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, including but limited to Medicare, Self-Funded, Fully Insured, ensuring accuracy compliance with policies and regulations and timely settlements. This role involves assessing claims, verifying information, and communicating effectively with internal stakeholders, members, providers and their office staff and other insurance companies. 


    Qualifications

    Qualifications and Requirements:

    • High school diploma or equivalent required.
    • Associate degree in healthcare administration, Business Administration, or related field preferred.
    • Two years’ experience as a Health Insurance Claims Examiner or similar role in the insurance industry preferred.
    • In-depth knowledge of medical terminology, coding systems (ICD-10, CPT, HCPCS), and healthcare billing procedures.
    • Familiarity with health insurance policies, regulations, and compliance standards.
    • Strong analytical skills with attention to detail and accuracy in claims processing.
    • Excellent communication and interpersonal abilities to interact effectively with customers and stakeholders.
    • Proficiency in using computer systems, including claims processing software and Microsoft Office Suite.
    • Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
    • Certification in Health Insurance Portability and Accountability Act (HIPAA) compliance is a plus.
    • Strong commitment to confidentiality and ethical conduct in handling sensitive healthcare data.

     

     

    EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

     

    We believe that diversity and inclusion among our teammates is critical to our success.

     

    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

  • 15 Days Ago

U
Claims Examiner
  • Universal Health Services, Inc.
  • Reno, NV FULL_TIME
  • Responsibilities Job Summary: The Claims Examiner is detail-oriented and will be responsible for reviewing and adjudicating health insurance claims for all products and all lines of business, includin...
  • 1 Month Ago

R
Sr Insurance and Claims Specialist
  • Renown Health
  • Reno, NV FULL_TIME
  • Position Purpose The Senior Insurance and Claims Specialist is responsible for compliant billing, account follow up and system operations to ensure timely and accurate claim submission and prevention ...
  • 11 Days Ago

C
NV - Reno - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Reno, NV FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA with offices in California, Arizona, Oregon, Nevada, Washington, Utah,...
  • 1 Month Ago

S
Project Manager (Construction)
  • SR Construction, Inc.
  • Reno, NV FULL_TIME
  • Are you an analytical thinker who loves to solve tangible problems? Are you great at seeing big picture objectives and instinctually knowing the fastest route to get there? Do people who talk too much...
  • 24 Days Ago

S
Construction Superintendent
  • SR Construction, Inc.
  • Reno, NV FULL_TIME
  • Are you an analytical, fact-based, no-nonsense problem solver?Are you great at seeing big picture objectives and instinctually knowing the fastest route to get there?Are you quality-driven, but outcom...
  • 11 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Disability Claims Examiner, Sr. jobs found in Sparks, NV area

U
Claims Resolution Specialist II
  • UHS
  • Reno, NV
  • Responsibilities Prominence Health is headquartered in Reno, Nevada and is a wholly owned subsidiary of Universal Health...
  • 3/29/2024 12:00:00 AM

D
Physician - Emergency Medicine
  • Department of Veterans Affairs
  • Reno, NV
  • Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement ...
  • 3/28/2024 12:00:00 AM

M
Independent Claims Adjusters Needed NOW for the Storm Season
  • Mocat
  • Sparks, NV
  • Independent Adjusters Needed Are you Interested in becoming an Independent Claims Adjuster? The 2021 storm season was an...
  • 3/28/2024 12:00:00 AM

A
Life Insurance Sales Agent
  • Aguilar Agency
  • Reno, NV
  • MAXIMIZE YOUR TIME & MONEY!!! Are you good with people and sales and exhausted by the rat-race? Worn-out by the countles...
  • 3/28/2024 12:00:00 AM

P
Licensed Life Insurance Agent
  • Pappas Agency
  • Reno, NV
  • Join Our Winning Team - Sales Agent Position with the Pappas Agency Are you looking for a rewarding career with high ear...
  • 3/28/2024 12:00:00 AM

H
Life Insurance Sales Agent
  • Hoiseth Agency
  • Reno, NV
  • Compensation: 10K-15K Monthly (Uncapped) Schedule: Employee's choice Location: Work from Home!!! Work/Life Balance How a...
  • 3/28/2024 12:00:00 AM

A
Bilingual Call Center Representative
  • Ascensus
  • Reno, NV
  • Ascensus is the largest independent retirement and college savings services provider in the United States, helping milli...
  • 3/27/2024 12:00:00 AM

T
Remote Life Insurance Specialist
  • The Sudhoff Agency
  • Reno, NV
  • We are seeking insurance professionals who have a commitment to serve their community by assisting families in obtaining...
  • 3/26/2024 12:00:00 AM

Sparks is a city in Washoe County, Nevada, United States. It was founded in 1904 and incorporated on March 15, 1905, and is located just east of Reno. The 2010 U.S. Census Bureau population count was 90,264. It is the fifth most populous city in Nevada. It is named after the late Nevada Governor John Sparks, a member of the Silver Party. Sparks is located within the Reno–Sparks metropolitan area....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner, Sr. jobs
$57,877 to $74,995
Sparks, Nevada area prices
were up 2.5% from a year ago

Disability Claims Examiner, Sr. in Memphis, TN
Claims examiners work for insurance companies and they are trained from the beginning to ask questions in such a way to elicit certain information.
December 30, 2019
Disability Claims Examiner, Sr. in Provo, UT
For this reason, disability insurance claims are highly scrutinized and often fiercely litigated.
December 18, 2019
Disability Claims Examiner, Sr. in New Bedford, MA
In addition, a Disability Examiner is experienced with determining the severity and validity of a person’s disability.
December 04, 2019