Claims Examiner jobs in Indiana

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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Claims Examiner
  • Lutheran Health Network
  • Fort Wayne, IN FULL_TIME
  • Job Description

    Job Summary:

    • Responsible for the daily adjudication/review of medical, dental, vision, mental health and FSA claims. Claims may be auto-adjudicated or manually processed. Ensures claims are adjudicated accurately and in a timely manner. Keeps abreast of regulations, products and procedures. Maintains working relationships in order to serve as a liaison to outside sales staff, employers, administrators, plan members, providers and other insurance carriers. Contributes to department goals and objectives through claims processing efforts.

    Registration/Certification/Licensure

    Minimal Acceptable Job Qualifications

    • N/A

    Experience

    • Two years claims processing or related experience.

    Education

    • High school graduate or equivalent (GED); additional course work beyond high school a plus

    Job Knowledge & Skills

    • Demonstrates working knowledge of the English language, verbal and written.
    • Demonstrates working knowledge of general office procedures including organization of workload and operation of basic office equipment; i.e., copy machine, fax, calculator, scanner and personal computer.
    • Requires basic analytical, investigative and negotiating skills in order to review and resolve a claim.
    • Demonstrates strong time management and organizational skills, as well as the ability to pay attention to detail relative to the processing of accurate and timely medical claims.

    Equal Opportunity Employer
  • 2 Days Ago

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Claims Examiner
  • Lutheran Hospital of Indiana
  • Fort Wayne, IN FULL_TIME
  • Job Summary: Responsible for the daily adjudication/review of medical, dental, vision, mental health and FSA claims. Claims may be auto-adjudicated or manually processed. Ensures claims are adjudicate...
  • 29 Days Ago

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Claims Examiner - Health Insurance
  • Aon
  • Fort Wayne, IN FULL_TIME
  • Participant Accident Claims Examiner / Health Insurance K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports, and events. As a Cl...
  • 18 Days Ago

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Construction Project Administrator/Inside Sales Representative
  • Balance Claims
  • INDIANAPOLIS, IN FULL_TIME
  • About Balance, LLC - https://balanceclaims.com/Balance provides contracting businesses with full-service claims administration, estimates, advisory and technology services. We help contractors save ti...
  • Just Posted

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Storm Restoration - Project Supplementor
  • Balance Claims
  • INDIANAPOLIS, IN FULL_TIME
  • About Balance, LLC - https://balanceclaims.com/Balance provides contracting businesses with full-service claims administration, estimates, advisory and technology services. We help contractors save ti...
  • 1 Day Ago

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AP/AR Accounting Professional
  • Balance Claims
  • Indianapolis, IN FULL_TIME
  • Company OverviewSolar Integrated Roofing Corp. (OTC:SIRC), is an integrated, single-source solar power and roofing systems installation platform company specializing in commercial and residential prop...
  • 23 Days Ago

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Claims Examiner
  • US Tech Solutions, Inc.
  • Atlanta, GA
  • Job Title: Claims Examiner Location: Remote Duration: 06 months contract (C2H) Job Description: Responsibilities: • Inve...
  • 6/11/2024 12:00:00 AM

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Claims Examiner
  • Manpower
  • El Segundo, CA
  • Our client, Legal Industry is seeking a Claims Examiner to join their team. As a Legal Claims Examiner you will be part ...
  • 6/11/2024 12:00:00 AM

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Claims Examiner
  • Insight Global
  • Folsom, CA
  • Insight Global is looking for a Claims Examiner for one of their insurance clients in Folsom, CA. This is a fully onsite...
  • 6/10/2024 12:00:00 AM

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Claims Examiner
  • Insight Global
  • Folsom, CA
  • The Claims Examiner is responsible for ensuring claims are coded and processed correctly and for meeting production requ...
  • 6/10/2024 12:00:00 AM

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Claims Examiner
  • Capital Blue Cross
  • Harrisburg, PA
  • Position Description: This position is responsible for the coding and total processing of claims and triaging claim adju...
  • 6/9/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Position Overview: As a Commercial Auto and General Liability Claims Adjuster, you will be responsible for managing comp...
  • 6/8/2024 12:00:00 AM

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Claims Examiner
  • AIG
  • Cincinnati, OH
  • This is a hybrid role in Cincinnati Ohio requiring 3 to 4 days in office. Who we are American International Group, Inc. ...
  • 6/8/2024 12:00:00 AM

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Claims Examiner
  • JCW
  • JCW is currently recruiting on behalf of a rapidly growing Property & Casualty Insurance Company who are looking to add ...
  • 6/7/2024 12:00:00 AM

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$46,660 to $61,874