Disability Claims Examiner jobs in Minnesota
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)
Recently Added Disability Claims Examiner jobs
Disability Representative Sr
- Sedgwick Claims Management Services Inc.
-
Prairie, MN
FULL_TIME
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Disability Representative Sr PRIMARY PURPOSE: To provide disability case management and claim determinations based on complex medical documentation and the applicable disability plan interpretation including determining benefits due and making timely payments/approvals and adjustments, medically managing disability claims; coordinating investigative efforts, thoroughly reviewing contested claims, negotiating return to work with or without job accommodations, and evaluating and arranging appropriate referral of claims to outside vendors. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes, approves and authorizes assigned claims and determines benefits due pursuant to a disability plan. Reviews and analyzes complex medical information (i.e. diagnostic tests, office notes, operative reports, etc.) to determine if the claimant is disabled as defined by the disability plan. Utilizes the appropriate clinical resources in case assessment (i.e. duration guidelines, in-house clinicians). Communicates with the claimants providers to set expectations regarding return to work. Determines benefits due, makes timely claims payments/approvals and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets. Medically manages disability claims ensuring compliance with duration control guidelines and plan provisions. Communicates clearly with claimant and client on all aspects of claims process either by phone and/or written correspondence. Informs claimants of documentation required to process claims, required time frames, payment information and claims status either by phone, written correspondence and/or claims system. Coordinates investigative efforts ensuring appropriateness; provides thorough review of contested claims. Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities. Negotiates return to work with or without job accommodations via the claimants physician and employer. Refers cases as appropriate to team lead and clinical case management. Maintains professional client relationships. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited university or college preferred. Experience Three (3) years of benefits or disability case/claims management experience or equivalent combination of education and experience required. Skills & Knowledge Knowledge of ERISA regulations, required offsets and deductions, disability duration and medical management practices and Social Security application procedures Working knowledge of medical terminology and duration management Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Ability to work in a team environment Excellent negotiation skills Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. #claimsexaminer Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
- 1 Day Ago
Claims Examiner
- DRIASI
-
Chanhassen, MN
FULL_TIME
- driasi is an ambitious, innovative and fast-paced company. We offer exceptional training and development programs, competitive pay, great benefits, all within an engaging, fun, and collaborative work ...
- 12 Days Ago
Surety Claims Examiner (Remote)
- Intact Insurance Specialty Solutions
-
Plymouth, MN
FULL_TIME
- Job DescriptionWe currently have an opportunity for a Claims Examiner to join our Surety Claims team in our New York City, NY; Blue Bell, PA; Southfield, MI; Plymouth, MN offices or remotely nationwid...
- Just Posted
Workers' Compensation Claims Examiner
- Health
-
Glencoe, MN
CONTRACTOR
- Claim Examiner- WC3433 Broadway St NE, Suite 330, MN0004,MN(HYBRID) Contract 4 positions Highly prefer locally hybrid. Minneapolis, MN Must have TPA (Third Party Administrator) experience and Minnesot...
- 21 Days Ago
WC Claims Examiner
- Berkley
-
Saint Paul, MN
OTHER
- Company Details We’re a member company of W. R. Berkley Corporation, an A. M. Best A rated Fortune 500 holding company. Berkley is comprised of individual operating units that serve a defined insuranc...
- 2 Months Ago
MN - 1099 Property Claims Adjuster
- Copper Claims Services, Inc.
-
Minneapolis, MN
FULL_TIME
- 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
- 10 Days Ago
Disability Claims Examiner jobs at Popular Companies
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...
- 6/2/2024 12:00:00 AM
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...
- 6/2/2024 12:00:00 AM
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...
- 6/2/2024 12:00:00 AM
Audiologist
- Veterans Evaluation Services
-
- As an Audiology examiner you will conducting audiology exams and completing applicable disability benefits questionnaire...
- 6/2/2024 12:00:00 AM
Audiologist
- Veterans Evaluation Services
-
- As an Audiology examiner you will conducting audiology exams and completing applicable disability benefits questionnaire...
- 6/2/2024 12:00:00 AM
Optometrist
- Veterans Evaluation Services
-
- Veterans Evaluation Services is seeking qualified Ophthalmologists and Optometrists to join our provider network as an i...
- 6/2/2024 12:00:00 AM
Audiologist
- Loyal Source Government Services
-
- Summary The audiologist performs Medical Disability Examinations (MDE) for veterans when they file disability claims for...
- 6/2/2024 12:00:00 AM
Stable & Mature LTD Claims Examiner
- Matrix Absence Management
-
South Portland, ME
- Job Responsibilities and Requirements The Stable and Mature LTD Claim Examiner will manage an assigned caseload of Long ...
- 5/30/2024 12:00:00 AM
About Minnesota
Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North).
Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner jobs
$51,275 to $63,656