Disability Claims Examiner, Sr. jobs in Alaska

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 Examiner - Workers Compensation
  • CYNET SYSTEMS
  • Anchorage, AK FULL_TIME
  • Job Description:

    Responsibilities:
    • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
    • Negotiates settlement of claims within designated authority.
    • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
    • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles claims within designated authority level.
    • Prepares necessary state fillings within statutory limits.
    • Manages the litigation process; ensures timely and cost effective claims resolution.
    • Coordinates vendor referrals for additional investigation and/or litigation management.
    • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
    • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
    • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
    • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
    • Ensures claim files are properly documented and claims coding is correct.
    • Refers cases as appropriate to supervisor and management.
    Qualification:
    • Education & Licensing.
    • Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
    Experience:
    • 5 years of claims management experience or equivalent combination of education and experience required.
    Skills and Knowledge:
    • Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
    • Excellent oral and written communication, including presentation skills.
    • PC literate, including Microsoft Office products.
    • Analytical and interpretive skills.
    • Strong organizational skills.
    • Good interpersonal skills.
    • Excellent negotiation skills.
    • Ability to work in a team environment.
    • Ability to meet or exceed Service Expectations.
    Work Environment:
    • When applicable and appropriate, consideration will be given to reasonable accommodations.
    #monsterit
  • 22 Days Ago

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Sr. Medical Malpractice Claims Manager - Professional Liability *Remote
  • Providence Health
  • Alaska, AK FULL_TIME
  • Description Providence caregivers are not simply valued – they’re invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutu...
  • 7 Days Ago

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Property adjuster
  • Sedgwick Claims Management Services
  • Anchorage, AK 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 flex...
  • 12 Days Ago

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Regional General Adjuster - Casualty and Property Experience Needed! (Field)
  • Sedgwick Claims Management Services Inc.
  • Anchorage, AK 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 flex...
  • 11 Days Ago

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General Practice Physician- Disability Examinations
  • Vivo HealthStaff
  • Juneau, AK CONTRACTOR
  • Vivo HealthStaff Inc is recruiting for Physicians to conduct Veteran Disability Examinations at locations across the United States.Office Location: Fairbanks, AK Juneau, AK Description: Conduct Medica...
  • 1 Month Ago

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General Practice Physician- Disability Examinations
  • Vivo HealthStaff
  • Fairbanks, AK CONTRACTOR
  • Vivo HealthStaff Inc is recruiting for Physicians to conduct Veteran Disability Examinations at locations across the United States.Office Location: Fairbanks, AK Juneau, AK Description: Conduct Medica...
  • 1 Month Ago

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Field Service Technician
  • PMT: Keller
  • Phoenix, AZ
  • Position: Field Service Manager Location: Phoenix, AZ Pay Range: $20.00 - $45.00, depending on experience Brand: Keller ...
  • 6/13/2024 12:00:00 AM

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SUPERVISORY NAVAL ARCHITECT
  • Naval Sea Systems Command
  • Groton, CT
  • Summary This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be...
  • 6/13/2024 12:00:00 AM

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ENGINEER/SCIENTIST
  • Naval Sea Systems Command
  • Crane, IN
  • Summary You will serve as an Engineer/Scientist in the Undersea Energy Systems Branch of the Power and Energy Systems Di...
  • 6/13/2024 12:00:00 AM

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ENGINEER
  • Naval Sea Systems Command
  • Crane, IN
  • Summary You will serve as a Engineer in the Mission Integration Branch (WXYP) of the Force Level EW Division (WXY) of th...
  • 6/13/2024 12:00:00 AM

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DISTINGUISHED ENGINEER NAVSEA WARFARE CENTERS CHIEF ENGINEER
  • Naval Sea Systems Command
  • Washington, DC
  • Summary You will serve as the Chief Engineer for Naval Surface Warfare Center (NSWC)/Naval Undersea Warfare Center (NUWC...
  • 6/13/2024 12:00:00 AM

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Data Analyst Manager
  • Genworth
  • Richmond, VA
  • POSITION TITLE Data Analyst Manager Data Insights & Strategy Committee LOCATION Richmond, VA (hybrid) Lynchburg, VA (hyb...
  • 6/13/2024 12:00:00 AM

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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...
  • 6/12/2024 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...
  • 6/12/2024 12:00:00 AM

Alaska is the northernmost and westernmost state in the United States and has the most easterly longitude in the United States because the Aleutian Islands extend into the Eastern Hemisphere. Alaska is the only non-contiguous U.S. state on continental North America; about 500 miles (800 km) of British Columbia (Canada) separates Alaska from Washington. It is technically part of the continental U.S., but is sometimes not included in colloquial use; Alaska is not part of the contiguous U.S., often called "the Lower 48". The capital city, Juneau, is situated on the mainland of the North American ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner, Sr. jobs
$62,891 to $81,490

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