Claims Examiner jobs in Alaska
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)
Recently Added Claims Examiner jobs
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.
- Education & Licensing.
- Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
- 5 years of claims management experience or equivalent combination of education and experience required.
- 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.
- When applicable and appropriate, consideration will be given to reasonable accommodations.
- 21 Days Ago
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...
- 11 Days Ago
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...
- 10 Days Ago
RN Forensic Nurse Examiner
- Providence Health
-
Anchorage, AK
FULL_TIME
- Description Providence is calling for RN Forensic Nurse Examiner in Anchorage, Alaska . We are a community of caregivers delivering every day on our Mission to provide compassionate care that is acces...
- 4 Days Ago
Legal Instruments Examiner, GS-0963-07/08
- U.S. Department of Homeland Security
-
Juneau, AK
FULL_TIME
- Help HelpRequirementsConditions of EmploymentU.S. Citizenship is required.Males born after 12/31/1959 must be registered for Selective Service.This position requires a National Agency Check with Inqui...
- Just Posted
Legal Instruments Examiner, GS-0963-07/08
- U.S. Coast Guard
-
Juneau, AK
FULL_TIME
- Duties This position serves as Legal Instruments Examiner (LIE) at a Regional Examination Center (REC) and is a specialist in the areas of merchant mariners credentialling and examination of merchant ...
- 24 Days Ago
Claims Examiner jobs at Popular Companies
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
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
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
Claims Examiner
- Hire Up Staffing Services
-
Fresno, CA
- Hire UP Staffing is seeking an experienced Medical Claims Examiner for well established client in Fresno, CA. This posit...
- 6/10/2024 12:00:00 AM
CLAIMS EXAMINER
- San Bernardino City Unified
-
San Bernardino, CA
- Comments and Other Information To review the job description, please use the following link. https://www.schooljobs.com/...
- 6/10/2024 12:00:00 AM
Claims Examiner
- SILAC Insurance Company
-
Salt Lake City, UT
- Headquartered in Salt Lake City, Utah, SILAC Insurance Company is one of the fastest-growing insurance companies in the ...
- 6/9/2024 12:00:00 AM
Claims Examiner
- E-Solutions
-
Whittier, CA
- POSITION SUMMARY: The claims examiner reports directly to the claims manager. They are primarily responsible for the pro...
- 6/8/2024 12:00:00 AM
Claims Examiner
- Insight Global
-
Sacramento, CA
- Day to Day: The Claims Examiner 1 is responsible for ensuring claims are coded and processed correctly and for meeting p...
- 6/7/2024 12:00:00 AM
About Alaska
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 Claims Examiner jobs
$52,384 to $69,465