Disability Claims Examiner jobs in Alaska

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)

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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
  • 20 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...
  • 10 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...
  • 9 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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General Practice Physician - Disability Examinations
  • Vivo HealthStaff
  • Fort Wainwright, AK FULL_TIME
  • Vivo HealthStaff Inc is recruiting for Physicians to conduct Veteran Disability Examinations at locations across the United States.Office Location:Fairbanks, AKJuneau, AKDescription:Conduct Medical Ex...
  • 20 Days Ago

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Audiologist
  • Loyal Source Government Services
  • Seattle, WA
  • Give Back to Those that Gave to Us We offer full- and part-time positions with excellent benefits – opportunities for gr...
  • 6/10/2024 12:00:00 AM

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Psychologist
  • Veterans Evaluation Services
  • Portland, ME
  • Veterans Evaluation Services is seeking qualified Psychologists and Psychiatrists (Ph.D, PsyD, MD, DO) to join our provi...
  • 6/10/2024 12:00:00 AM

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Psychiatrist
  • Veterans Evaluation Services
  • Evansville, IN
  • As a clinician, you are an expert in the assessment, evaluation, and diagnosis of health conditions for your patients. A...
  • 6/10/2024 12:00:00 AM

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Psychiatrist
  • Veterans Evaluation Services
  • South Bend, IN
  • As a clinician, you are an expert in the assessment, evaluation, and diagnosis of health conditions for your patients. A...
  • 6/10/2024 12:00:00 AM

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Psychiatrist
  • Veterans Evaluation Services
  • Terre Haute, IN
  • As a clinician, you are an expert in the assessment, evaluation, and diagnosis of health conditions for your patients. A...
  • 6/10/2024 12:00:00 AM

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Auto Damage Appraiser - Remote with Travel
  • Preferred Mutual Insurance Company
  • Please note, candidate must reside and travel in the Southeastern NY area - this area includes travel in Greene, Ulster,...
  • 6/10/2024 12:00:00 AM

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Chiropractor
  • GGRM Law Firm
  • Las Vegas, NV
  • Nevada's Premier Injury Law Firm is seeking a PPD Doctor! We are seeking a Chiropractor (PPD Doctor) to join our law fir...
  • 6/10/2024 12:00:00 AM

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Patent & Trademark Counsel
  • Streamlight, Inc.
  • Norristown, PA
  • The successful candidate for this position will play a key role in identifying, protecting, and maintaining Streamlight’...
  • 6/10/2024 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 jobs
$54,717 to $67,933