Disability Claims Examiner, Sr. jobs in Oregon
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)
Recently Added Disability Claims Examiner, Sr. jobs
Claims Examiner I
- TRISTAR Insurance Group
-
Oswego, OR
FULL_TIME
-
POSITION SUMMARY: Under close supervision manages all aspects of Medical Only claims handling from inception to conclusion within established authority and guidelines.
This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore consistently being at work in the office or home office location as applicable, in a timely manner, is inherently required of this position.
Duties And Responsibilities- Effectively manages a caseload of 150 to 200 workers’ compensation files.*
- Initiates and conducts claims investigation in a timely manner.*
- Medical only, indemnity.
- Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.*
- Manages medical treatment and medical billing, authorizing as appropriate, with requests for surgical treatment to be referred to supervisor prior to authorizing. *
- Communicates with claimants, providers and vendors regarding claims issues.*
- Computes and set reserves within Company guidelines, up to $10,000. *
- Finalizes all claims and obtains authority as designated.*
- Maintains diary system for case review and document file to reflect the status of and work being performed on the file.*
- Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.*
- Involves designated loss control staff when appropriate.*
- Adheres to all Company policies and procedures.*
- Participates in file reviews, as needed.
- Other duties as assigned to include assisting as a claims assistant.
- Essential job function.
SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire
Qualifications Required
Education/Experience: Bachelor’s degree in related field (preferred); and one (1) year related experience; or equivalent combination of education and experience.
Knowledge, Skills And Abilities- Technical knowledge of statutory regulations and medical terminology.
- Analytical skills.
- Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
- Ability to interact with persons at all levels in the business environment.
- Proficient in Word and Excel (preferred).
- Certification and/or or license in OR and WA or ability to become certified.
- Just Posted
Claims Examiner I
- TRISTAR RISK MANAGEMENT
-
Oswego, OR
FULL_TIME
- POSITION SUMMARY: Under close supervision manages all aspects of Medical Only claims handling from inception to conclusion within established authority and guidelines. This position requires considera...
- 24 Days Ago
Claims Examiner I
- Tristar Insurance
-
Oswego, OR
OTHER
- Job Details Level: Experienced Job Location: Portland - Lake Oswego, OR Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $23.00 - $26.00 Hourly Travel Percentage: Neg...
- 25 Days Ago
Workers Compensation Claims Examiner II
- TRISTAR Insurance Group
-
Oswego, OR
FULL_TIME
- IN OFFICE POSITION- Oregon Washington certification or ability to become certifiedPlease sign the application at the endPOSITION SUMMARY: Under minimal supervision, manages all aspects of indemnity cl...
- Just Posted
Workers Compensation Claims Examiner II
- Tristar Insurance
-
Oswego, OR
OTHER
- Job Details Level: Experienced Job Location: Portland - Lake Oswego, OR Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $62,000.00 - $72,000.00 Salary/year Travel Pe...
- 28 Days Ago
Workers Compensation Claims Examiner II
- TRISTAR RISK MANAGEMENT
-
Oswego, OR
FULL_TIME
- IN OFFICE POSITION- Oregon Washington certification or ability to become certified Please sign the application at the end POSITION SUMMARY: Under minimal supervision, manages all aspects of indemnity ...
- 30 Days Ago
Disability Claims Examiner, Sr. jobs at Popular Companies
Attorney
- McAloon & Friedman, P.C.
-
New York, NY
- McAloon & Friedman is currently seeking a Medical Malpractice Litigation Defense Attorney. This position entails being a...
- 6/11/2024 12:00:00 AM
Paralegal Executive Assistant
- Senior Resource Group
-
Solana Beach, CA
- The anticipated wage range for this position is $7,500 - $9,166 / month For over 30 years, Senior Resource Group-SRG has...
- 6/11/2024 12:00:00 AM
Auto Damage Appraiser - Remote with Travel
- Preferred Mutual Insurance Company
-
Tampa, FL
- Please note, candidate must reside and travel in the Southeastern NY area - this area includes travel in Greene, Ulster,...
- 6/11/2024 12:00:00 AM
Auto Damage Appraiser - Remote with Travel
- Preferred Mutual Insurance Company
-
Charlotte, NC
- Please note, candidate must reside and travel in the Southeastern NY area - this area includes travel in Greene, Ulster,...
- 6/11/2024 12:00:00 AM
Auto Damage Appraiser - Remote with Travel
- Preferred Mutual Insurance Company
-
North Philadelphia, PA
- Please note, candidate must reside and travel in the Southeastern NY area - this area includes travel in Greene, Ulster,...
- 6/11/2024 12:00:00 AM
Auto Damage Appraiser - Remote with Travel
- Preferred Mutual Insurance Company
-
Atlanta, GA
- Please note, candidate must reside and travel in the Southeastern NY area - this area includes travel in Greene, Ulster,...
- 6/11/2024 12:00:00 AM
Auto Damage Appraiser - Remote with Travel
- Preferred Mutual Insurance Company
-
Dallas, TX
- Please note, candidate must reside and travel in the Southeastern NY area - this area includes travel in Greene, Ulster,...
- 6/11/2024 12:00:00 AM
Auto Damage Appraiser - Remote with Travel
- Preferred Mutual Insurance Company
-
Chicago, IL
- Please note, candidate must reside and travel in the Southeastern NY area - this area includes travel in Greene, Ulster,...
- 6/11/2024 12:00:00 AM
About Oregon
Oregon (/ˈɒrɪɡən/ (listen) ORR-ih-gən) is a state in the Pacific Northwest region on the West Coast of the United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. The parallel 42° north delineates the southern boundary with California and Nevada. Oregon is one of only four states of the continental United States to have a coastline on the Pacific Ocean.
Oregon was inhabited by many indigenous tribes before Western traders, explorers, and settlers arrived. An autonomous government ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner, Sr. jobs
$58,675 to $76,027
Most Popular Cities in Oregon for Disability Claims Examiner, Sr. Jobs
What does a Disability Claims Examiner, Sr. do?
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