Disability Claims Examiner jobs in Washington

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
  • SeaTac, WA CONTRACTOR
  • Job Description:

    Pay Range $25hr - $30hr

    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 clams 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:
    • Five 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.
  • 7 Days Ago

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Claims Examiner Trainee
  • WPAS
  • Mercer Island, WA FULL_TIME
  • Responsibilities: Work with trainer and/or assigned co-worker to learn and perform review of plan documents and procedures to apply plan provisions, limitations and exclusions when making benefit dete...
  • 12 Days Ago

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Workers Compensation Claims Specialist
  • Stop Claims Corp.
  • Everett, WA FULL_TIME
  • Job DescriptionFast growing corporation looking for a dynamic team member, that can establish strong working relationships with co-workers, clients & negotiate the myriad of issues with all matters La...
  • 22 Days Ago

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Disability Assessor
  • Advo Health
  • Kent, WA FULL_TIME
  • Are you a healthcare professional looking for a company that shares your values?Join our team of Disability Assessors and enjoy a great work life balance and a rewarding income. Starting between £37,3...
  • 10 Days Ago

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Covid-19 Outreach Coordinator
  • Central Washington Disability Resources
  • Kittitas, WA FULL_TIME,CONTRACTOR
  • Contract-based Position Description Location: Ellensburg Office (Service area are Kittitas, Yakima, Grant, Chelan and Douglas Counties)Job Title: Covid-19 Outreach CoordinatorDepartment: Independent L...
  • 16 Days Ago

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Independent Living Specialist
  • Disability Empowerment Center
  • Seattle, WA FULL_TIME
  • Position Description: Independent Living Specialist Location: Seattle OfficePosition Title: Independent Living (IL) SpecialistDepartment: Independent LivingJob Type: Full-timeReports to: Program Direc...
  • 20 Days Ago

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Retail Pharmacy Technician- GUH PRN
  • MEDSTAR HEALTH
  • Washington, DC
  • General Summary of Position Assists pharmacist(s) in all areas of pharmacy operations, including prescription preparatio...
  • 6/12/2024 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...
  • 6/12/2024 12:00:00 AM

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Legal Research Admin
  • Manpower
  • El Segundo, CA
  • Our client, Legal Industry is seeking a Claims Examiner to join their team. As a Legal Research Admin r you will be part...
  • 6/12/2024 12:00:00 AM

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ENGINEERING TECHNICIAN (MECHANICAL/ELECTRICAL)
  • U.S. Pacific Fleet
  • Joint Base Pearl Harbor-Hickam, HI
  • Summary This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be...
  • 6/12/2024 12:00:00 AM

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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

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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

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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

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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

Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner jobs
$54,164 to $67,247