Disability Claims Examiner, Sr. jobs in New York
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
Sr. Claims Examiner
- Madison Approach Staffing Inc
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Ossining, NY
FULL_TIME
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Position Title: Sr. Claims Examiner
Job Summary
We are seeking an organized and detail oriented self-starter with a minimum of three years’ experience in medical claims processing for a full-time Senior Claims Examiner position. The hours are Monday through Friday, 8:30am – 4:00pm. This position will be responsible for the review and adjudication of medical, dental, vision, and prescription claims. This is a Temp to Permanent opportunity. Location: Northern Westchester, NY
This position is non-exempt with an hourly rate of $27.00 per hour.
Responsibilities- Process claims for client's members including medical, dental, vision, and prescription.
- Deal with complex claim issues, identifying root cause of problems
- Understand and analyze insurance EOB’s to ensure maximum cost savings from plans.
- Requests additional information for incomplete or unclean claims; follows up with provider as necessary.
- Handle insurance enrollments as well Social Security and other government benefits.
- Maintain database containing data on insurance, Social Security, and medical device coverage.
- Supervise Claims Examiners in absence of Claims Supervisor and/or Director.
- Audit claims processed by Claims Examiners and Claims Assistant.
- Assist the Claims Supervisor and Director with all unit initiatives including but not limited to check runs, cost containment, and special projects.
- High school diploma or equivalent; some college preferred
- A minimum of three (3) years documented experience in medical claims processing
- Must have thorough knowledge, compliance and understanding of HIPAA guidelines, ICD-10, CPT, ADA, HCPCS codes, medical terminology and familiarity with various health claims and forms including HCFA/CMS-1500, UB-04, and ADA forms.
- Knowledge and understanding of various medical and prescription drug insurance plans including but not limited to Medicare, Medicaid, HMO’s, PPO’s, Government Plans and other plans is required.
- Self-starter able to work in a highly accurate, independent and organized, efficient manner
- Strong leadership, negotiation, communication and interpersonal skills; supervisory experience is a plus in support of Supervisor and Director.
- Must have strong interpersonal, verbal and written communication skills in dealing with providers, facilities, insurance plans, and client Members, and providing superior customer service.
- Just Posted
Claims Examiner - Workers Compensation
- Sedgwick Claims Management Services Inc.
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Syracuse, NY
OTHER
- 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...
- 4 Days Ago
Claims Examiner
- Health Center, Inc.
-
New York, NY
FULL_TIME
- An established health services organization based in New York City has an immediate opening for a Claims Clerk – Customer Services. Our ambulatory care facilities are staffed with a wide range of heal...
- 1 Month Ago
Bilingual Disability Claims Specialist
- C0100 GFL Environmental Inc.
-
Highland, NY
OTHER
- Reporting to the Manager of Disability Management, the Disability Claims Coordinator is responsible for end-to-end occupational and non-occupational claims management across Canada. The Disability Cla...
- 6 Days Ago
Short Term Disability Claims Specialist
- Software Guidance & Assistance, Inc. (SGA, Inc.)
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Oriskany, NY
CONTRACTOR
- Software Guidance & Assistance, Inc., (SGA), is searching for a Short Term Disability Claims Specialist for a CONTRACT assignment with one of our premier Insurance Services clients in Oriskany, NY.Res...
- 22 Days Ago
Senior Claims Examiner - Liability
- Crawford & Company
-
Hauppauge, NY
FULL_TIME
- Why Crawford? Because a claim is more than a number — it’s a person, a child, a friend. It’s anyone who looks to Crawford on their worst days. And by helping to restore their lives, we are helping to ...
- 3 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 New York
New York is a state in the Northeastern United States. New York was one of the original thirteen colonies that formed the United States.
New York covers 54,555 square miles (141,300 km2) and ranks as the 27th largest state by size.[3] The highest elevation in New York is Mount Marcy in the Adirondacks, at 5,344 feet (1,629 meters) above sea level; while the state's lowest point is at sea level, on the Atlantic Ocean.
In contrast with New York City's urban landscape, the vast majority of the state's geographic area is dominated by meadows, forests, rivers, farms, mountains, and lakes. Most of...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner, Sr. jobs
$61,563 to $79,769
Most Popular Cities in New York 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