Disability Claims Examiner, Sr. jobs in Tennessee

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)

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DHS DISABILITY CLAIMS ASSISTANT
  • State of Tennessee
  • Nashville, TN FULL_TIME
  • Location: Davidson County
    Last Day to Apply: Apr 29 , 2024
    Business Unit: Non-Exempt Office/Admin Suppt
    Job Family: Human Services
    Job Opening ID: 57264


    Job Information

    State of Tennessee Job Information


    Opening Date/Time
    04/23/2024 12:00AM Central Time

    Closing Date/Time
    04/29/2024 11:59PM Central Time

    Salary (Monthly)
    $2,517.00 - $3,142.00

    Salary (Annually)
    $30,204.00 - $37,704.00

    Job Type
    Full-Time

    City, State Location
    Nashville, TN

    Department
    Human Services


    LOCATION OF (3) POSITION(S) TO BE FILLED: DEPARTMENT OF HUMAN SERVICES, REHABILITATION SERVICES - DISABILITY DETERMINATION DIVISION, DAVIDSON COUNTY

    https://www.tn.gov/content/dam/tn/human-services/documents/DHS_Disability_Claims_Asst1_Davidson_042924.pdf

    This is an on-site position.

    Qualifications

    Education and experience: High School Diploma or Equivalent.

    Necessary Special Qualifications: Complete a federal background check in accordance with the Homeland Security Presidential Directive 12 (HSPD-12) for issuance of an HSPD-12 compliant Personal Identity Verification (PIV) credential card.

    Summary

    This classification learns to perform para-professional claims work of average difficulty. An employee in this class learns to provide direct assistance to the disability claims examiner in the adjudication process for determining eligibility for the Social Security Administration disability program. This classification performs responsibilities at the learning level under direct supervision. This class differs from the DHS Disability Claims Assistant 2 in that an incumbent of the latter functions at the working level.

    • An applicant appointed to this classification will be reclassified to a(n) DHS Disability Claims Assistant 2 after successful completion of a mandatory one-year training period; ‘unacceptable’ or ‘needs improvement’ performance ratings during the training period will result in automatic demotion or termination.

    Responsibilities

    • Receives a significant volume of documentation, primarily by mail, such as claimant correspondence and medical records from vendors, providers, and outside agencies for use by the claims examiner in the processing of Social Security Disability claims.
    • Learns to assist claims examiners with obtaining documentation from providers or claimants. Learns to gather and apply relevant information to ensure clients receive effective services. Learns to review claimant forms for completeness, accuracy, and consistency.
    • Learns to maintain integrity and security of personal identifiable information, federal computer systems, and confidential documents.
    • Learns to interact by phone with claimants, third parties, attorneys, and outside entities for the purpose of furnishing and obtaining information regarding client circumstances.
    • Learns to utilize scripted instructions as directed by federal and state policies to provide information and direction to claimants. Learns to communicate questions through appropriate chain of command to obtain policy or procedural clarification.
    • Learns to organize and enter claimant documentary evidence and records into an electronic case management folder.
    • Learns to document case notes, appointments, and general correspondence for examiner review and adjudication.
    • Learns to schedule consultative examination appointments for claimants and provide notification of appointment time and date to claimants, third parties, and attorneys. Learns to reschedule missed consultative examination appointments and document reasons for missed exams.

    Competencies

    • Knowledgeable in administrative/clerical duties.
    • Skilled in planning, setting priorities, and providing great customer service.
    • Skilled in actively listening and learning, solving problems, making quality decisions, and taking the appropriate actions.
    • Ability to communicate effectively orally and in writing.
    • Competent in understanding others and acting with integrity and trust.

    Tools & Equipment

    • General office equipment
    • Computer/Laptop
    • Cell Phone
    • Multifunction Printer (fax/copy/scan/print)
  • 2 Months Ago

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Paralegal Sr.
  • Sedgwick Claims Management Services Inc.
  • Memphis, TN 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...
  • 1 Day Ago

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CLAIMS REPRESENTATIVE SR
  • Dollar General
  • GOODLETTSVILLE, TN FULL_TIME
  • Work Where You MatterAt Dollar General, our mission is Serving Others! We value each and every one of our employees. Whether you are looking to launch a new career in one of our many convenient Store ...
  • 1 Day Ago

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Adjuster, Property Insurance Claims
  • Elevate Claims Solutions
  • Jackson, TN FULL_TIME
  • Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are ...
  • 2 Days Ago

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Adjuster, Property Insurance Claims
  • Elevate Claims Solutions
  • Gatlinburg, TN FULL_TIME
  • Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are ...
  • 3 Days Ago

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Adjuster, Property Insurance Claims
  • Elevate Claims Solutions
  • Johnson, TN FULL_TIME
  • Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are ...
  • 11 Days Ago

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Workers Compensation Claims Analyst
  • World Insurance Associates LLC
  • Syosset, NY
  • Summary World Insurance Associates is a unique insurance organization offering top products and services from major prov...
  • 6/2/2024 12:00:00 AM

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Licensed Clinical Psychologist
  • Loyal Source Government Services
  • Anchorage, AK
  • Give Back to Those that Gave to Us We offer part-time and full-time positions with excellent benefits – opportunities fo...
  • 6/2/2024 12:00:00 AM

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Psychologist
  • Loyal Source Government Services
  • Spokane, WA
  • Give Back to Those that Gave to Us We offer part-time and full-time positions with excellent benefits – opportunities fo...
  • 6/2/2024 12:00:00 AM

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Audiologist
  • Veterans Evaluation Services
  • As an Audiology examiner you will conducting audiology exams and completing applicable disability benefits questionnaire...
  • 6/2/2024 12:00:00 AM

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Audiologist
  • Veterans Evaluation Services
  • As an Audiology examiner you will conducting audiology exams and completing applicable disability benefits questionnaire...
  • 6/2/2024 12:00:00 AM

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Optometrist
  • Veterans Evaluation Services
  • Veterans Evaluation Services is seeking qualified Ophthalmologists and Optometrists to join our provider network as an i...
  • 6/2/2024 12:00:00 AM

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Audiologist
  • Loyal Source Government Services
  • Summary The audiologist performs Medical Disability Examinations (MDE) for veterans when they file disability claims for...
  • 6/2/2024 12:00:00 AM

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Stable & Mature LTD Claims Examiner
  • Matrix Absence Management
  • South Portland, ME
  • Job Responsibilities and Requirements The Stable and Mature LTD Claim Examiner will manage an assigned caseload of Long ...
  • 5/30/2024 12:00:00 AM

Tennessee borders eight other states: Kentucky and Virginia to the north; North Carolina to the east; Georgia, Alabama, and Mississippi on the south; Arkansas and Missouri on the Mississippi River to the west. Tennessee is tied with Missouri as the state bordering the most other states. The state is trisected by the Tennessee River. The highest point in the state is Clingmans Dome at 6,643 feet (2,025 m). Clingmans Dome, which lies on Tennessee's eastern border, is the highest point on the Appalachian Trail, and is the third highest peak in the United States east of the Mississippi River. The ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner, Sr. jobs
$53,477 to $69,293

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