Claims Examiner jobs in Fort Wayne, IN

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner - Health Insurance
  • Aon
  • Fort Wayne, IN FULL_TIME
  • Participant Accident Claims Examiner / Health Insurance

    K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports, and events. As a Claims Examiner, you will report directly to the Manager of Claims working in the challenging and rewarding segment of insurance.

    The Claims Examiner handles all assigned claims to a conclusion. Handles a high volume of claims and maintains Customer Service standards. Interacts with Carrier, Claimant, Health Care Providers, and Policyholders.

    This is a hybrid role with the flexibility to work both virtually and 2-3 days per week at our Fort Wayne, IN office.

    Aon is in the business of better decisions

    At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive, diverse team, and we are passionate about helping our colleagues and clients succeed.

    What the day will look like

    • Confirm coverage in system and verifies that both team and individual are sanctioned. Sends initial contact letter which also explains which benefits are available
    • Obtain information necessary for claim to be established in the claims system
    • Investigate to verify that injury occurred while claimant was participating in a covered event
    • Analyze medical bills for causal relationship to the accident/injury
    • Review Explanation of Benefits from primary insurance to determine obligation under our policy
    • If appropriate reprice medical bills through the PPO network and/or use system to see if procedures were reasonable and customary to establish proper payment.
    • Issue payment to medical providers.
    • Handle all inquiries from claimant, insured, or medical provider regarding the status of a claim
    • Comply with all rules, regulations, and laws regarding the payment of medical claim
    • Process/move and maintain claims within the claim's workflow and archival systems

    Skills and experience that will lead to success

    • Accident and Health experience preferred either in a claim setting or as a medical biller/coder
    • Experience with working with third parties a plus
    • Experience with the Microsoft office suite products
    • Proficient typing skills necessary

    Education

    • High School diploma or GED

    How we support our colleagues

    In addition to our comprehensive benefits package, we encourage a diverse workforce. Plus, our agile, inclusive environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon. Furthermore, all colleagues enjoy two "Global Wellbeing Days" each year, encouraging you to take time to focus on yourself. We offer a variety of working style solutions, but we also recognize that flexibility goes beyond just the place of work... and we are all for it. We call this Smart Working!

    Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued.

    Aon values an innovative, diverse workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace.

    Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status.

    We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email

    Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.

    The salary range for this position is $37,000 to $43,000 annually. The salary range reflected is based on a primary work location of Fort Wayne, IN. The actual salary may vary for applicants in a different geographic location.

    Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies.

    #LI-PR1

    #LI-HYBRID

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    Aon provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, or domestic partner status. Aon is committed to a diverse workforce and is an affirmative action employer.

     

  • 24 Days Ago

A
Claims Examiner - Health Insurance
  • Aon
  • Fort Wayne, IN FULL_TIME
  • Participant Accident Claims Examiner / Health Insurance K&K Insurance is a leading provider of specialty coverage in the exciting areas of sports, leisure, recreation, motorsports, and events. As a Cl...
  • 3 Days Ago

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Examiner
  • Indiana Department of Transportation
  • Kendallville, IN FULL_TIME
  • Work for Indiana Grow your career with the State of Indiana! With more than 50 executive branch agencies, the State of Indiana is a diverse workforce offering employees stimulating and challenging pro...
  • 28 Days Ago

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Examiner
  • Work For Indiana
  • Kendallville, IN FULL_TIME
  • Work for Indiana Grow your career with the State of Indiana! With more than 50 executive branch agencies, the State of Indiana is a diverse workforce offering employees stimulating and challenging pro...
  • 28 Days Ago

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Claims Processor
  • LUTHERAN HOSPITAL OF INDIANA
  • Fort Wayne, IN FULL_TIME
  • Job Summary: This position is responsible for the daily adjudication/review of medical, dental, vision, mental health and FSA claims. Claims may be auto-adjudicated or manually processed. Ensures clai...
  • 19 Days Ago

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Claims Attorney
  • Brotherhood Mutual
  • Fort Wayne, IN FULL_TIME
  • Job Title: Claims Attorney FLSA Status: Exempt Job Family: Claims Department: Claims JOB SUMMARY Effectively analyze and resolve serious/complex claims and/or litigation consistent with department sta...
  • 26 Days Ago

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0 Claims Examiner jobs found in Fort Wayne, IN area

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Licensed Life Insurance Agent
  • Pappas Agency
  • Fort Wayne, IN
  • Join Our Winning Team - Sales Agent Position with the Pappas Agency Are you looking for a rewarding career with high ear...
  • 3/28/2024 12:00:00 AM

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Inside Sales Representative - MPS
  • AMBA
  • Fort Wayne, IN
  • Description Position at AMBA About Our CompanyAMBA is a national full-service insurance agency that provides much-needed...
  • 3/28/2024 12:00:00 AM

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Remote Insurance Agent
  • Dorr Agency
  • Fort Wayne, IN
  • Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
  • 3/27/2024 12:00:00 AM

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Life Insurance Agent -Remote (Commission-Based)
  • Lumina Financial Solutions
  • Fort Wayne, IN
  • Join Our Winning Team - Sales Agent Position with Lumina Financial Solutions. Are you looking for a rewarding career in ...
  • 3/27/2024 12:00:00 AM

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Insurance Sales Remote
  • OLIVE WU RE MANAGEMENT LLC
  • Ohio City, OH
  • Full Job Description: We want to add a motivated and personable new employee to our insurance agent team who is seeking ...
  • 3/27/2024 12:00:00 AM

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Remote Life Insurance Specialist
  • The Sudhoff Agency
  • Fort Wayne, IN
  • We are seeking insurance professionals who have a commitment to serve their community by assisting families in obtaining...
  • 3/26/2024 12:00:00 AM

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LICENSED INSURANCE AGENT - REMOTE
  • The Prugar Agency
  • Fort Wayne, IN
  • IF YOU ARE A LICENSED INSURANCE AGENT OR LOOKING TO MAKE A CAREER CHANGE, WE NEED TO TALK! SCHEDULE YOUR INTERVIEW IMMED...
  • 3/25/2024 12:00:00 AM

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URGENT OPENING || INSURANCE PROFESSIONAL || ENTIRELY REMOTE
  • The Faulkner Agency
  • Fort Wayne, IN
  • Are you tired of feeling like youre on an island? Are you constantly looking for support where there is none? Are you fe...
  • 3/24/2024 12:00:00 AM

Fort Wayne is a city in the U.S. state of Indiana and the seat of Allen County, United States. Located in northeastern Indiana, the city is 18 miles (29 km) west of the Ohio border and 50 miles (80 km) south of the Michigan border. With a population of 253,691 in the 2010 census, it is the second-most populous city in Indiana after Indianapolis, and the 75th-most populous city in the United States. It is the principal city of the Fort Wayne metropolitan area, consisting of Allen, Wells, and Whitley counties, a combined population of 419,453 as of 2011. Fort Wayne is the cultural and economic c...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$44,531 to $59,053
Fort Wayne, Indiana area prices
were up 1.3% from a year ago