Claims Examiner jobs in Macon, GA

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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Forensic Nurse Examiner/Sexual Assault Nurse Examiner
  • Crisis Line & Safe House Of Central Georgia, Inc.
  • Macon, GA FULL_TIME
  • Benefits:
    • 401(k) matching
    • Competitive salary
    • Health insurance
    • Training & development

    Job Hours: Full-time, must be able to take call and be available to work nights, weekends and holidays as needed for call outs.

    Position Overview:
    The Forensic Nurse Examiner (FNE) is a registered nurse who has completed the requirements set forth by the International Association of Forensic Nurse to become a Sexual Assault Nurse Examiner (SANE). The Forensic Nurse will provide timely, non-judgmental, compassionate care to the sexual assault client. This may include a medical-forensic exam, prophylaxis for pregnancy and sexually transmitted diseases, photographic documentation, referrals for appropriate medical and psychological follow-up, support and participation in legal proceedings. The FNE is expected to follow protocols established by the Medical Director and/or the Sexual Assault Center (SAC) Director and policies of Crisis Line & Safe House.

    Forensic Nurse Examiner Job Functions:
    • Complete the initial SANE training with preceptorship within three months of hire date.
    • Provide phone triage to determine if the patient is a candidate to present to the Center or if the patient needs to be seen at the local emergency department.
    • When off duty and on call, respond to a call within 10 minutes and to the patient within 30 – 40 minutes of the initial call.
    • Coordinate call schedule with the Sexual Assault Center Director monthly, at a time prearranged by the Center Director.
    • Coordinate care by all agencies involved and coordinate referrals for appropriate medical and psychological follow-up as needed for each patient.
    • Perform a complete medical and forensic examination and document findings accurately.
    • Explain all options available to the patient so that he/she can make informed decisions.
    • Collect evidence at the patient’s request, guided by the history given.
    • Document detailed injuries accurately with support of photographic evidence.
    • Maintain chain of custody to include evidence collected and the forensic medical records and adhere to release policy.
    • Maintain professional standards that do not create conflict of interests with employment or patient care, including patient and medical record confidentiality
    • Administer appropriate medications per protocols.
    • Provide testimony as a fact witness or expert witness when subpoenaed, to any cases performed while with CL&SH and coordinate with attorneys during judicial process.
    • Participate in case reviews.
    • Monitor the Sexual Assault Kit Tracking System (SAKTS) reports for compliancy of nurses and outside partners.
    • Maintain client, shelter, and program security.
    • Protect confidentiality of client information and shelter location as per policies and Georgia statutes.
    • Maintain confidential files and collect statistical data, assist with reporting to grant funders.
    • Assess client needs, provide crisis intervention, and assist in safety planning.
    • Assist in answering the hotline and act as a resource to victims seeking services.
    • Assist with community projects related to SART and/or advocacy services.
    • Adhere to departmental polices related to the care of sexual assault patients.
    • Work collaboratively with program advocates, law enforcement and other community stakeholders
    • Maintain knowledge of current clinical concepts and practices.
    • Conduct presentations for professionals, schools, community groups, and others to promote understanding and awareness of sexual assault, and to promote Crisis Line & Safe House.
    • Participates in the Sexual Assault Response Team (SART) meetings to help ensure a consistent, competent, and comprehensive response to sexual assault in our community.
    • Attends community meetings, grant required meetings, or any other meeting or event deemed necessary by the agency.
    • Stays knowledgeable of State and Federal guidelines and laws as related to sexual assault.
    • Ensures that necessary information regarding each client is properly documented both in the client file and through the current agency data collection method.
    • Assist in fundraising activities.
    • Work as a team member with other staff and volunteers to achieve the mission of CL&SH
    • Perform other related duties as required.
    • Maintain knowledge of current clinical concepts and practices.

    Requirements of Position Applicants:
    • Graduate of an accredited school of nursing with a minimum of an ASN or Diploma Nurse.
    • Have an active Georgia RN license with no restrictions
    • Have at least two years of direct patient care nursing experience preferred.
    • Maintain all requirements as required by the local hospitals for credentialing
    • Complete all hospital credentialing applications in a timely manner
    • Have completed the SANE requirements set forth by the International Association of Forensic Nurses and/or the national guidelines.
    • Maintains CPR
    • Able to work independently
    • Pass a criminal background check
    • Willing to submit to random drug screenings

    Other Skills/Abilities:
    • Knowledge, skills and ability to collect evidence from a patient while maintaining chain of custody without compromising care.
    • Knowledge, skills and ability to maintain and release medical/forensic records.
    • Knowledge of current forensic practices.
    • Knowledge skill and ability to testify as an expert in court.
    • Knowledge of departmental policies, procedure and practice guidelines.
    • Ability to plan, organize and coordinate multi-disciplinary efforts.

    Note: Employee may perform other related duties as negotiated to meet the ongoing needs of the organization. Employment at Crisis Line & Safe House is on an “at-will” basis. Regardless of the date or method of payment or salary, employment may be terminated at any time by the employer or employee with or without cause. This job description is not intended to be all-inclusive. No supervisor, manager, or other person, irrespective of title or position, has the authority to alter the at-will status of your employment or to enter into any employment contract for a definite period of time with you. Any agreement with you altering your at-will employment status must be in writing and signed by the Executive Director of Crisis Line & Safe House.
  • 11 Days Ago

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Driver Examiner 1- Milledgeville
  • Georgia state government
  • Milledgeville, GA FULL_TIME
  • Under direct supervision, provides consistent, high quality customer service in the issuance of driver's licenses and identification cards based on established guidelines, laws, rules, and regulations...
  • 5 Days Ago

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Driver Examiner 1 - Forsyth
  • Georgia state government
  • Forsyth, GA FULL_TIME
  • Are you looking for a fast-paced job that will allow you to utilize your superior customer service skills in a rewarding environment? • Are you dependable and motivated with a strong commitment to pro...
  • 5 Days Ago

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Driver Examiner 1- Milledgeville
  • Milledgeville - Team Georgia Careers
  • Milledgeville, GA FULL_TIME
  • Under direct supervision, provides consistent, high quality customer service in the issuance of driver's licenses and identification cards based on established guidelines, laws, rules, and regulations...
  • 5 Days Ago

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Driver Examiner 1 - Forsyth
  • Forsyth - Team Georgia Careers
  • Forsyth, GA FULL_TIME
  • Are you looking for a fast-paced job that will allow you to utilize your superior customer service skills in a rewarding environment? • Are you dependable and motivated with a strong commitment to pro...
  • 5 Days Ago

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Driver Examiner 1 - Cumming
  • Georgia state government
  • Forsyth, GA FULL_TIME
  • Are you looking for a fast-paced job that will allow you to utilize your superior customer service skills in a rewarding environment? • Are you dependable and motivated with a strong commitment to pro...
  • 23 Days Ago

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0 Claims Examiner jobs found in Macon, GA area

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Field Sales Agent
  • The WRS Group - Symmetry Financial
  • Macon, GA
  • We are actively hiring for Licensed Life Insurance Agents or those looking to become licensed in life insurance to expan...
  • 4/24/2024 12:00:00 AM

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Leasing Consultant - The Cottages at Warner Robins
  • RangeWater Real Estate
  • Warner Robins, GA
  • Welcome! Interested in becoming a Ranger? Read more. At RangeWater, we look for people who show up and work together to ...
  • 4/24/2024 12:00:00 AM

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Agent Sales Professional
  • The Diaz Agency
  • Macon, GA
  • We are seeking a motivated and experienced insurance agent to join our team remotely. As an insurance agent, you will be...
  • 4/23/2024 12:00:00 AM

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Receptionist - State Farm Agent Team Member
  • Anthony Mcever - State Farm Agent
  • Macon, GA
  • Position Overview Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to th...
  • 4/23/2024 12:00:00 AM

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Licensed Insurance Agent
  • ALLSTATE Joy Robertson Agency
  • Warner Robins, GA
  • Job Description Job Description About Our Agency The Joy Robertson Agency is an Elite agency ranked in the top of it’s G...
  • 4/22/2024 12:00:00 AM

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New Home Sales Associate
  • Adams Homes
  • Macon, GA
  • Adams Homes is seeking a driven and enthusiastic New Home Sales Associate to join our sales team in Macon, GA. In this r...
  • 4/22/2024 12:00:00 AM

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Remote Insurance Agent
  • Dorr Agency
  • Macon, GA
  • Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
  • 4/21/2024 12:00:00 AM

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Property Manager
  • ARCAN Capital
  • Macon, GA
  • Property Manager Are you interested in meaningful work? We support residents living well, a workplace culture that is fr...
  • 4/21/2024 12:00:00 AM

Macon (/ˈmeɪkən/), officially Macon–Bibb County, is a consolidated city-county located in the state of Georgia, United States. Macon lies near the geographic center of the state, approximately 85 miles (137 km) south of Atlanta, hence the city's nickname "The Heart of Georgia." Located near the fall line of the Ocmulgee River, Macon is the county seat of Bibb County and had a 2017 estimated population of 152,663. Macon is the principal city of the Macon metropolitan area, which had an estimated population of 228,914 in 2017. Macon is also the largest city in the Macon–Warner Robins Combined St...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$43,029 to $57,059
Macon, Georgia area prices
were up 1.5% from a year ago