Claims Examiner jobs in Saint Cloud, MN

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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Sexual Assault Nurse Examiner (SANE)
  • Central MN Sexual Assault Center
  • Saint Cloud, MN FULL_TIME
  • Sexual Assault Nurse Examiner with Central Minnesota Sexual Assault Center:

    The objective of the Central MN Sexual Assault Center (CMSAC) FNE position is:

    To ensure that sexual assault victims have the right to immediate, compassionate, and comprehensive medical-legal evaluation and treatment by a specially trained professional who has the experience to anticipate their needs during this time of crisis.

    CMSAC FNE is committed to providing a high standard of evidence collection and medical care to facilitate the victims’ recovery to a higher level of functioning, prevent secondary injury or illness, and ultimately increase the prosecution of sex offenders to reduce the incidence of rape.

    GENERAL SUMMARY

    Responsible for responding to sexual assault victims at multiple facilities in Central Minnesota. Facilities include Centra Care St. Cloud, Melrose, Paynesville, Sauk Centre, Long Prairie, and Monticello. Majority of forensic exams are completed at Centra Care St. Cloud. In collaboration with law enforcement, the FNE will respond to suspect exams at St. Cloud PD and/or St. Cloud Hospital. Trained FNE’s are employed to:

    Work with system agencies:

    Police:

    i. Where to report a sexual assault

    ii. Emergency telephone numbers

    iii. Where to report a case of child sexual abuse

    iv. What happens after a report is made

    Medical:

    i. Collection of forensic evidence following a sexual assault

    ii. Medical procedures including forensic exam, prophylaxis treatment, and emergency contraception

    Legal:

    i. Respond to subpoenas in criminal court trial’s that involve a sexual assault victim.

    Advocacy

    i. Work as a team with Central MN Sexual Assault Center’s Advocate’s to address safety, resources, and follow-up services for all victims.

    Serve as an employee of Central MN Sexual Assault Center.

    Serve as an educator in the community on the importance of forensic evidence collection after a sexual assault for possible future prosecution and for the most sensitive care of the patient/victim in the hospital setting.

    Provide accurate information about services, procedures, and resources.

    Provide services needed by victims of sexual assault, which may not be available elsewhere.

    PRINCIPAL DUTIES AND RESPONSIBILITIES

    • MN Registered Nurse with active license in MN without restrictions
    • Simulation Lab
    • Examiners will complete and orientation period before performing exams on their own
    • Completes competency checklist while being observed by an experienced SANE
    • Completes a minimum of 10 hours of continuing education annually, related to Forensic Nursing to ensure competency. Required to provide documentation of these trainings.
    • 80 percent attendance of staff meetings is required to maintain compliance for FNE’s
    • FNE’s are required to perform at least 5-6 examinations per year to remain competent in their role.
    • Follows policies, procedures, and protocols for the program.
    • Maintains confidentiality of victim/survivors
    • Maintains equipment and supplies utilized by the FNE for examination
    • Maintains records and statistics, as appropriate
    • Takes on-call shifts as scheduled, responding within 45 min to 1 hour of the initial call. FNE’s will carry their own personal cell phones and work from home during on-call shifts.
    • Forensic Nurse Examiners agree to sign up for a minimum of 6, 8 hour shifts per month. (48 hours) Several 8-hour shifts are available throughout each month. Signing-up for 6 shifts per month will satisfy the shift requirement. All shifts are Midnight – 8am 8am -- 4pm 4pm -- Midnight.
    • Each FNE is required to be on call for one weekend shift every month (8 hours)
    • Submits on-call schedule at or before monthly meetings for the upcoming month. On call shifts are first come first serve.
    • Holiday requirement- Examiners are required to take call during national holiday hours for a least 2 per year, 1 winter and 1 summer.
    • While serving in the role of an FNE, it is important to maintain contact with the Director of Client Services and respond to communication in a timely manner, in general 24-48 hours.
    • Maintains contact with the Director of Client Services for at least 1 year after termination of contract and responds to all subpoenas for cases examined while employed with the FNE program.
    • Ability to plan and organize work autonomously
    • Liaison with other human service agencies, clients, personnel, and individuals in related programs
    • Demonstrated initiative, resourcefulness, and good judgment in executing the role and responsibilities of a nurse examiner

    WORKING CONDITIONS

    • Requires concentrated, complex, and variable mental efforts, with emphasis on synthesis of information, written and oral communication
    • Documentation of updated Hepatitis B vaccination
    • Awareness of occupational exposure to blood and body fluids
    • Ability to lift materials weighing up to 20 pounds
    • Independently mobile. Tasks performed while sitting, standing, and walking. Must have access to reliable transportation to meet the needs of the organization and have a current driver’s license
    • Requires access to medical and personal information of a delicate nature, and realizes the potentially serious results of improper disclosure
    • An at-will employment relationship exists between the FNE and CMSAC
    • Must carry an active driver’s license for traveling to and from cases

    REQUIRED TRAINING for application:

    • 40 Hour IAFN approved Sexual Assault Nurse Examiner Didactic Course- Adult and Adolescent
    • 16 Hour IAFN approved Clinical Skills Lab
    • At least 1-2 years of professional nursing experience required

    PREFERRED, NOT REQUIRED for application:

    • 40 Hour IAFN approved Sexual Assault Nurse Examiner Didactic Course- Pediatric
    • Danger Assessment
    • Intimate Partner Violence
    • SANE-A National Certification
    • SANE-P National Certification
    • Experience in Emergency Nursing, OB/GYN, Mental Health, Chemical Dependency, and/or previous FNE experience.

    Job Type: Part-time

    Pay: Up to $600.00 per day

    Benefits:

    • Travel reimbursement

    Medical specialties:

    • Emergency Medicine

    Physical setting:

    • Acute care

    Standard shift:

    • Day shift
    • Evening shift
    • Night shift
    • Overnight shift

    Supplemental schedule:

    • On call

    Weekly schedule:

    • Monday to Friday
    • Weekend availability

    Ability to commute/relocate:

    • Saint Cloud, MN: Reliably commute or planning to relocate before starting work (Required)

    Experience:

    • Nursing: 1 year (Preferred)

    License/Certification:

    • RN License (Preferred)

    Work Location: In person

  • 8 Days Ago

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Mobile Phlebotomist/Mobile Insurance Examiner Minnesota
  • American Para Professional Systems (APPS) Minnesota
  • Brainerd, MN PART_TIME,FULL_TIME,CONTRACTOR
  • APPS Para Medical is the nation's largest technologically advanced health information provider. Our network of health professionals conduct physical examinations, testing, and personal health intervie...
  • 25 Days Ago

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Mobile Phlebotomist/Mobile Insurance Examiner Minnesota
  • American Para Professional Systems (APPS) Minnesota
  • Milaca, MN PART_TIME,FULL_TIME,CONTRACTOR
  • APPS Para Medical is the nation's largest technologically advanced health information provider. Our network of health professionals conduct physical examinations, testing, and personal health intervie...
  • 28 Days Ago

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Mobile Phlebotomist/Mobile Insurance Examiner Minnesota
  • American Para Professional Systems (APPS) Minnesota
  • Wadena, MN CONTRACTOR,PART_TIME,FULL_TIME
  • APPS Para Medical is the nation's largest technologically advanced health information provider. Our network of health professionals conduct physical examinations, testing, and personal health intervie...
  • 28 Days Ago

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Claims Assistant | Professional Billing
  • CentraCare
  • Saint Cloud, MN FULL_TIME
  • Full-time 80 hours every 2 weeks | Mon-Fri flexible schedule between 6a-6p | Denial management experience desired | After minimal in-office training this position can be worked from home JOB SUMMARY:R...
  • 13 Days Ago

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Insurance Claims Specialist
  • Prairie Lakes Healthcare System
  • Ortonville, MN FULL_TIME
  • Insurance Specialist Job Summary Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is an indepen...
  • 1 Month Ago

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0 Claims Examiner jobs found in Saint Cloud, MN area

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AAA - Insurance Agency Owner
  • AAA - Auto Club Group
  • Saint Cloud, MN
  • Job Description Job Description Join us in doing what’s right for our members. AAA is continuing expansion efforts by in...
  • 4/25/2024 12:00:00 AM

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Sr. Staffing Specialist
  • YRCI
  • Founded in 2001, YRCI is a leading professional services firm providing Human Capital, Acquisition Support and Financial...
  • 4/25/2024 12:00:00 AM

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Registered Nurse / RN Case Manager / RN
  • Moments Hospice
  • Saint Cloud, MN
  • Moments Hospice - Nurses looking for autonomy and variety should consider practicing in Hospice Care. As an RN Case Mana...
  • 4/25/2024 12:00:00 AM

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Nurse Practitioner or Physician Assistant - PRN/Part Time
  • Matrix Medical Network
  • Saint Cloud, MN
  • Overview: Nurse Practitioner/Physician Assistant PRN/Part Time Home Risk Assessments About Us: Matrix Medical Network of...
  • 4/25/2024 12:00:00 AM

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Entry Level Sales Representative
  • Results Contracting
  • Saint Cloud, MN
  • Job Description Job Description We are growing and hiring awesome people to join our sales team! This is a rewarding car...
  • 4/22/2024 12:00:00 AM

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Leasing Consultant
  • Centerspace
  • Monticello, MN
  • Welcome to Centerspace Homes - Best Places to Work organization! At Centerspace, our mission is to provide a great home ...
  • 4/21/2024 12:00:00 AM

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Home Health Occupational Therapist Full Time 4 Days a Week
  • Aveanna Healthcare
  • St. Cloud, MN
  • Position Overview We are looking for an Occupational Therapist (OT) to join our team! You will utilize your clinical exp...
  • 4/7/2024 12:00:00 AM

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Branch Office Administrator
  • Edward Jones
  • Cold Spring, MN
  • Would you call yourself a relationship builder, a problem solver or a critical thinker? If you answered yes, we need you...
  • 3/14/2024 12:00:00 AM

St. Cloud is a city in the U.S. state of Minnesota and the largest population center in the state's central region. Its population is 67,984 according to the 2017 US census estimates, making it Minnesota's tenth largest city. St. Cloud is the county seat of Stearns County and was named after the city of Saint-Cloud, France (in Île-de-France, near Paris), which was named after the 6th-century French monk Clodoald. Though mostly in Stearns County, St. Cloud also extends into Benton and Sherburne counties, and straddles the Mississippi River. It is the center of a small, contiguous urban area tot...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$47,193 to $62,580
Saint Cloud, Minnesota area prices
were up 1.3% from a year ago