Claims Examiner jobs in Tulsa, OK

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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Rep examiner examone
  • Quest Diagnostics Incorporated
  • Tulsa, OK FULL_TIME
  • Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time.

    Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collection and processing duties following established practices and procedures.

    May also be required to act as coach, mentor,instructorand resource person for new employees who have completed the required phlebotomy training program.

    • Ensures all specimens are collected accurately and on time.
    • Collects specimens according to established procedures.
    • Conducts in center exams and mobile exams, which include taking basic vitals, medical histories, venipuncture, urine collection, and EKG.

    Also collects specimens for pre- employment drug screenings and other Quest Diagnosticsservices.

    • Responsible for completing application packets and other paperwork accurately.
    • Label,centrifugeand split specimens as required by test order.
    • Upload and complete cases in portal within 24hrson weekdays and within 48hrson weekends.
    • Package specimens for transport and ship to lab indicated on work orders.
    • Responsible for the safe and timely transporting of specimens, supplies,equipmentand materials to the appropriate destination.
    • Maintains records of each specimen collected each day. Support Record Deletion process when directed by Management.
    • Submits original paperwork to destination.
    • Provides customer service to clients.
    • Follows current Examiner's Manual.
    • Reads, understands and complies with departmental policies, protocols and procedures : (i.e.Procedure Manuals, Safety Manual, Compliance Manual, Automobile policies and procedures, Employee Handbook, Quality Assurance Manual).
    • Maintains all appropriate Phlebotomy logs.
    • Maintains error rate of no more than 3%.
    • Confirms exams withclientsday before appointment and status the case at time ofconfirmation.
    • Correct non-applicant errors within a24 hourtimeframe.
    • Submits accurate time and travel logs as directed by management and on time.
    • Submits accurate expense forms, if applicable, on the required day.
    • Properly clock in and out for work assignments.
    • Provides travel logs when applicable.
    • Demonstrates organizational commitment.
    • Adheres to departmental and company code of grooming and dress code and lab coat policies,appearing neat and clean at all times.

    Be aware of smoke residue and heavy fragrances.

    • Wear companyissued identification badge at all timesduring work assignments.
    • Reports on time to work, following attendance guidelines.
    • Answers the telephone in a friendly and helpful manner, by incorporating the company name,self-identificationand a helpful statement.
    • Communicates appropriately with customers, agents, applicants,coworkersand the general public.
    • Communicates all unresolved problems immediately to the appropriate Manager or Supervisor.
    • Remains polite and courteousat all times.
    • Additional responsibilities required of Mobile Examiner.
    • Ensures facilities or work areas are neat, clean and in good repair, takes appropriate action to advise Manager or Supervisor of required repairs and maintenance;

    Disposes of biohazard containers when scheduled.

    • Assist with periodic inventory counts, report shortages and problems to Manager or Supervisor as they occur; stockssuppliesas needed.
    • Provide supply orders as specified by Branch Manager.
    • Work effectively with staff employees to ensure compliance with dress code, EHS & QA requirements, customer service requirements and SOP's, advising Manager or Supervisor of any issues or problems as they arise.
    • Answersphone and dispatch calls when assigned.
    • Participates on teams and special projects when asked.
    • Assist Manager or Supervisor with the implementation of SOPs for examiner services in accordance with Quest Diagnostics guidelines.
    • With direction and guidance from Manager or Supervisor, and having appropriate training guidelines, act as mentor and resource person for new employees providing support for department protocols,practicesand procedures.
    • Assist with distribution of technical information and communications to the work group.
    • Flexible travel (up to25 mileradius) and flexible work hours. Maintain dates of availability and dates unavailable inExamview.
    • All other duties as assigned, within scope of the position.
    • Required use of company i-pad or specified electronic device.

    QUALIFICATIONS

    Required WorkExperience :

    • Minimum 100 documented successful blood draws required.
    • Minimum one-year phlebotomy experience. Experience with pediatric and geriatric patients is a plus.

    Preferred Work Experience :

    Prefer urine or hair follicle collection and EKG experience.

    Physical and Mental Requirements :

    • Sitting for periods of time
    • Standing while performing work
    • Driving to and from work assignments
    • Lifting no more than 40 pounds.
    • Ability to multitask
    • Must be flexible and available based on staffingrequirements;weekends, holidays and overtime. May be required to work occasional on-call duties weekends,eveningsand early AM.
    • Must have a valid driver license and clean driving record with access to dependable / insured transportation

    Knowledge : N / A

    N / A

    Skills :

    • Excellent interpersonal and communication skills
    • Demonstrates good organization, communication, and interpersonal skills;is able tomanage concerns of patients and employees in a professional manner.
    • Basic computer skills in Microsoft office with the ability to learn new software.
    • Must be able to make decisions based on established procedures and exercise good judgment. Seek supervisor guidance when appropriate.
    • Ability to work in a rapidly changing environment.

    EDUCATION

    High School Diploma or Equivalent

    LICENSE CERTIFICATIONS

    Phlebotomy or Medical Assistant certification

    Last updated : 2024-04-24

  • Just Posted

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Legal Instruments Examiner
  • US Interior, Bureau of Indian Affairs
  • Muskogee, OK FULL_TIME
  • Duties Analyze, examine or prepare title documents ensuring land/parcel transactions are accurate using standardized and well-established guidelines as a reference. Review and identify inaccuracies or...
  • 1 Month Ago

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Claims Adjuster
  • Melton Truck Lines
  • Tulsa, OK FULL_TIME
  • Summary: Melton Truck Lines is a Qualified Self-Insured under the FMCSA; and as such its Claims Adjusters perform office work on a daily basis essential to the operations of Melton Truck Lines and are...
  • 19 Days Ago

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Claims Specialist
  • Social Security Administration
  • Bartlesville, OK FULL_TIME
  • Social SecurityIs Hiring Now APPLY TODAY Send your resume/transcripts. Social Insurance Specialist(Claims Specialist) – Field Office __Bartlesville OK_______ Federal Grade Levels Location: & Salaries:...
  • 26 Days Ago

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Domestic Violence Nurse Examiner (DYNE)
  • Domestic Violence Intervention Services
  • Tulsa, OK FULL_TIME
  • Description: The Domestic Violence Nurse Examiner (DVNE) will provide timely and comprehensive assessment and documentation in domestic violence cases, and accurate collection of forensic evidence whe...
  • 11 Days Ago

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Claims HMO - Complex Claims Specialist 140-1039
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY: The Complex Claims Specialist is responsible for examining claims that require review prior to being adjudicated. Claims are generally of the largest dollar value and require extreme atte...
  • Just Posted

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0 Claims Examiner jobs found in Tulsa, OK area

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Logistics Account Manager
  • Paul Transportation Inc.
  • Tulsa, OK
  • Embark on an Adventure: As a Logistics Account Manager ** Ready for an exhilarating journey with a team that fuels succe...
  • 4/25/2024 12:00:00 AM

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INSURANCE AGENT - REMOTE
  • The Slaton Agency
  • Tulsa, OK
  • Are you looking to take your career in a new direction or are you already a licensed insurance agent? At The Slaton Agen...
  • 4/25/2024 12:00:00 AM

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REMOTE LIFE INSURANCE AGENT
  • Melendez Agency
  • Broken Arrow, OK
  • We are looking for agents who are currently licensed in Life, Health and Accident to work remotely for one of the fastes...
  • 4/24/2024 12:00:00 AM

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Entry Level Insurance Sales Agent
  • Bankers Life
  • Tulsa, OK
  • Bankers Life® seeks professionals for a dynamic hybrid remote work environment. Start your insurance agent career and ea...
  • 4/24/2024 12:00:00 AM

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Logistics Account Manager
  • Paul Transportation Inc.
  • Tulsa, OK
  • Embark on an Adventure: As a Logistics Account Manager ** Ready for an exhilarating journey with a team that fuels succe...
  • 4/22/2024 12:00:00 AM

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Lead Teacher
  • The Learning Experience - Corporate Childcare Centers
  • Bixby, OK
  • Benefits: Competitive salary Dental insurance Free uniforms Health insurance Paid time off Lead Teachers at The Learning...
  • 4/22/2024 12:00:00 AM

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Remote Insurance Agent
  • Dorr Agency
  • Tulsa, OK
  • 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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Lead Teacher
  • The Learning Experience - Corporate Childcare Centers
  • Owasso, OK
  • Benefits: Dental insurance Free uniforms Health insurance Paid time off Lead Teachers at The Learning Experience are not...
  • 4/21/2024 12:00:00 AM

Tulsa is located in the northeastern corner of Oklahoma, 99 miles (159 km) northeast of Oklahoma City; situated between the edge of the Great Plains and the foot of the Ozarks in a generally forested region of rolling hills. The city touches the eastern extent of the Cross Timbers, an ecoregion of forest and prairie transitioning from the drier plains of the west to the wetter forests of the east. With a wetter climate than points westward, Tulsa serves as a gateway to "Green Country", a popular and official designation for northeast Oklahoma that stems from the region's green vegetation and r...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$45,279 to $60,042
Tulsa, Oklahoma area prices
were up 1.2% from a year ago