Claims Examiner, Sr. jobs in Baton Rouge, LA
Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. 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, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner, Sr. jobs
- State of Louisiana
-
Statewide, LA
OTHER
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This job posting will be used by Office of Finance Institutions to fill vacancies in district offices located in Baton Rouge, New Orleans, Lafayette, Alexandria, Shreveport, and Monroe.
No Civil Service test score is required in order to be considered for this vacancy.
To apply for this vacancy, click on the "Apply" link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities. Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page.
Applicants qualifying based on college training or receipt of a baccalaureate degree will be required to submit an official college transcript to verify credentials claimed prior to being interviewed. We must receive your official transcript directly from the university or their designated provider, such as e-Script or TranscriptsNetwork.
As a part of a career progression group, vacancies may be filled from this recruitment as a Compliance Examiner, 1, 2, 3,or 4 depending on the level of experience of the selected applicant. The maximum salary for the Compliance Examiner4 is $105,206.00. Please refer to the "Job Specifications" tab located at the top of the La Careers "Current Job Opportunities" pages of the Civil Service website for specific information on salary range, minimum qualifications, and job concepts for each level.
All prospective employees are required to submit and pass a drug screening, provide a credit score with FICO score, and fingerprint criminal background check.
All prospective new hires will also be subject to employment verification via the federal government's E-verify system.
*Resumes WILL NOT be accepted in lieu of completed education and experience sections on your application. Applications may be rejected if incomplete.*
DISQUALIFICATION:
While we encourage all interested applicants to apply, please be aware that there are various reasons that your application may be disqualified from consideration including, but not limited, to:- Failure to fully complete the education and work experience sections of the application; (Please note for the education section that the semester area refers to the number of credit HOURS and not the number of semesters you completed).
- Submission of a resume and/or SF-10 application in lieu of the online application
- Failure to list complete license information (if applicable to the job position).
- Failure to submit an equivalency evaluation statement for an international degree by the closing of this announcement;
For Further information about this posting, please contact:
George Hagerty
Human Resources Analysist
ghagerty@ofi.la.gov
or 225-925-4660
Or
YaVonya Kelley
Human Resources Specialist
ykelley@ofi.la.gov
or (225) 922-0132MINIMUM QUALIFICATIONS:
A baccalaureate degree with nine semester hours in accounting and an additional fifteen semester hours in accounting, economics, finance, business law, insurance, statistics, financial analysis, or money and banking.
SUBSTITUTION FOR DEGREE ONLY:
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree (not the 24 hours of specialized coursework).
Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree (not the 24 hours of specialized coursework) as follows:
A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.
30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.
60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.
90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.
120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.
College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience to substitute for the baccalaureate degree.
SUBSTITUTION FOR THE TWENTY-FOUR HOURS OF SPECIALIZED COLLEGE COURSEWORK:
Professional level experience in regulatory examination with the Federal Deposit Insurance Corporation (FDIC), the Federal Reserve Bank (FRB), the Office of Comptroller of the Currency (OCC), the National Credit Union Administration (NCUA), or a state financial institutions regulatory agency responsible for the regulation of banks, thrifts, credit unions, or mortgage lenders will substitute for the twenty-four semester hours of specialized college coursework on the basis of six semester hours for one year of regulatory examination experience.
NOTE:
Any college hours or degree must be from an accredited college or university.
Function of Work:
Examines the accounting systems and financial status of financial service providers or insurance companies to ensure financial solvency and fair consumer practices.
Level of Work:
Entry.
Supervision Received:
Direct from a Compliance Examiner Assistant Manager, Compliance Examiner Manager, or other higher-level supervisor.
Supervision Exercised:
None.
Location of Work:Primarily used by the Department of Insurance and Office of Financial Insitutions (OFI).
Job Distinctions:
Differs from Compliance Examiner 2 by the absence of responsibility for performing the full range of examination functions.EXAMPLES BELOW ARE A BRIEF SAMPLE OF COMMON DUTIES ASSOCIATED WITH THIS JOB TITLE. NOT ALL POSSIBLE TASKS ARE INCLUDED.
Conducts field examinations of financial service providers and insurance companies such as banks, residential mortgage lenders, pawnshops, credit unions, and HMOs to determine compliance with state and federal laws, policies, rules, and regulations.
Examines records of assets such as cash and accounts due from institutions, investments, loans, real estate, and equipment to verify accuracy and composition of data provided in financial statements.
Examines records of liabilities such as deposit accounts, savings accounts, certificates of deposit, taxes, debts, loans, other borrowed money, and accrued expenses; reviews records of stockholder's equity such as common stock, preferred stock, capital surplus, retained earnings, and subordinated debt to determine accuracy of and composition of data in financial statements.
Prepares reporting schedules on numerous detail tasks areas, including concentrations of assets in a particular area, rate sensitivity analysis, liquidity and funds management, and premises and equipment.
Attends meetings and conferences with top-level management of firms to obtain information, resolve discrepancies, and report findings.
On a rotating basis, will serve as an assistant-in-charge for examinations of lesser complexity.
Attends and successfully completes beginning Compliance examiner school. - 9 Days Ago
- Dupre Logistics, LLC
-
Baton Rouge, LA
FULL_TIME
- Activities The Risk Management Claims Specialist will assist with corporate insurance and risk management related matters supporting day-to-day administrative activities and management of regular in-h...
- 22 Days Ago
- LWCC People Operations
-
Baton Rouge, LA
FULL_TIME
- Overview Investigates, evaluates, and handles assigned claims through final disposition in accordance with company procedures. Investigates coverage and compensability issues. Handles lost time claims...
- 13 Days Ago
- LWCC People Operations
-
Baton Rouge, LA
FULL_TIME
- Overview The Claims Attorney’s primary objective is to represent LWCC and/or its policyholders in court or legal proceedings. Major Areas of Accountability Represents LWCC and/or its policyholders in ...
- 13 Days Ago
- LWCC
-
Baton Rouge, LA
FULL_TIME
- LWCC is a Champion of Louisiana business and proud to be headquartered in the state capital, Baton Rouge. As a model single-state, private mutual workers’ comp company, we promote safety, security, an...
- 27 Days Ago
- State of Louisiana
-
Bossier, LA
PART_TIME
- This posting is for the recruitment of part-time, temporary, EMT Practical Examiners.Salary: $25 per hour.Days/Times: Hours vary; Minimum of 3 tests per year; Up to 10 hours per test. In order to be c...
- 2 Days Ago
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0 Claims Examiner, Sr. jobs found in Baton Rouge, LA area
- Priority Wire & Cable, Inc.
-
Baton Rouge, LA
- ** Warehouse Worker PWC** **Job Category****:** Operations **Requisition Number****:** WAREH001286 Showing 1 location **...
- 4/26/2024 12:00:00 AM
- AtWork Personnel
-
Baton Rouge, LA
- We are looking for Inspectors to join our Engineering Team! Loss Control Inspectors pride themselves on having the techn...
- 4/24/2024 12:00:00 AM
- WASKEY
-
Baton Rouge, LA
- JOB SUMMARY The Health, Safety & Environmental (HSE) Director is responsible for leading and overseeing Company HSE prog...
- 4/24/2024 12:00:00 AM
- Contemporary Staffing Solutions
-
Baton Rouge, LA
- Job Description Job Description Contemporary Staffing Solutions is seeking an experienced Call Center Representative to ...
- 4/24/2024 12:00:00 AM
- Humana
-
Baton Rouge, LA
- Become a part of our caring community and help us put health firstDo you want be part of a team that is continuously lea...
- 4/23/2024 12:00:00 AM
- Sedgwick
-
Baton Rouge, LA
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A c...
- 4/22/2024 12:00:00 AM
- Gordon McKernan Injury Attorneys
-
Baton Rouge, LA
- Job Type Full-time Description Gordon McKernan Injury Attorneys is seeking a full-time Paralegal or Legal Assistant to j...
- 4/22/2024 12:00:00 AM
- Sunridge Management
-
Baton Rouge, LA
- Job Description Job Description Property Manager POSITION: Property Manager REPORTS TO: AVP (Assistant Vice President) T...
- 4/22/2024 12:00:00 AM
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