Claims Examiner, Sr. jobs in Battle Creek, MI

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)

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On-Call Medical Examiner Investigator
  • WMU Homer Stryker, M.D. School of Medicine
  • Kalamazoo, MI OTHER
  • Overview

    Western Michigan University Homer Stryker M.D. School of Medicine is seeking qualified (on-call) Medical Examiner Investigators for the Medical Examiner's Office.  These individuals will investigate the medically relevant circumstances surrounding deaths reported to the Office of the Medical Examiner and prepare written reports documenting the investigative findings. We have position openings in the counties of Allegan, Barry, Berrien, Calhoun, Cass, Grand Traverse, Leelanau, Kalamazoo, Mason, Muskegon, St. Joseph, Van Buren.

    Responsibilities

    • Respond to scenes of reported deaths and perform a skilled investigation
    • Determine whether a death is within the Medical Examiner’s jurisdiction and requires an investigation, based on Michigan Law and Western Michigan University School of Medicine Forensic Pathology policies and procedures
    • Maintain availability by pager or telephone during on-call hours
    • Prepare human remains for transport
    • Communicate effectively with emergency personnel and law enforcement investigators in order to obtain accurate and comprehensive information regarding the circumstances surrounding a death
    • Communicate effectively and compassionately with the decedent’s loved ones and other witnesses
    • Obtain medical history from physicians, medical records, emergency personnel, relatives, witnesses, police and other involved persons
    • Communicate effectively with Funeral Directors and funeral home personnel
    • Speak and write in a professional manner; maintain a professional appearance
    • Submit clear, accurate and objective reports, in a computerized web-based records management system, in a prescribed format in a timely manner for all death investigations
    • Insure that the next-of-kin is notified of the death
    • Maintain and upgrade professional knowledge and skills by attending continuing education seminars, training programs and appropriate courses
    • Comply with policies and procedures established by the Medical Examiner
    • Perform other duties as assigned by the Medical Examiner and/or Chief Medical Examiner Investigator
    • At times may be responsible for cleaning up bodily fluids from cadavers outside of department.
    • Availability to work occasional overtime on weekends or evenings to complete time sensitive projects.
    • Acquires knowledge for new technology and policy/procedure revisions.
    • All other duties as assigned.
    • Must reside in one of the counties we serve.

    Qualifications

    EDUCATION AND/OR EXPERIENCE: 

    • An associate degree or equivalent from a two-year college, university or accredited technical school
    • An equivalent combination of education and experience
    • Law enforcement experience of at least three years, or
    • Medical background, or
    • Experience as a first-responder (e.g. Firefighter, EMT)

    LICENSES, REGISTRATIONS, CERTIFICATIONS: 

    • Achieve ABMDI Registry Certification (basic) within one year of hire, if applicant has previous experience as an investigator and meets minimum requirements to apply for ABMDI Registry Certification (basic), at the time of hire

    OTHER SKILLS AND ABILITIES: 

    • Preferably at least 24 years of age
    • Must possess and maintain a valid State of Michigan Operator's License
    • No prior felony convictions
    • Ability to demonstrate a thorough knowledge of modern medical examiner principles, procedures, techniques and equipment
    • Ability to maintain good physical condition in order to safely perform job duties
    • Ability to communicate effectively orally and in writing
    • Ability to maintain effective working relationships with peers and supervisors
    • Ability to exercise sound judgement in evaluating situations and making decisions
    • Ability to follow and give verbal and written instructions
    • Must be able to respond to a scene within the assigned county within 60 minutes of report
    • Must be available to commit to at least 8-10 on-call shifts per month
    • Internet access
    • Demonstrates the ability to recognize priorities in organization of work flow.
    • Able to perform duties independently, with a minimal need for direct supervision.

    About Western Michigan University Homer Stryker M.D. School of Medicine (WMed)

     

    We are committed to excellence and health equity through transformative medical education, high-quality, patient- and family-entered care, innovative research, and community partnerships within a just culture of diversity, equity, inclusion, and belonging. Our vision is health equity for all in Southwest Michigan through innovation in the practice and study of medicine.

     

    The medical school is a collaboration of Western Michigan University and Kalamazoo's two teaching health systems, Ascension Borgess and Bronson Healthcare. The medical school is a private nonprofit corporation supported by private gifts, clinical revenues, research activities, tuition, and endowment income. Building upon a $100 million foundational gift in 2011, WMed is a recipient of the Empowering Futures Gift, a philanthropic commitment of $300 million to support the mission of the medical school. WMed contributes to the economic vitality of Southwest Michigan through the services we provide as well as the creation of 1,600 new jobs and an annual estimated economic impact of $353 million in Kalamazoo and Calhoun counties.

     

    WMed is fully accredited by the Liaison Committee on Medical Education and the Higher Learning Commission. The medical school offers a comprehensive, innovative four-year Doctor of Medicine degree program and two Master of Science degree programs in Biomedical Sciences and Medical Engineering. We train physicians in 10 residencies and five fellowships accredited by the Accreditation Council for Graduate Medical Education. To support our educational mission, we have Joint Accreditation for interprofessional continuing education, which incorporates accreditation by the Accreditation Council for Continuing Medical Education.

     

    WMed Health is the clinical practice of the medical school with more than 300 providers offering comprehensive primary care and specialty services in several locations throughout Kalamazoo, Portage, and Battle Creek. The Department of Pathology faculty serve as the Office of the Medical Examiner for counties throughout Michigan and northern Indiana.

     

    The W.E. Upjohn M.D. Campus located in downtown Kalamazoo serves as the primary educational facility with faculty and administrative offices, student study and social spaces, team-based learning halls, a state-of-the-art Simulation Center accredited by the Society for Simulation in Healthcare, basic science research labs, as well as toxicology and forensic pathology labs.

     

    WMed is building upon Kalamazoo’s century-long foundation of drug discovery and medical device development with a strategic investment in clinical, laboratory, community, and educational research. The Center for Immunobiology, Center for Clinical Research, Research Histology Lab, Innovation Center, and Human Research Protection Program contribute to the medical school’s advancement of knowledge through innovation and discovery. 

     

    Western Michigan University Homer Stryker M.D. School of Medicine is an Equal Employment Opportunity/Affirmative Action employer of females, minorities, individuals with disabilities, and protected veterans, and actively strives to increase diversity within its community. We provide a drug- and tobacco-free workplace. 

     

    EEO Minorities/Women/Disabled/Protected Veterans.

  • 19 Days Ago

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Claims Advocate
  • Hub International
  • Kalamazoo, MI OTHER
  • Hub International
  • 10 Days Ago

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Medical Records Examiner-E-Health Information Management
  • State of Michigan
  • Kalamazoo, MI FULL_TIME
  • The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse w...
  • 30 Days Ago

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Claims Adjuster Trainee
  • Progressive
  • Kalamazoo, MI FULL_TIME
  • Claims Adjuster Trainee Job Number: 213213 As a claims adjuster trainee, you’ll learn how to help customers get back on the road after an accident. This is not a field position which means you’ll be b...
  • 9 Days Ago

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Claims Administrative Assistant
  • OPUSING
  • Galesburg, MI CONTRACTOR
  • Title: Business Process Support Specialist IIILocation: Galesburg, MI, 49053Duration: 12 Months Contract (Possible Extension)Shift: 1st shift- 8:00am - 4:30pm Pay rate: $23.24/hr. on W2DESCRIPTION:Sum...
  • 1 Month Ago

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Sr. Accountant
  • Robert Half
  • Kalamazoo, MI PER_DIEM
  • Robert Half is looking for a Senior Accountant for permanent employment in the KALAMAZOO, Michigan area. As a Senior Accountant, you will be required to perform financial statement preparation and con...
  • 5 Days Ago

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0 Claims Examiner, Sr. jobs found in Battle Creek, MI area

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Team Member Relations Specialist
  • FireKeepers Casino Hotel
  • Battle Creek, MI
  • Description SCOPE OF POSITION: Responsible for providing administration of Team Member Relations services in accordance ...
  • 4/26/2024 12:00:00 AM

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Licensed Insurance Agent
  • Greg Allen Insurance Agency
  • Marshall, MI
  • Company Description Locally owned and well established Indepedent Insurance Agency in Marshall, Michigan Role Descriptio...
  • 4/25/2024 12:00:00 AM

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Human Resources (HR) Generalist
  • Rehmann
  • Battle Creek, MI
  • Pay Rate: $68,000 - $78,500 FLSA status: Non-Union / Exempt Reports To: HR Manager Deadline date: Open until filled - In...
  • 4/25/2024 12:00:00 AM

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Customer Service Representative - Richmond, VA, Mendon, Michigan, Hagerstown, Indiana or Dallas, Texas
  • Clearwater Paper and Manchester Industries
  • Mendon, MI
  • Where you will work:Manchester Industries is proud to embrace a hybrid workforce model for specific positions.Our Compan...
  • 4/25/2024 12:00:00 AM

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Truck Driver - CDL Class A - Home Every Night!
  • Landscape Forms, Inc
  • Kalamazoo, MI
  • **Truck Driver - CDL Class A - Home Every Night!** at Landscape Forms Kalamazoo, MI * Fortune Best Small and Medium Work...
  • 4/24/2024 12:00:00 AM

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Ground Beef Food Safety/ QA Manager
  • JBS USA
  • Plainwell, MI
  • About JBS JBS began in 1953 as a small, family-owned company in Brazil. We have continued to steadily grow and are now t...
  • 4/23/2024 12:00:00 AM

Battle Creek is a city in the U.S. state of Michigan, in northwest Calhoun County, at the confluence of the Kalamazoo and Battle Creek rivers. It is the principal city of the Battle Creek, Michigan Metropolitan Statistical Area (MSA), which encompasses all of Calhoun County. As of the 2010 census, the city had a total population of 52,347, while the MSA's population was 136,146. According to the United States Census Bureau, the city has a total area of 43.73 square miles (113.26 km2), of which 42.61 square miles (110.36 km2) is land and 1.12 square miles (2.90 km2) is water, making Battle Cree...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$61,484 to $79,270
Battle Creek, Michigan area prices
were up 1.3% from a year ago

Claims Examiner, Sr. in Riverside, CA
Health Claims Examiners, or Health Information Technicians, enter data electronically to process transactions.
December 14, 2019
Claims Examiner, Sr. in Evansville, IN
If you’re in dire straits, we can advise you on steps to get the OWCP claims examiner to pay attention to your needs, such as contacting the Department of Labor’s district director, or the national director via mail.
February 12, 2020
Claims Examiner, Sr. in Springfield, IL
No, the examiner is only involved in performing the exam and providing the results to the claims processor.
January 13, 2020