Claims Examiner, Sr. jobs in Buffalo, NY
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
Hearing Examiner - VID 157329
- Office of Cannabis Management
-
Buffalo, NY
FULL_TIME
-
Minimum Qualifications
Candidates must be admitted to the New York State Bar, currently in good standing, and have four years of post-Bar legal experience in the trial of issues in courts of records or trials of adversarial proceedings, quasi-judicial in nature, before a government agency.
Duties DescriptionThe Hearing Examiner will report to the Chief Administrative Law Judge and serve as an integral member of the Office of Administrative Hearings. The Hearing Examiner will be responsible for presiding at administrative hearings of an adversarial nature including, but not limited to, preparing post-hearing proposed findings of fact, proposed conclusions of law, and proposed recommendations for review by the Cannabis Control Board.
Duties include, but are not limited to:
- Preside over administrative hearings requested by applicants, licensees, or others subject to the jurisdiction of the Cannabis Control Board or the Office of Cannabis Management.
- Preside over administrative hearings scheduled by the Office of Cannabis Management concerning alleged violations of the Cannabis Law and enforcement thereof.
- Maintain fairness, impartiality, and due process, as set forth in the NY State Administrative Procedure Act and the agency’s applicable rules and regulations, for all parties present at a hearing.
- Manage hearing calendars to ensure all cases are heard and decided in a timely manner as prescribed by applicable requirements.
- Apply relevant regulations and law.
- Issue, or cause to be issued, subpoenas for the attendance of witnesses and the production of necessary books, records, and other documents.
- Administer oaths and affirmations, including examining witnesses under oath.
- Rule on various interlocutory issues including objections by parties, relevancy and admissibility of evidence and exhibits, and due dates for submissions by the parties and requests for extensions of time or adjournments.
- Review and consider case law, legislation, regulations, executive orders, testimony, submissions by the parties, and other legal materials for purposes of making interlocutory rulings, preparing post-hearing proposed findings of fact, proposed conclusions of law, and proposed recommendations for review by the Cannabis Control Board.
- Maintain an organized record of the hearing proceeding.
- Upon conclusion of administrative proceedings, render final decisions.
- Keep current on rules and regulations, changes to the law, administrative directives, etc.
- Work with or supervise Legal Assistants.
- Perform the full range of supervisory responsibilities.
- Perform other duties and special projects as required.
Additional CommentsNOTE:
- Travel may be required (approximately 5%), including during evening and weekends, depending on mission and assignment.
- Possession and maintenance of a valid Driver’s License issued by the NYS Department of Motor Vehicle is required, or otherwise demonstrate the capacity to meet the transportation needs of the job.
For a full version of OGS’s EEO/AA statement and benefits joining Team #OneOGS, please visit http://www.ogs.ny.gov/employment.
NOTE ON TELECOMMUTING: Employees are required to apply and obtain approval through management to telecommute according to the agency’s Telecommuting Program Guidelines.
Some positions may require additional credentials or a background check to verify your identity.
- 2 Days Ago
Claims Consultant
- Managed Care Network
-
Niagara Falls, NY
FULL_TIME
- Managed Care Network, Inc., (MCN) is a growing company headquartered in Niagara Falls, New York, which offers claim administration support services to Property & Casualty Insurance Carriers throughout...
- 7 Days Ago
Claims Processor
- Centivo
-
Buffalo, NY
FULL_TIME
- We exist for workers and their employers - who are the backbone of our economy. That is where Centivo comes in - our mission is to bring affordable, high-quality healthcare to the millions who struggl...
- 3 Days Ago
Claims Analyst
- Laland Baptiste
-
Buffalo, NY
FULL_TIME
- Claims Analyst, Buffalo, NY (231C)Laland Baptiste, LLC is a certified minority and woman owned construction management and consulting firm. Laland Baptiste provides innovative and professional service...
- 17 Days Ago
Claims Analyst
- Laland Baptiste
-
Buffalo, NY
FULL_TIME
- Claims Analyst, Buffalo, NY (231C)Laland Baptiste, LLC is a certified minority and woman owned construction management and consulting firm. Laland Baptiste provides innovative and professional service...
- 17 Days Ago
Claims Specialist
- P & A Administrative Services, Inc
-
Williamsville, NY
FULL_TIME
- DescriptionThe Claims Specialist is responsible for performing complex claim adjudication duties related to Flex administration such as Section 125, 129, 132, 105(h) plans, etc. to maximize quality, q...
- 2 Months Ago
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0 Claims Examiner, Sr. jobs found in Buffalo, NY area
ESIS Senior Claims Representative, WC
- Chubb
-
Buffalo, NY
- Job Description KEY OBJECTIVE: Under the direction of the Claims Team Leader investigates and settles claims promptly, e...
- 5/14/2024 12:00:00 AM
Claims Adjuster Senior Workers Compensation
- Gallagherbassett
-
Buffalo, NY
- ** Claims Adjuster Senior Workers Compensation** **** New * Investigates, evaluates, disposes and settles the most compl...
- 5/14/2024 12:00:00 AM
Catastrophe Property Adjuster *MULTIPLE REMOTE LOCATIONS*
- Erie Insurance
-
Buffalo, NY
- Division or Field Office: Claims Division Department of Position: Catastrophe Operations Dept Work from: Home, within ER...
- 5/13/2024 12:00:00 AM
Claims Investigator
- Daniel J. Hannon and Associates, Inc.
-
Buffalo, NY
- Job Description Job Description Company Info: Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance...
- 5/12/2024 12:00:00 AM
Public Insurance Adjuster Buffalo, NY Office - Remote Opportunity in Region
- Adjusters International/Basloe, Levin & Cuccaro
-
Buffalo, NY
- * Public Insurance Adjuster Buffalo, NY Office - Remote Opportunity in Region **Public Insurance Adjuster Buffalo, NY Of...
- 5/12/2024 12:00:00 AM
Private Investigator
- Allied Universal
-
Buffalo, NY
- ACCELERATE YOUR CAREER WITH THE GLOBAL LEADER IN INVESTIGATIVE SOLUTIONS! If you are looking for growth in your career, ...
- 5/11/2024 12:00:00 AM
Claims Adjuster - National Catastrophe Response Team
- Progressive Corp.
-
Buffalo, NY
- Job Description - Claims Adjuster - National Catastrophe Response Team (186416) **** Claims Adjuster - National Catastro...
- 5/11/2024 12:00:00 AM
Public Insurance Adjuster Buffalo, NY Office
- Adjusters International/Basloe, Levin & Cuccaro
-
Buffalo, NY
- * Public Insurance Adjuster Buffalo, NY Office **Public Insurance Adjuster Buffalo, NY Office** * Buffalo, New York **Jo...
- 5/11/2024 12:00:00 AM
About Buffalo, New York
Buffalo is the second largest city in the U.S. state of New York and the largest city in Western New York. As of July 2016[update], the population was 256,902. The city is the county seat of Erie County and a major gateway for commerce and travel across the Canada–United States border, forming part of the bi-national Buffalo Niagara Region.
The Buffalo area was inhabited before the 17th century by the Native American Iroquois tribe and later by French settlers. The city grew significantly in the 19th and 20th centuries as a result of immigration, the construction of the Erie Canal and rail tra...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$60,700 to $78,262
Buffalo, New York area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Claims Examiner, Sr. do?
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