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)
Regional Care, Inc. (RCI) is one of the nation’s premier independent third-party insurance administrators based in Scottsbluff, Nebraska and is actively looking for an individual with strong customer service to join the team as a Claims Examiner.
Our mission is to continue to grow our business by offering unique products and delivering exemplary services to our clients and broker partners while managing health care costs effectively.
To serve this mission, the Claims Examiner will process health/dental/vision claims as assigned, while answering customer service calls, emails and walk-ins.
As a RCI Claims Examiner, you will:
You may be a good fit if you have:
If this sounds like you, we’d love to connect!
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0 Claims Examiner, Sr. jobs found in Cheyenne, WY area