Claims Examiner, Sr. jobs in Florence, SC

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)

S
Housekeeper
  • Sr Companies Llc
  • Murrells Inlet, SC FULL_TIME
  • Summary: Responsible for demonstrating and promoting SRIM's core value of the Golden Rule, treating others (residents, families, and associates) in the same way we would like to be treated, and under direct supervision providing a variety of housekeeping and/or laundry duties while maintaining the community in an orderly, clean, and sanitary condition by performing the following duties.

    Duties and Responsibilities include the following. Other duties may be assigned.

    • Follows established cleaning schedule.*
    • Completes daily dusting, vacuuming, sweeping and mopping of all common areas.*
    • Follows established schedule for "deep cleaning" of resident rooms.*
    • Cleans administrative offices as scheduled.*
    • Cleans and sanitizes bathrooms.*
    • Cleans carpets and mops all floors upon request.*
    • Maintains a clean, safe, and orderly environment for all residents.*
    • Ensures and supports a dignified and caring atmosphere for residents, families, visitors, and associates.*
    • Responds promptly and courteously to resident's, families, and visitors requests for assistance.*
    • Speaks to/interacts with residents showing empathy, kindness, compassion, and respect.*
    • Communicates effectively in a language that each resident is capable of understanding.*
    • Maintains a safe and secure working environment free of objects/situations that could cause harm and/or falls to residents, families visitors and associates.*
    • Practices good body mechanics and safe working habits.*
    • Observes and reports safety hazards immediately to supervisor.*
    • Provides assistance to associates when requested or required.*
    • Knows, understands and follows established policy and procedures in emergency situations.*
    • Is considered essential personnel during emergencies and/or inclement weather. Is required to report or remain at community until released by supervisor.*
    • Works as a team player with other associates and management in accomplishing work assignments.*
    • Always demonstrates a positive and respectful attitude about work issues, policies and procedures.*
    • Complies with attendance and call off policy.*
    • Attends and/or participates in trainings, in-service and mandatory meetings.*
    • Wears clean and appropriate dress per established dress code policy.*
    • Refrains from discussing resident issues with families and visitors and refers all inquiries to immediate nursing supervisor.*
    • Knows, understands, and complies with HIPAA regulations.*
    • Provides "hands-on" assistance when requested or needed by nursing staff while working in the community.
    • Participates in leisure activities provided to residents as described in the activity calendar.
    • Serves and assist residents in the dining room at breakfast, lunch and dinner daily.
    • Takes on special projects or assignments outside of regular duties willingly.
    • Performs all other reasonable duties as assigned or as requested.

    Qualifications:

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Language Ability:

    Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.

    Reasoning Ability:

    Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

    Education/Experience:

    High school diploma or general education degree (GED); or one year related experience and/or training; or equivalent combination of education and experience.

    Physical Demands:

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to stand, walk, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stoop, kneel, crouch or crawl and taste or smell. The employee is occasionally required to climb or balance. The employee must occasionally lift and/or move up to 50 pounds.

    Work Environment:

    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is occasionally exposed to bloodborne pathogens.

  • 19 Days Ago

S
7a to 7p Caregiver
  • Sr Companies Llc
  • Murrells Inlet, SC FULL_TIME
  • Summary: Responsible for enhancing and improving the SRIM experience specifically in heartfelt care for our residents and their families. Demonstrates and promotes SRIM’s core value of the golden rule...
  • 1 Month Ago

H
Roof Technician
  • Hancock Claims Consultants Technicians
  • Florence, SC CONTRACTOR
  • CLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers...
  • Just Posted

H
Field Technician
  • Hancock Claims Consultants
  • Florence, SC CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • Just Posted

H
Field Technician
  • Hancock Claims Consultants Technicians
  • Florence, SC FULL_TIME
  • CLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers...
  • 1 Day Ago

R
Part-time College and Career Readiness Examiner
  • Richmond Community College
  • Hamlet, NC PART_TIME
  • JOB Job Title: College and Career Readiness Examiner (Part-time)Under the direct supervision of the College and Career Readiness Coordinator/Chief Examiner, and under the authority of the Dean of Adul...
  • 13 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Examiner, Sr. jobs found in Florence, SC area

A
Customer Quality Engineer
  • AESC US
  • Florence, SC
  • About AESC US LLC AESC is an exciting, newly created global organization committed to solving the challenges of a sustai...
  • 4/25/2024 12:00:00 AM

A
PUBLIC AFFAIRS SPECIALIST
  • Air Combat Command
  • Shaw A F B, SC
  • Summary Click on "Learn more about this agency" button below to view Eligibilities being considered and other IMPORTANT ...
  • 4/25/2024 12:00:00 AM

Q
Operations Manager- Nights
  • Qurate Retail Group
  • Florence, SC
  • Thank you for your interest in joining our team! Qurate Retail Group comprises six leading retail brands - QVC®, HSN®, B...
  • 4/23/2024 12:00:00 AM

E
Quality/Risk Director
  • Encompass Health
  • Florence, SC
  • The Quality/Risk Director is responsible for an environment and culture that enables the hospital to fulfill its mission...
  • 4/22/2024 12:00:00 AM

A
Customer Quality Engineer
  • Aesc Us
  • Florence, SC
  • About AESC US LLC AESC is an exciting, newly created global organization committed to solving the challenges of a sustai...
  • 4/22/2024 12:00:00 AM

Florence /ˈflɒrəns/ is a city in, and the county seat of, Florence County, South Carolina, United States. It is probably best known for being the intersection of I-95 and I-20, and the eastern terminus of I-20. It is the county seat of Florence County and the primary city within the Florence metropolitan area. The area forms the core of the historical "Pee Dee" region of South Carolina, which includes the eight counties of northeastern South Carolina, along with sections of southeastern North Carolina. As of the 2010 census, the population of Florence was 37,056, and the estimated population i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$56,127 to $72,363
Florence, South Carolina area prices
were up 1.5% 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