Claims Examiner, Sr. jobs in Madison, WI
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
Bilingual Claims Examiner/Customer Service (DeForest, WI)
- BeneSys, Inc.
-
De Forest, WI
FULL_TIME
-
Bilingual Claims Examiner/Customer Service (DeForest, WI)
Summary- Process health claims to completion in both paper and electronic form
- Respond to telephone inquiries from participants and providers
- Resolve calls to completion, including investigation and call back if necessary
Responsibilities- Demonstrate consistent pleasant representation of the health plan and company
- Demonstrate consistent accuracy in providing benefit information
- Ability to explain insurance benefits and payment in layman’s terms
- Verify system information for specific demographics or coverage
- Assist with written bilingual documents when necessary
- Assist in other duties as assigned during any down time
Qualifications- Bilingual in Spanish is a requirement
- Superior communication skills
- Attention to detail and accuracy required
- Microsoft Windows and Office productions experience
- Ability to organize and multi-task a plus
- Knowledge of health insurance a plus
- Regular and predictable attendance is an essential function of this job
Work Experience- Experience in customer service call center or similar position a plus
- Experience in health insurance administration support or medical billing customer support
Education- High School diploma or GED required
Work ScheduleFull time (less than 40 hours but more than 30). Monday – Friday, 8:30am - 4:00pm. Requires in-office days but also offers at-home
flexibility.Competitive Benefits & Compensation Package- One week paid vacation after 6 months, 2 weeks after one year
- 9 paid holidays
- 4 paid personal days
- 6 sick days after 6 months; 12 sick days after 1 year
- 3 days paid bereavement leave
- Health insurance under the Wisconsin Laborers' Health Fund, with option for dependent coverage
- Long term disability insurance
- Career development opportunities
- Pension plan
PayThis is a union position. The pay rate offered is determined by the collective bargaining agreement and may be dependent on experience, education, location and other business factors. The current range for this position is $20.02 - $32.69 per hour.Our CultureBeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees' successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.Our culture focuses on three core values:- Collaboration: working together across 31 locations to achieve the best for the company and our clients
- Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
- Integrity: doing what we say we will do. Upholding strong ethical and moral principles
ADA & EEOReasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job. - 2 Days Ago
Title Examiner
- Knight Barry Title
-
Madison, WI
FULL_TIME
- Knight Barry Title has a new opening for an experienced Title Examiner to join our team! Come join an incredible team of professionals and a top title company with extensive benefits! The Title Examin...
- 1 Day Ago
Insurance Examiner-Entry
- State of Wisconsin
-
Madison, WI
FULL_TIME
- Introduction The Wisconsin Office of the Commissioner of Insurance (OCI) protects and educates the public by maintaining and promoting a strong insurance industry. As employees of the State of Wiscons...
- 20 Days Ago
Title Searcher/Examiner/Typist
- Preferred Title, LLC
-
Madison, WI
FULL_TIME
- Title Searcher/TypistLocation: 2728 Coho St, Madison, WI 53713(Must be able to work in Madison office; no telecommuting option)Preferred Title, LLC. is looking for a detail orientated individual to jo...
- 25 Days Ago
Claims Analyst
- Midwest Insurance Company
-
Middleton, WI
FULL_TIME
- Requirements: Bachelor’s degree and/or 2-5 years relevant claims adjusting experience in the workers’ compensation field is preferred but not required. Relevant state licensing where required. Compute...
- 2 Months Ago
Forensic Nurse Examiner; 0.0FTE; Rotating Shifts
- UnityPoint Health
-
Madison, WI
OTHER
- 11750BRFTE: 0.0Shift: Will vary based on department needsCompensation: $37.82 Hours Per Week: VariesWeekends: SomePer Diem Non-Benefit EligibleWhy UnityPoint Health? Commitment to our Team – We’ve bee...
- 1 Month Ago
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0 Claims Examiner, Sr. jobs found in Madison, WI area
Energy Advisor II - Facilities
- Franklin Energy
-
Madison, WI
- Position Summary We provide our utility clients with a wide range of energy-saving and renewable energy solutions. From ...
- 4/18/2024 12:00:00 AM
Actuarial Manager - Remote
- WPS
-
Madison, WI
- Who We Are WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquarter...
- 4/18/2024 12:00:00 AM
Senior Reliability Engineer
- Palmer Group
-
Madison, WI
- We are partnering with a company looking to fill their open Senior Reliability Engineer position. In the role of a Senio...
- 4/17/2024 12:00:00 AM
Manager of Client Marketing
- Franklin Energy
-
Madison, WI
- COMPANY Summary As a combined organization, Franklin Energy and AM Conservation Group is undertaking what is perhaps the...
- 4/17/2024 12:00:00 AM
Customer Service Representative, fully remote, Start date March 28th
- Wecareforwisconsin
-
Madison, WI
- ** Customer Service Representative, fully remote, Start date March 28th** **Job Category****:** Customer Service **Requi...
- 4/16/2024 12:00:00 AM
Manager of Client Marketing
- Franklin Energy
-
Madison, WI
- COMPANY Summary As a combined organization, Franklin Energy and AM Conservation Group is undertaking what is perhaps the...
- 4/16/2024 12:00:00 AM
Senior Reliability Engineer
- Palmer Group
-
Madison, WI
- We are partnering with a company looking to fill their open Senior Reliability Engineer position. In the role of a Senio...
- 4/16/2024 12:00:00 AM
EHS Specialist - Second Shift
- OSI Group
-
Fort Atkinson, WI
- Responsible for assisting the Facility EHS Manager in leading the EHS culture while ensuring the facility remains in com...
- 4/15/2024 12:00:00 AM
About Madison, Wisconsin
Madison is located in the center of Dane County in south-central Wisconsin, 77 miles (124 km) west of Milwaukee and 122 miles (196 km) northwest of Chicago. The city completely surrounds the smaller Town of Madison, the City of Monona, and the villages of Maple Bluff and Shorewood Hills. Madison shares borders with its largest suburb, Sun Prairie, and three other suburbs, Middleton, McFarland, and Fitchburg. Other suburbs include the city of Verona and the villages of Cottage Grove, DeForest, and Waunakee as well as Mount Horeb, Oregon, Stoughton, and Cross Plains among others.
According to th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$61,359 to $79,109
Madison, Wisconsin area prices
were up 1.3% from a year ago
were up 1.3% 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