Claims Examiner, Sr. jobs in Milwaukee, 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
Claims Examiner (Milwaukee, WI)
- BeneSys, Inc.
-
Milwaukee, WI
FULL_TIME
-
Claims Examiner (Milwaukee, WI)Summary - Processes routine medical, dental, vision and HRA claims and provide customer service, including providing information to hospitals, physicians and participants regarding eligibility, benefits and claims status.Essential Duties and Responsibilities include but not limited to
- Process routine medical, dental, vision, HRA claims in accordance to plan benefits.
- Provide customer service by responding to and documenting telephone and/or written inquiries.
- Consistently meet established performance standards, including quantity and quality claims processing standards.
- Maintain current knowledge of assigned Plan(s) and effectively apply knowledge in the payment of claims, customer service, and all other job functions.
- Regular and predictable attendance is an essential function of this job.
Education and/or Experience- High School diploma or equivalent required.
- Basic knowledge of benefits claims adjudication principles and procedures, medical and/or dental terminology and ICD-9 and CPT-4 codes.
Qualifications- Claims examiner experience, preferred.
- Proficient with computers including keyboarding including 10-key (demonstrated ability to type quickly and accurately) and use of Microsoft Word, Outlook, and Excel.
- Provide excellent verbal and written communication skills and be capable of responding to high quality customer inquiries.
- Possess a strong work ethic and team player mentality.
- Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
- Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
- Strong decision-making, problem-solving, organizational skills and able to work in a “team” environment.
Work Schedule - Full-time. Monday – Friday, 8:00am - 4:30pm. Requires in-office days with possibility of one work from home day per week after full training.Competitive Benefits and Compensation Package- Paid Time Off (PTO)
- Pro-rated during first year of employment
- 15 days of PTO provided in the next calendar year!
- 11 paid holidays
- Health insurance, includes dependent coverage
- Employer-paid term life insurance
- Tuition reimbursement
- Long term disability insurance
- Career development opportunities
- 401k with employer match
PayThe pay range is $54,000 - $58,000 per year and is dependent on location, experience, skills, education and other business factors.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. - 16 Days Ago
Claims Examiner (Waukesha, WI)
- BeneSys, Inc.
-
Waukesha, WI
FULL_TIME
- Claims Examiner (Waukesha, WI) Summary The Claims Examiner processes health claims to completion in both paper and electronic form, responds to telephone inquiries from participants and providers, and...
- Just Posted
1099 CAT Claims Examiner (Remote)
- RYZE Claim Solutions
-
Milwaukee, WI
CONTRACTOR
- 1099 CAT Claims Examiner (Remote) Contractor - 1099 Nationwide, Remote, Remote, US Overview: Our Independent Catastrophe Claims Examiners are (1099) contractors that will ensure a quality product is d...
- 12 Days Ago
SR FIELD PROPERTY CLAIMS ADJUSTER / HYBRID REMOTE
- Impact Solutions Inc
-
Milwaukee, WI
FULL_TIME
- SR FIELD PROPERTY CLAIMS ADJUSTER / HYBRID REMOTE Wisconsin Market / Remote (Must Live in Wisconsin) Base Salary $75K-115K Bonus Company Car Full Benefits. Also Includes Full Benefits Package: Medical...
- 17 Days Ago
Sr. Field Property Claims Adjuster / Hybrid Remote
- Henpen Consulting Corporation
-
Milwaukee, WI
FULL_TIME
- Senior Property Claims Representative to join our field claims team. You'll be providing a consistent, positive, and satisfying claims experience for our clients through the proper investigation, eval...
- 6 Days Ago
WI - 1099 Property Adjuster
- Copper Claims Services, Inc.
-
Milwaukee, WI
FULL_TIME
- 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA with offices in California, Arizona, Oregon, Nevada, Washington, Utah,...
- 12 Days Ago
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0 Claims Examiner, Sr. jobs found in Milwaukee, WI area
Technical Support Technician
- Connect Search, LLC
-
Milwaukee, WI
- Technical Support Technician Direct Hire Technical Support Technician opportunity with one of my clients based out of th...
- 4/22/2024 12:00:00 AM
Safety & Risk Management Specialist
- Cities And Villages Mutual Insurance Company
-
Milwaukee, WI
- Company: Cities and Villages Mutual Insurance Company Location: Wauwatosa, WI Position: Safety & Risk Management Special...
- 4/22/2024 12:00:00 AM
Civil Engineer Transportation Advanced - Construction Oversight Engineer
- State Of Wisconsin
-
Milwaukee, WI
- Position SummaryThe construction oversight position assists either the Northwest Region or Southeast Region in the admin...
- 4/22/2024 12:00:00 AM
Inside Sales Representative
- Fisherplows
-
Milwaukee, WI
- **Inside Sales Representative** **Department:** 100520 CUSTOMER SERVICE-WP **Location:** Milwaukee, WI **WHO WE ARE:** D...
- 4/22/2024 12:00:00 AM
Technical Support Technician
- Connect Search Llc
-
Milwaukee, WI
- Technical Support Technician Direct Hire Technical Support Technician opportunity with one of my clients based out of th...
- 4/21/2024 12:00:00 AM
Nursing Assistant-Restorative Aide (NA-RA)
- Veterans Health Administration
-
Milwaukee, WI
- Summary OUR MISSION: To fulfill President Lincoln's promise "To care for those who have served in our nation's military ...
- 4/21/2024 12:00:00 AM
Human Resources Benefit and Wellness Specialist
- UNITED COMMUNITY CENTER
-
Milwaukee, WI
- Job Details Level Experienced Job Location United Community Center - Milwaukee, WI Position Type Full Time Education Lev...
- 4/20/2024 12:00:00 AM
Paralegal/Legal Assistant
- WFA Staffing Group
-
Brookfield, WI
- Job Description Job Description Area Law Firm is in immediate need of a full-time Paralegal/Legal Assistant working in t...
- 4/19/2024 12:00:00 AM
About Milwaukee, Wisconsin
Milwaukee lies along the shores and bluffs of Lake Michigan at the confluence of three rivers: the Menomonee, the Kinnickinnic, and the Milwaukee. Smaller rivers, such as the Root River and Lincoln Creek, also flow through the city.
Milwaukee's terrain is sculpted by the glacier path and includes steep bluffs along Lake Michigan that begin about a mile (1.6 km) north of downtown. In addition, 30 miles (48 km) southwest of Milwaukee is the Kettle Moraine and lake country that provides an industrial landscape combined with inland lakes.
According to the United States Census Bureau, the city has ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$61,920 to $79,832
Milwaukee, Wisconsin area prices
were up 1.8% from a year ago
were up 1.8% 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