Claims Examiner, Sr. jobs in Saginaw, MI

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)

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Services Specialist 9-12 Presque Isle (Case Manager/ Investigator)
  • Medical Record Examiner
  • Rogers, MI FULL_TIME
  • Salary
    $49,795.20 - $81,931.20 Annually
    Location
    Rogers City, MI
    Job Type
    Permanent Full Time
    Job Number
    SS - Presque Isle
    Department
    Health and Human Services - Counties
    Opening Date
    10/25/2023
    Closing Date
    Continuous
    Bargaining Unit
    UNITED AUTO WORKERS (UAW)

    Job Description



    The Services Specialist will utilize child welfare practice skills to ensure children are protected from abuse and neglect. When child abuse or neglect is indicated, specialists work closely with families and the legal system toward a goal of reunification, independent living, or other permanent living situation.

    To be considered, you MUST:

    • Attach a copy of your official transcripts showing you meet the below educational requirements. These must be signed by the registrar or show the university seal. We do accept electronic official transcripts.
    • Attach an up to date resume.
    • Attach a cover letter.
    • Attach a written response to the "Is This Job For Me?" video answering the following questions:
      • If selected for this position what do you believe your biggest challenge will be?
      • How do you see yourself overcoming this challenge?
    • Candidates who do NOT possess a State of Michigan Driver's license are required to attach to their application, an official two year driving record from the state in which they currently hold a valid license.

    Failure to complete any of the above items may result in your application being screened out.

    Required Education and Experience

    Education
    Possession of a bachelor’s or master’s degree with a major in one of the following human services areas: social work, sociology, psychology, forensic psychology, education, community development, law enforcement, behavioral science, gerontology, special education, education of the emotionally disturbed, education of the gifted, family ecology, community services, family studies, family and/or child development, counseling psychology, criminal justice, human services, a human services-related counseling major, or interdisciplinary studies in social science.
    OR
    Possession of a bachelor's degree in any major with at least 30 semester (45 term) credits in one or a combination of the following human services areas: social work, sociology, psychology, forensic psychology, education, community development, law enforcement, behavioral science, gerontology, special education, education of the emotionally disturbed, education of the gifted, family ecology, community services, family studies, family and/or child development, counseling psychology, criminal justice, human services, a human services-related counseling major, or interdisciplinary studies in social science.

    Experience
    Services Specialist 9
    No specific type or amount is required.
    Services Specialist 10
    One year of professional experience providing casework services to socially and economically disadvantaged individuals equivalent to a Services Specialist 9.
    Services Specialist P11
    Two years of professional experience providing casework services to socially and economically disadvantaged individuals equivalent to a Services Specialist, including one year equivalent to a Services Specialist 10.
    Services Specialist 12
    Three years of professional experience providing social casework services to socially and economically disadvantaged individuals equivalent to a Services Specialist, including one year equivalent to a Services Specialist P11.

    Additional Requirements and Information

    When you apply, your application is valid for 6 months. After 6 months, you MUST reapply for continued consideration.
    This position is located in Rogers City, MI at the Michigan Department of Health and Human Services, 164 North Fourth Street, Rogers City, MI 49779.


    As a Condition of Employment –
    this position requires a valid driver's license and successful completion of a background investigation including fingerprinting and a criminal records check.
    Upon hire, the successful candidate will be required to complete a nine week pre-service training program that includes a total of 270 hours of competency-based classroom and field training. Additionally, the employee must successfully complete a minimum number of hours of in-service training on an annual basis.

    The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.


    THIS POSTING IS BEING USED TO RECRUIT FOR BOTH PERMANENT AND LIMITED TERM APPOINTMENTS. A LIMITED TERM ASSIGNMENT HAS THE POTENTIAL OF BECOMING PERMANENT, BUT THIS IS NOT GUARANTEED.

    Please check us out on LinkedIn at any of the following hashtags: #MDHHSjobs #Veteranfriendly #Careerswithpurpose #CommunityHeroes

    MDHHS is proud to be a Michigan Veteran’s Affairs Agency (MVAA) Gold Level Veteran-Friendly Employer.

    For further information regarding this posting please contact Mikkie Morley at MorleyM1@Michigan.gov


    State employment also offers rewarding careers where you can help Michiganders enjoy better lives. Many State of Michigan jobs offer alternate work schedules and remote-work options that can help give the flexibility you need. The State of Michigan has been recognized as a leading U.S. employer by new graduates from 2021-2023 and a best large U.S. and state employer. Recognized on the international stage for fostering positive employee engagement, the State of Michigan is a past recipient of a North America Government Agency Employees Engagement Award.
    More details on benefits for our new hires are below:

    Rewarding Work: State of Michigan jobs allow you to serve Michiganders in many different ways depending on your interests and skills. Help preserve and protect our environment and the public health; enforce state laws and regulations; advocate for children, families, and victims of discrimination; support our state’s military and veterans; rebuild our state’s infrastructure; or support other state agencies through our fiscal, IT, and HR systems.

    Insurance Benefits: The State of Michigan offers health, mental health, dental, and vision insurance to eligible career employees, their spouses, and their children. The state also covers a life-insurance benefit of two times employees’ annual salary (up to $200,000). The state also offers long-term-disability insurance that can provide continuing benefits if an injury or illness prevents employees from working. More information is available at www.mi.gov/employeebenefits.

    Retirement Programs: The State of Michigan offers 401(k) and 457 plans for new hires to save for retirement. The state will automatically contribute an amount equal to 4% of your pay to a 401(k) account. The state will also match up to 5% of your pay if you contribute to your 401(k) account. Your contributions vest immediately, and the state’s contributions fully vest after just 4 years. More information is available at http://www.mi.gov/orsstatedc.

    Vacation and Sick Leave: Eligible full-time employees receive between 15 and 35 personal days and 13 sick days per year that may be rolled over to the following year if not used. Eligible employees also receive an additional day each year for community service or school functions.

    Paid Parental Leave: Eligible employees can take 12 weeks of paid leave immediately after a birth or adoption to allow needed time together at home with a new child.

    Paid Holidays: Eligible employees receive 13 or 14 paid holidays each year including New Year’s Eve and Day, Martin Luther King Jr. Day, Presidents’ Day, Memorial Day, Juneteenth, the Fourth of July, Labor Day, Election Day, Veterans Day, Thanksgiving, Thanksgiving Friday, Christmas Eve and Day.

    Bonus Programs: Eligible employees with five years of service also receive annual longevity bonuses that grow as seniority increases. Some positions also may qualify for recruitment, retention, and performance bonuses or other special pay premiums.

    Military Pay Differential: Employees in the guard or reserves may also qualify for supplemental pay benefits if miliary pay during qualifying duty is less than normal state pay. Prior military service may also allow seniority credits to accelerate eligibility for longevity bonuses and additional personal leave accrual.

    Tax-Advantaged Programs: In addition to 401(k) and 457 retirement accounts, the state also offers flexible spending account (FSA), health savings account (HSA), and qualified transportation fringe benefit (QTFB) programs that can help you save money by reducing your taxable income.

    Student Loan Forgiveness: Working for the State of Michigan may allow you to participate in programs that forgive the balance of qualifying student loans. Information to help determine if you could qualify is available from the U.S. Department of Education.

    Tuition Reduction: Some colleges and universities offer savings to eligible employees and family members to further their education while working for the State of Michigan.

    Professional Development: To help develop your career, programs are available to apply for reimbursement of up to $2,000 a year for education and training for college course credits and non-degree programs.

    Alternative and Remote Work Schedules: Depending on the nature of their duties, many state jobs offer flexible work schedules and remote or hybrid telecommuting options that can help obtain the work-life balance that you seek.

    Great Lakes and Great Times: Michigan boasts four Great Lakes, 11,000 inland lakes, 36,000 miles of rivers and streams, 20 million acres of forests, 100 state and national parks and recreation areas, 1,300 miles of bike trails, 6,500 miles of snowmobile trails, the second-most ski areas in the nation, 650 public golf courses, 600 campgrounds, and an international dark-sky park—just for starters. Our cities offer concerts and cultural events, storied sports teams, education hubs, vibrant downtowns, one-of-a-kind craft beverages, and renowned restaurants for every appetite. From urban centers to beach towns to the great outdoors, the opportunities are endless. With your state salary and benefits and Michigan’s affordable cost of living, you can explore all that Michigan has to offer.

    Updated: 2/28/24

  • Just Posted

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Medical Examiner Investigator
  • Girl Friday Associates
  • Flint, MI PART_TIME
  • GFA Staffing is looking for Medical Examiner Investigators. This will be part time to start. Looking to start immediately. At least 1 year experience is required. Job Type: Part-time Pay: $20.80 - $25...
  • Just Posted

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Sexual Assault Nurse Examiner
  • CAN Council Great Lakes Bay Region
  • Saginaw, MI PART_TIME,CONTRACTOR
  • Sexual Assault Nurse Examiner (SANE) Organization The CAN Council is a regional nonprofit organization dedicated to the prevention of child abuse and neglect through its nationally accredited and evid...
  • 13 Days Ago

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Claims Processor
  • Sheldon Medical Supply
  • Sandusky, MI FULL_TIME
  • In search of Medical Billing Specialist. Experience should include: excellent telephone etiquette, computer skills, and Insurance knowledge . Looking for someone organized with good time management. R...
  • 1 Month Ago

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Medical Claims
  • Maximus Federal
  • Brimley, MI FULL_TIME
  • Veterans Evaluation Services is seeking qualified physicians, nurse practitioners or physician assistants to join our provider network as an independent contractor to perform general medical disabilit...
  • 28 Days Ago

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Registered Nurse Casual - Sexual Assault Nurse Examiner
  • McLaren Central Michigan
  • Mount Pleasant, MI FULL_TIME
  • About Us McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in ...
  • 1 Month Ago

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0 Claims Examiner, Sr. jobs found in Saginaw, MI area

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Intake Specialist - Hospital Diversion
  • Saginaw County Community Mental Health Authority
  • Saginaw, MI
  • SCCMHA JOB VACANCY ANNOUNCEMENT Intake Specialist - Hospital Diversion Pay Range: $64,736.53 - $80,701.57 annually $6,00...
  • 4/24/2024 12:00:00 AM

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Site Quality Manager - St. Louis, MO
  • Bilfinger Industrial Services Inc.
  • Saint Louis, MI
  • Site Quality Manager - St. Louis, MO The Bilfinger group of companies enhances the efficiency of assets, ensures a high ...
  • 4/23/2024 12:00:00 AM

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Claims Adjuster - Auto Estimator
  • Progressive Corp.
  • Flint, MI
  • Job Description - Claims Adjuster - Auto Estimator (187975) **** Claims Adjuster - Auto Estimator **Job Number** : 18797...
  • 4/22/2024 12:00:00 AM

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Maintenance Supervisor
  • Mta
  • Flint, MI
  • POSITION: MAINTENANCE SUPERVISORCLASSIFICATION:SUPERVISORYSCOPE OF RESPONSIBILITIES:The Maintenance Supervisor is respon...
  • 4/22/2024 12:00:00 AM

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Internal Revenue Agent (Examiner-Joint Committee Specialist) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Flint, MI
  • Duties WHAT IS THE LARGE BUSINESS & INTERNATIONAL (LB&I)DIVISION? A description of the business units can be found at: h...
  • 4/22/2024 12:00:00 AM

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Adjuster
  • Sedgwick
  • Bay City, MI
  • **The 'Apply with SEEK' option will be utilized for International applicants, mainly Australia. If this does not apply t...
  • 4/21/2024 12:00:00 AM

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Customer Service Representative (Toll)
  • MCI Military Recruitment
  • Bay City, MI
  • POSITION OVERVIEW: CUSTOMER SERVICE REPRESENTATIVE (TOLL) We are looking for Customer Service Representatives to support...
  • 4/21/2024 12:00:00 AM

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Customer Service Representative (Toll)
  • MCI Careers
  • Bay City, MI
  • LOCATION: Bay City, MI JOB TYPE: Full-Time PAY TYPES: Hourly + Bonus SALARY: $15.00 / hour BENEFITS & PERKS: LOCAL REPRE...
  • 4/21/2024 12:00:00 AM

Saginaw (/ˈsæɡɪnɔː/) is a city in the U.S. state of Michigan and the seat of Saginaw County. The city of Saginaw and Saginaw County are both located in the area known as Mid-Michigan or Central Michigan. The city of Saginaw is located adjacent to Saginaw Charter Township and is considered part of the Tri-City area, along with neighboring Bay City and Midland. The Saginaw County MSA had a population of 196,542 in 2013. The city is also the largest municipality within the Saginaw, Midland, and Bay City Metropolitan Area. The city of Saginaw was a thriving lumber town in the 19th century and an i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$58,369 to $75,254
Saginaw, Michigan area prices
were up 1.3% 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