Claims Examiner, Sr. jobs in Springfield, OR

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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Forensic Nurse Examiner
  • RSI
  • Bend, OR OTHER
  • Forensic Nurse Job Description


    Job Title:

    Sexual Assault Nurse Examiner


    Department name:

    All Departments


    Reports to:

    Rapid SAVE Investigation-SANE Program Coordinator




    JOB PURPOSE:

    The Forensic Nurse Examiner (FNE) will provide timely, non-judgmental, compassionate care to the sexual assault victim.  This will include a forensic exam, prophylaxis for pregnancy and sexually transmitted diseases, photographic documentation, referrals for appropriate medical and psychological follow-up, support and participation in legal proceedings.  The FNE is expected to follow protocols established by the Medical Director and/or management of the Forensic Program for which the FNE is employed.



    JOB RESPONSIBILITIES:

    • Ability to triage patient to determine if medical exam is needed before forensic exam.
    • Coordinate care by all agencies involved in assisting the sexual assault victim and coordinate referrals for appropriate medical and psychological follow-up as needed for each patient.
    • Perform and document sexual assault and forensic interview accurately.
    • Perform and document domestic violence/non-fatal strangulation and forensic interview accurately.
    • Perform a complete physical and forensic evidence collection examination including Head-to-Toe assessment for trauma, detailed genital examination, forensic specimen collection and documentation, including photography, and assess for mandatory reporting status, reporting when appropriate.
    • Document detailed injuries accurately with support of photographic evidence.
    • Maintain chain of custody for each sexual assault exam and adhere to evidence protocols
    • Maintain professional standards that do not create conflict of interests with employment or patient care, including patient and medical record confidentiality
    • Administer appropriate prophylactic medications per protocols
    • Provide testimony as fact witness to any/all cases performed as FNE and coordinate with attorneys during judicial process.
    • Responsible to maintain clinical expertise as a FNE.
      • Maintain current Registered Nurse Licensure or higher.
      • Complete the initial state SANE training.
      • Complete the initial and on-going preceptor requirements as identified by the FNE Program
      • Maintain open communication with FNE Coordinator and/or management of FNE Program on regular basis.
      • Maintain equipment in proper working condition and exercise fiscal responsibility of unit’s resources.
      • Share individual expertise with the other members of FNE Program.
      • Participate in quality assurance chart and photograph review process as determined by the FNE program
      • Adhere to all administrative, clinical, and employment policies and procedures on file with the FNE Program or hiring agency.
      • Participate in professional development as determined by the FNE program, including staff meetings, conferences, and in-services.


    QUALIFICATIONS

    Education:

    ·       Bachelors or Associate degree in nursing- Registered Nurse

    Experience/training:

    ·       Minimum of one year work experience as a registered nurse

    ·       Completion of 40 hour Adult/Adolescent SANE course preferred

    ·       Completion of SANE preceptorship program including clinical and non-clinical practices set forth by the IAFN, RSI and OR-SATF preferred

     

    License/certification:

    ·       Washington:  Current Registered Nursing License

    ·       Oregon:  Current Registered Nursing License

    ·        Current BLS (Basic Life Support) certification required at date of hire.

    Other skills:

    ·       Completion of ED specific competency preceptorship forms with RSI

    ·       Strong communication skills

    ·       Critical thinking skills

    ·       Strong organizational and multi-tasking skills

    ·       Strong customer service skills

    Physical requirements:

    ·       Minimal anticipated exposure to blood and body fluids.

    ·       Job duties frequently require intense concentration and attention to detail.



  • 8 Days Ago

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Automotive Claims Specialist
  • Express Employment
  • Bend, OR FULL_TIME
  • Located in Bend, OR Salary: Competitive Compensation Automotive Claims Specialist - Bend, Oregon If you have a track record for meticulous claim handling and have a keen eye for detail, we want you on...
  • 1 Month Ago

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Prior Authorization and Claims Specialist
  • Oregon Urology Institute
  • Springfield, OR FULL_TIME
  • Oregon Urology Institute has a Full-time, Prior Authorization and Claims Specialist opportunity available. Oregon Urology Institute is one of the largest, most advanced urological centers in the North...
  • 1 Month Ago

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Sr. Accountant
  • Robert Half
  • Oakridge, OR PER_DIEM
  • Do you thrive in challenging, fast-paced environments? Does the chance to work with a reputable company excite you? If so, Robert Half is looking for you. The Senior Accountant furthers the company's ...
  • 21 Days Ago

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Independent Insurance Claims Adjuster in Redmond, Oregon
  • MileHigh Adjusters Houston Inc
  • Redmond, OR FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 8 Days Ago

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Independent Insurance Claims Adjuster in Roseburg, Oregon
  • MileHigh Adjusters Houston Inc
  • Roseburg, OR FULL_TIME
  • ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
  • 8 Days Ago

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0 Claims Examiner, Sr. jobs found in Springfield, OR area

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Claims Team Leader
  • PacificSource Administrators, Inc.
  • Springfield, OR
  • *Join PacificSource and help our members access quality, affordable care!* **PacificSource is an equal opportunity emplo...
  • 4/25/2024 12:00:00 AM

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Claims- Field Claims Representative
  • Cincinnati Insurance Company, Inc.
  • Eugene, OR
  • Description: Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and...
  • 4/24/2024 12:00:00 AM

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Claims Team Leader - Medicaid
  • PacificSource Administrators, Inc.
  • Springfield, OR
  • *Join PacificSource and help our members access quality, affordable care!* **PacificSource is an equal opportunity emplo...
  • 4/24/2024 12:00:00 AM

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Claims Adjuster - Auto Estimator
  • Progressive Corp.
  • Eugene, OR
  • Job Description - Claims Adjuster - Auto Estimator (189170) **** Claims Adjuster - Auto Estimator **Job Number** : 18917...
  • 4/24/2024 12:00:00 AM

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Risk Adjustment Coding Manager
  • PacificSource Administrators, Inc.
  • Springfield, OR
  • **Position Overview:** The Risk Adjustment Coding Manager will lead our risk adjustment efforts to achieve effective doc...
  • 4/24/2024 12:00:00 AM

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Client Manager / Account Manager
  • SELECTEMP Employment Services
  • Eugene, OR
  • Are you ready to unlock your potential and embark on an empowering journey with a company that celebrates the entreprene...
  • 4/24/2024 12:00:00 AM

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Physician (Primary Care) Sign-On Bonus
  • Department of Veterans Affairs
  • Eugene, OR
  • Summary Contract Buy Out Program: This position may be eligible for the Physician/Provider Contract Buy Out Program (CBO...
  • 4/22/2024 12:00:00 AM

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Appeals and Grievance Coordinator
  • PacificSource
  • Springfield, OR
  • Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable ...
  • 4/21/2024 12:00:00 AM

Springfield is a city in Lane County, Oregon, United States. Located in the Southern Willamette Valley, it is within the Eugene-Springfield Metropolitan Statistical Area. Separated from Eugene to the west, mainly by Interstate 5, Springfield is the second-most populous city in the metropolitan area after Eugene. As of the 2010 census, the city has a total population of 59,403. The Briggs family first settled the Springfield area, arriving in 1848. The community was incorporated as a city in 1885. The city was named after a natural spring located in a field or prairie within the current city bo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$62,169 to $80,153
Springfield, Oregon area prices
were up 2.5% 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