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)
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:
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.
Clear All
0 Claims Examiner, Sr. jobs found in Springfield, OR area