Claims Examiner, Sr. jobs in Tallahassee, FL

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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SR WORKERS' COMPENSATION EXAMINER - 43001337
  • State of Florida
  • TALLAHASSEE, FL FULL_TIME
  • Requisition No: 826917 

    Agency: Financial Services

    Working Title: SR WORKERS' COMPENSATION EXAMINER - 43001337

     Pay Plan: Career Service

    Position Number: 43001337 

    Salary:  $38,000.00 

    Posting Closing Date: 04/23/2024 

    Total Compensation Estimator Tool

    *****OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY*****

    DIVISION: RISK MANAGEMENT

    BUREAU: STATE EMPLOYEE WORKERS’ COMPENSATION CLAIMS

    CITY: TALLAHASSEE

    COUNTY: LEON

    SPECIAL NOTES:

    Preferences:

    • Six (6) months’ experience in a position requiring the processing of medical payments or knowledge of medical terms.
    • Six (6) months’ experience in working with workers’ compensation claims in any capacity.
    • Six (6) months’ experience in customer service and providing information to callers.

     

    The annual salary for this position is $38,000.00.

     

    Employees of the Department of Financial Services are paid on a monthly pay cycle.

     

    This position requires a security background check, including fingerprint as a condition of employment.

     

    Responses to qualifying questions must be clearly supported by the state application and any omission, falsification, or misrepresentation in the answering of the qualifying questions will be cause for immediate elimination from the selection process.

     

    MINIMUM QUALIFICATIONS FOR THIS POSITION INCLUDE THE FOLLOWING REQUIRED ENTRY LEVEL KNOWLEDGE, SKILLS, AND ABILITIES:

    • Knowledge of the principles and techniques of effective verbal and written communication and basic arithmetic. 
    • Ability to examine and evaluate data relating to a workers' compensation program; understand and apply applicable rules, regulations, policies and procedures relating to a workers' compensation program; ability to conduct fact finding investigation; handle telephone calls in a fast, courteous and effective manner; deal with the public in a tactful and courteous manner; work independently; utilize problem solving techniques; plan, organize and coordinate work assignments; communicate effectively verbally and in writing; establish and maintain effective working relationships with others; prepare and maintain reports; perform basic arithmetical calculations.

     

    BRIEF DESCRIPTION OF DUTIES:

    This position assists workers’ compensation specialists with reviewing and evaluating medical-only workers’ compensation claims, processing and paying medical and legal bills associated with workers’ compensation claims and reviewing workers’ compensation First Report of Injury forms.

     

    If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended, or deemed ineligible depending upon the date of your retirement.

    The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.

    Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (1-866-663-4735). Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.

    The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.

    VETERANS’ PREFERENCE.  Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans’ Preference will receive preference in employment for Career Service vacancies and are encouraged to apply.  Certain service members may be eligible to receive waivers for postsecondary educational requirements.  Candidates claiming Veterans’ Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.  Veterans’ Preference documentation requirements are available by clicking here.  All documentation is due by the close of the vacancy announcement. 

  • 14 Days Ago

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SIU Investigator
  • Claims Investigation Agency
  • Tallahassee, FL TEMPORARY,CONTRACTOR
  • Surveillance Investigators needed for South Florida. (TriCounty) Claims Investigation Agency, Inc. is a well-known and respected and continuously growing investigative company that has been in busines...
  • 21 Days Ago

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Customer service supervisor
  • TheBest Claims Solutions
  • Tallahassee, FL FULL_TIME
  • Our client is looking to add a Claims Customer Service Supervisor to their team. The ideal candidate will have supervisor experience in / with insurance claims and hold an active Florida adjusters lic...
  • 23 Days Ago

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HH Registered Nurse
  • SR COMPANIES LLC
  • Tallahassee, FL OTHER
  • Job Details Job Location: First Senior Home Health - Tallahassee, FL Position Type: Per Diem Salary Range: Undisclosed Description DUTIES To provide nursing care, in accordance with the patient's plan...
  • 1 Month Ago

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Caregiver
  • Sr Companies Llc
  • Valdosta, GA FULL_TIME
  • Summary: Responsible for enhancing and improving the SRIM experience specifically in heartfelt care for our residents and their families. Demonstrates and promotes SRIM’s core value of the golden rule...
  • 1 Month Ago

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FINANCIAL EXAMINER/ANALYST II
  • The State of Florida
  • Tallahassee, FL FULL_TIME
  • Requisition No: 827904 Agency: Office of Insurance Regulation Working Title: FINANCIAL EXAMINER/ANALYST II - 43000251 Pay Plan: Career Service Position Number: 43000251 Salary: 50,000.04 Posting Closi...
  • 1 Day Ago

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0 Claims Examiner, Sr. jobs found in Tallahassee, FL area

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Special Transportation Driver Trainee - Pool Position (Temporary)
  • City of Tallahassee (FL)
  • Tallahassee, FL
  • Deadline (Open Until Filled) Open until filled. Department Name StarMetro EEO/Benefits Information The City of Tallahass...
  • 4/25/2024 12:00:00 AM

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Police Officer
  • City of Tallahassee (FL)
  • Tallahassee, FL
  • Minimum Training & Experience Successful completion of 45 quarter hours or 30 semester hours of college; or one year ful...
  • 4/25/2024 12:00:00 AM

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Executive Director (RN)
  • SunCrest OMNI
  • Tallahassee, FL
  • We are hiring for an Executive Director - RN with Home Health experience.  At SunCrest OMNI Tallahassee, a part of LHC G...
  • 4/24/2024 12:00:00 AM

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GOVERNMENT OPERATIONS CONSULTANT I (Complaints Coordinator) - 41500513 1
  • State of Florida
  • Tallahassee, FL
  • Requisition No: 827617 Agency: Florida Gaming Control Commission Working Title: GOVERNMENT OPERATIONS CONSULTANT I (Comp...
  • 4/24/2024 12:00:00 AM

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Bi-lingual Healthcare Customer Service Representative
  • Gainwell Technologies
  • Tallahassee, FL
  • ** Bi-lingual Healthcare Customer Service Representative** Date: Jan 7, 2022 Location: Tallahassee, FL, US, 32301-5020 R...
  • 4/24/2024 12:00:00 AM

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Lead Software Engineer
  • Humana
  • Tallahassee, FL
  • Become a part of our caring community and help us put health firstDo you want be part of a team that is continuously lea...
  • 4/24/2024 12:00:00 AM

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68055653 - Medical/health Care Program Analyst
  • State of Florida
  • Tallahassee, FL
  • Requisition No: 826968 Agency: Agency for Health Care Administration Working Title: 68055653 - MEDICAL/HEALTH CARE PROGR...
  • 4/23/2024 12:00:00 AM

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CLOUD SERVICES ADMINISTRATOR
  • My Florida Corp Defunct
  • Tallahassee, FL
  • CLOUD SERVICES ADMINISTRATOR - 55000798Date: Apr 9, 2024Location:TALLAHASSEE, FL, US, 32399The State Personnel System is...
  • 4/22/2024 12:00:00 AM

Tallahassee (/ˌtæləˈhæsi/) is the capital city of the U.S. state of Florida. It is the county seat and only incorporated municipality in Leon County. Tallahassee became the capital of Florida, then the Florida Territory, in 1824. In 2017, the population was 191,049, making it the 7th-largest city in the U.S state of Florida, and the 126th-largest city in the United States. The population of the Tallahassee metropolitan area was 382,627 as of 2017[update]. Tallahassee is the largest city in the Florida Panhandle region, and the main center for trade and agriculture in the Florida Big Bend and S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$56,127 to $72,363
Tallahassee, Florida area prices
were up 1.5% 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