Disability Claims Examiner jobs in Columbus, OH
Disability Claims Examiner reviews, evaluates and processes disability insurance claims according to procedure and practice. Examines claims material to ensure insurance coverage and validity. Being a Disability Claims Examiner has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner typically reports to a supervisor/manager. To be a Disability Claims Examiner typically requires 0-2 years of related experience. Works on projects/matters of limited complexity in a support role. Work is closely managed. (Copyright 2024 Salary.com)
Recently Added Disability Claims Examiner jobs
Claims examiner
- UST
-
Columbus, OH
FULL_TIME
-
Claims Examiner
UST HealthProof is looking for Claims Examiner, reporting to the Claims Team Leader, the Examiner is responsible for adjudication of healthcare claims utilizing employer and payer specific policies and procedures. Responsible for reviewing the data in the claims processing system and compare with corresponding UB04 or CMS1500. Responsible for reviewing claims attachments when necessary to determine if services rendered was medically appropriate and benefit coverage criteria has been met. Responsible for reviewing adjudication software system’s claim and line items edits for determination of whether to pay claim/line item(s).
As a Claims Examiner at UST HealthProof, this is your opportunity to- Be responsible for attending and successfully completing the trainings scheduled by the client and employer
- Be responsible for processing assigned claims based on client specified guidelines or as directed by team lead
- Be responsible for meeting claims productivity targets of claims per hour or day as set by team lead
- Collaborate with other team members on special projects as assigned by the team leads including process documentation, training, quality audit, assist with surge activity for client (s), or any other project as determined by the team lead
- Develop Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 and ICD-10, UB04, CMS 1500, authorization and other terms, terminology and concepts of healthcare
- Develop some level of communication with client Claims managers to address issues, concerns and take preventive measures to avoid service quality issues
- Be responsible for your attendance, time off and reporting shift timings etc. with the prime objective of meeting and exceeding customer deliverables
- Participate in meetings and project activities outside of the primary location at locations determined by UST management team and team lead
- High School degree required with one year of relevant professional experience in Healthcare claims operations for an insurance company or healthcare payor.
- Willingness to learn new skills and succeed in a new career
- Excellent verbal and written communication skills.
- Proficiency with MS Office applications, especially Word and Excel.
- Team collaborator
- ICD-9 and ICD-10 coding is a plus, CPT and HCPCS coding, HIPAA is a plus
- Strong work ethic with ability to multi-task is essential
- High proficiency in using MS Excel and MS Office Suite
- Good understanding and ability to analyze claims data and report, SLA, KPI, operations report and present findings in a structured way
- The ability to adapt quickly to a fast-paced environment, self-starter and quick learner
- Excellent written and oral communication skills
- Team Player and ability to collaborate
Overall Experience level: 0-2 years of operation experience, any healthcare
UST Global celebrates diversity and inclusion. We are an Equal Employment Opportunity employer. We welcome candidates to apply for employment from diverse backgrounds and believe your unique perspective adds to the richness of our company culture. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. - 7 Days Ago
Claims Examiner Assistant
- Universal Fire & Casualty Insurance Company
-
Dublin, OH
FULL_TIME
- Claims Examiner AssistantUniversal Shield Insurance Group (and its member companies – Universal Fire & Casualty Insurance Company (www.ufcic.com) and Shield Indemnity, Inc. (www.shieldindemnity.com) h...
- 13 Days Ago
Multiple Disability Program Director
- Licking Regional Educational Service Center (ESC)
-
Newark, OH
FULL_TIME
- Director of the Multiple Disability and Project Search - The Licking Regional ESC has an opening for a Director of the Multiple Disability Program for the 2024-25 school year. Qualifications include a...
- Just Posted
Office Manager-Developmental Disability
- MOONLIGHT HOME HEALTH SERVICES
-
Newark, OH
FULL_TIME
- We are seeking a compassionate and skilled Office Manager for Direct Support Professional to join our team and provide high-quality care and support to individuals with developmental disabilities. The...
- 14 Days Ago
Direct Support Professional DSP
- Center for Disability Services- Ohio
-
Heath, OH
FULL_TIME
- $14 - $16 per hour Flexible Schedules - No Mandatory Overtime! Available Shifts: All shifts Sunday through Saturday and/or Weekends Only Paid Training Benefits available Do you like working with peopl...
- 12 Days Ago
Direct support professional
- Center for Disability Services
-
Heath, OH
FULL_TIME
- $14 - $16 per hour Flexible Schedules - No Mandatory Overtime! Available Shifts : All shifts Sunday through Saturday and / or Weekends Only Paid Training Benefits available Do you like working with pe...
- 12 Days Ago
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0 Disability Claims Examiner jobs found in Columbus, OH area
Outside Insurance Sales Associate- Ohio- Remote
- Allstate
-
Columbus, OH
- Are you a natural networker? Join Allstates sales organization and you can build a lucrative and rewarding career with t...
- 4/24/2024 12:00:00 AM
Auto Damage Adjuster - Catastrophe
- Progressive Corp.
-
Columbus, OH
- Auto Damage Adjuster - Catastrophe **Job Number** : 189449 As an **auto damage** **claims adjuster** for our National Ca...
- 4/24/2024 12:00:00 AM
Remote - Sales/Data Entry Agent Work From Home
- Jobconversion, LLC
-
Columbus, OH
- Job Conversion, LLC is looking for both experienced and entry level sales reps who are also good at data entry. Work you...
- 4/23/2024 12:00:00 AM
Physician - Full-Time or Part-Time
- Department of Veterans Affairs
-
Grove City, OH
- Summary This is an open continuous announcement open to current employees only. Qualified applicants will be considered ...
- 4/22/2024 12:00:00 AM
Eligibility Operations Worker - Columbus
- State of Nebraska
-
Columbus, OH
- The work we do matters! Hiring Agency: Health & Human Services - Agency 25 Location: Columbus Job Posting Hiring Rate: $...
- 4/21/2024 12:00:00 AM
Catastrophe Property Adjuster *MULTIPLE REMOTE LOCATIONS*
- Erie Insurance
-
Columbus, OH
- Division or Field Office: Claims Division Department of Position: Catastrophe Operations Dept Work from: Home, in ERIE O...
- 4/21/2024 12:00:00 AM
Remote - Life Insurance Sales Agent
- The Wolfford Group
-
Columbus, OH
- Are you considering a change in your career path, or have you already obtained a license as an insurance agent? At The W...
- 4/20/2024 12:00:00 AM
Claims Clerk
- Canon Business Process Services, Inc.
-
Columbus, OH
- Overview: The Claims Clerk will review insurance claims forms and documents for accuracy and completion and obtain missi...
- 4/20/2024 12:00:00 AM
About Columbus, Ohio
The confluence of the Scioto and Olentangy rivers occurs just north-west of Downtown Columbus. Several smaller tributaries course through the Columbus metropolitan area, including Alum Creek, Big Walnut Creek, and Darby Creek. Columbus is considered to have relatively flat topography thanks to a large glacier that covered most of Ohio during the Wisconsin Ice Age. However, there are sizable differences in elevation through the area, with the high point of Franklin County being 1,132 ft (345 m) above sea level near New Albany, and the low point being 670 ft (200 m) where the Scioto River leaves...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner jobs
$49,094 to $60,956
Columbus, Ohio area prices
were up 1.3% from a year ago
were up 1.3% from a year ago