Disability Claims Examiner jobs in San Bernardino, CA
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 II (PD)
- Desert Oasis Healthcare
-
Palm Desert, CA
FULL_TIME
-
To process for payment all encounters, ancillary, hospital, tertiary and specialist claims according to contract.
- Adjudicate claims in accordance with Managed Care Operations and CMS and DMHC guidelines.
- Follow the eligibility research protocol including verifying member benefits and COB.
- Review authorization status codes and notes affecting the adjudication of the claim.
- Submits claims to UM per protocol.
- Complete all required fields and keying appropriate CPT& DX codes and scan appropriate documents with claim.
- Apply provider contract rates appropriately based on effective dates and amendment updates.
- Process claims according to applicable Health Plan Division of Financial Responsibility matrix.
- Assist management with audit process.
- Research and resolve customer service issues in a timely manner to ensure quality claims service.
- Meet productivity and error ratio standard as required.
- Apply payment rules regarding modifier and CPT code guidelines.
- Perform all daily self audit reports.
- Process payment adjustments and refund requests per protocol.
- Process high dollar surgical and in patient facility claims requiring Case Note Review.
- Reconcile Health Plan error reports as required and accept all other special projects as assigned.
- High School diploma or equivalent (GED).
- 3 to 5 years experience in a healthcare environment. Minimum of 1 year of Claims experience.
- Knowledge of Medicare rules, medical terminology, and managed care health plan rules and regulations, ICD-10, CPT and RVS codes.
- Strong computer skills. EZ-CAP and Excel skills preferred. 10 key calculator by touch.
- Strong organizational skills and the ability to work independently and under pressure.
- Interacts and communicates effectively.
- No driving required.
- At the discretion of DOHC/FHC management, this position has the potential to be a full or hybrid telecommuting position.
- 9 Days Ago
Psychologist for Disability Evaluations - Part Time
- Consultative Examination Services, Inc.
-
Palm Springs, CA
PART_TIME
- We are seeking licensed psychologists (Ph.D., Psy.D) to perform psychological evaluations for one of its federal clients. As a clinical psychologist, you are required to meet with applicants to obtain...
- 20 Days Ago
Polygraph Examiner-Extra-Help
- San Bernardino County
-
San Bernardino, CA
TEMPORARY
- The County of San Bernardino Sheriff's Department is recruiting for Extra-Help Polygraph Examiners who administer polygraph examinations for the Specialized Investigations Division. Responsibilities i...
- 19 Days Ago
Plans Examiner II
- City of San Bernardino
-
San Bernardino, CA
FULL_TIME
- Are you looking for an opportunity for professional growth and development? Consider joining the City of San Bernardino's Community and Economic Development Department as a Plans Examiner II. About th...
- 20 Days Ago
Mobile Phlebotomist/Paramedical Examiner
- ExamOne, a Quest Diagnostics company
-
Hesperia, CA
PART_TIME
- Medically trained Mobile Phlebotomist/Collector As a Mobile Collector, you would be a part-time, on-call, and at-will employee.What does this mean?On-Call and At-Will equal Flexibility! You will choos...
- 11 Days Ago
Fire Plans Examiner
- County of San Bernardino
-
San Bernardino, CA
FULL_TIME
- Applications will be accepted until a sufficient number of applications are received. Excellent Benefits Package includes retirement, health, vacation, & much more! The San Bernardino County Fire Prot...
- 23 Days Ago
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0 Disability Claims Examiner jobs found in San Bernardino, CA area
Audiologist
- Loyal Source Government Services
-
Rancho Cucamonga, CA
- Give Back to Those that Gave to Us We offer full- and part-time positions with excellent benefits – opportunities for gr...
- 4/21/2024 12:00:00 AM
Audiologist
- Loyal Source Government Services
-
Rancho Cucamonga, CA
- Give Back to Those that Gave to Us We offer full- and part-time positions with excellent benefits – opportunities for gr...
- 4/21/2024 12:00:00 AM
Police Officer - Preservice
- City of Riverside (CA)
-
Riverside, CA
- The Position The Riverside Police Department is currently accepting applications for the position of Police Officer - Pr...
- 4/21/2024 12:00:00 AM
Audiologist
- Loyal Source Government Services
-
Rancho Cucamonga, CA
- Give Back to Those that Gave to Us We offer full- and part-time positions with excellent benefits opportunities for grow...
- 4/21/2024 12:00:00 AM
Payroll Coordinator
- City of Pomona, CA
-
Pomona, CA
- Salary : $57,192.00 - $69,504.00 Annually Location : Pomona, CA Job Type: Full-Time Job Number: 24-PAYCO/1 Department: F...
- 4/21/2024 12:00:00 AM
Physician (Primary Care) Section Chief of Women's Health
- Department of Veterans Affairs
-
Redlands, CA
- Summary The Jerry L. Pettis Memorial Veterans Hospital is recruiting for a Full-Time, Permanent, Physician (Primary Care...
- 4/20/2024 12:00:00 AM
Police Officer (handler/trainer)
- Department of Defense
-
Corona, CA
- Summary You will serve as a POLICE OFFICER (HANDLER/TRAINER) for the DEPARTMENT OF THE NAVY. Learn more about this agenc...
- 4/20/2024 12:00:00 AM
Claims Adjuster Trainee - Auto, I, II, Sr
- Direct Auto
-
Ontario, CA
- Location: Location: Claims Adjuster Trainee - Auto, I, II, Sr in Ontario, CA at Direct Auto Insurance **Location:** **Ex...
- 4/19/2024 12:00:00 AM
About San Bernardino, California
According to the United States Census Bureau, the city has a total area of 59.6 square miles (154 km2), of which 59.2 square miles (153 km2) is land and 0.4 square miles (1.0 km2), or 0.74%, is water.
The city lies in the San Bernardino foothills and the eastern portion of the San Bernardino Valley, roughly 60 miles (97 km) east of Los Angeles. Some major geographical features of the city include the San Bernardino Mountains and the San Bernardino National Forest, in which the city's northernmost neighborhood, Arrowhead Springs, is located; the Cajon Pass adjacent to the northwest border; City...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner jobs
$52,794 to $65,549
San Bernardino, California area prices
were up 3.0% from a year ago
were up 3.0% from a year ago