Disability Claims Examiner jobs in Worcester, MA

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)

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Disability Assistant
  • University of Massachusetts Medical School
  • Shrewsbury, MA OTHER
  • Overview

    POSITION SUMMARY:

    Under the general supervision of the Clinical Manager or designee, this position provides direct administrative support and services necessary for the completion of professional medical responsibilities and functions for DES’ skilled professional medical personnel (SPMP), i.e. DES Physician and Psychologist Advisors, Disability and Appeals Reviewers, Program Managers and the Clinical Manager. The Disability Assistant makes complex decisions regarding protected healthcare information, based on the Federal Health Information Portability and Accountability Act of 1996 (HIPAA).  This position is responsible for exercising judgment on all administrative and clerical aspects of the case in conjunction with and at the direction of DES SPMP.  The Disability Assistant is a primary customer service interface for DES’ SPMP with clients and external agencies.

    Responsibilities

    MAJOR RESPONSIBILITIES:

    • Initial review of all disability supplements for accuracy, completeness, and alerting SPMP of priority cases and of important clinical information contained in cases.
    • Make complex decisions regarding privacy matters associated with the client’s case, including determination of who DES may exchange information with regarding the client’s case, what information may be mailed, and what is required, by HIPAA, to allow conversations to take place. These decisions are conveyed to SPMP through detailed case notes and individual consultation.
    • Follow HIPAA regulations for protected healthcare information, requests clinical information from all treating sources listed on case initiation documents.
    • Determine if requests for information are legally complete, communicate with agencies about cases that do not meet HIPAA requirements for protected healthcare information and consult with SPMP about decisions regarding whether to return to cases to the agencies or clients for further development.
    • Telephone contact with clinical treating sources to assure timely receipt of clinical information at the request and direction of SPMP.
    • Review information in external databases such as the Massachusetts Medicaid Information System and MassHealth MA21databases in order to identify cases that SPMP could complete quickly.
    • Complete initial distribution of new cases to appropriate staff under the direction of and using criteria developed by SPMP.
    • Receive and process returned mail, judge its impact on the case, and work closely with SPMP on follow up action.
    • Coordinate transportation of clients to consultative examinations and provide feedback to SPMP on unusual circumstances that would impact the review process.
    • Provide both incoming and outgoing telephonic customer service and support functions.
    • Make decisions for rescheduling of clients’ clinical evaluations, based upon agency guidelines and provides input and feedback to SPMP.
    • Perform other duties as required.

    Qualifications

    REQUIRED QUALIFICATIONS:

    • Associate’s degree in business or a related field, or equivalent
    • 3-5 years of office experience, preferably in a medical setting
    • Knowledge of HIPAA laws and regulations
    • Proficient in Word, Access, Excel and Outlook
    • The ability to interpret complex HIPAA regulations for clients, and agencies
    • Strong phone customer service and problem solving abilities in order to educate clients and other external customers about the disability review process
    • Ability to handle confidential information with discretion.
  • 1 Month Ago

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Disability Assistant
  • UMass Med School
  • Shrewsbury, MA FULL_TIME
  • Disability Assistant Minimum Salary US-MA-Shrewsbury Job Location 21 hours ago(2/12/2024 4:00 PM) Requisition Number 2024-45311 # of Openings 1 Posted Date Day Shift Non Exempt Exempt/Non-Exempt Statu...
  • 1 Month Ago

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Mail Specialist (Entry Level)
  • Citizens Disability
  • Worcester, MA FULL_TIME
  • We're looking for a Mail Specialist to join our mailroom team in Worcester!Schedule: 40 hours per week, 8:00am-4:30pm, Monday through FridayLocation: Worcester, in officeJob Duties: High degree of att...
  • Just Posted

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Cloud Channel Manager
  • Disability Solutions
  • Marlborough, MA FULL_TIME
  • Position:Cloud Channel ManagerJob Description:The Cloud Channel Manager will be responsible for the day-to-day sales support and customer service activities for assigned accounts in the East territory...
  • 25 Days Ago

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Disability Reviewer II - Hybrid
  • University of Massachusetts Medical School
  • Shrewsbury, MA OTHER
  • Overview GENERAL SUMMARY OF POSITION: Under the general direction of the Program Manager or designee, the Disability Reviewer II leads and performs diverse work for multiple State disability determina...
  • 22 Days Ago

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Disability Coordinator II
  • University of Massachusetts Medical School
  • Shrewsbury, MA OTHER
  • Overview GENERAL SUMMARY OF POSITION: Under the general supervision of the Operations Manager, this position is responsible for the initial review and processing of all incoming and outgoing written a...
  • 12 Days Ago

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0 Disability Claims Examiner jobs found in Worcester, MA area

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Senior Director of Compliance for Strategic Research Initiatives
  • Harvard University
  • Cambridge, MA
  • Basic Qualifications Candidates MUST meet the following basic qualifications to be considered for this role: Ph.D. or J....
  • 3/28/2024 12:00:00 AM

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Community Transition Liaison
  • Springwell
  • Waltham, MA
  • Springwell is adding a new program! Come be a Liaison to help individuals of all ages transition from Long-Term Care fac...
  • 3/28/2024 12:00:00 AM

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Cardiologist
  • Department of Veterans Affairs
  • West Roxbury, MA
  • Summary This position is eligible for the Education Debt Reduction Program, a student loan payment reimbursement program...
  • 3/28/2024 12:00:00 AM

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Senior Project Coordinator
  • Massachusetts Bay Transportation Authority
  • Boston, MA
  • Salary: $99,236.80 Annually Location : 10 Park Plaza, Boston Job Type: Full-Time Job Number: 24-20164 Department: MBTA -...
  • 3/28/2024 12:00:00 AM

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Biomedical Equipment Support Specialist
  • Veterans Health Administration
  • Bedford, MA
  • Summary The Biomedical Equipment Support Specialist (BESS) provides clinical and administrative support to staff, patien...
  • 3/27/2024 12:00:00 AM

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Senior Healthcare Compliance Auditor (Client Facing) - Remote in MA
  • Careerbuilder
  • Boston, MA
  • If you are located within the state of Massachusetts, you will have the flexibility to telecommute* (work from home) as ...
  • 3/25/2024 12:00:00 AM

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High School ELA Teacher
  • Uncommon Schools
  • Boston, MA
  • Company Description Uncommon Schools is a nonprofit network of high-performing, public charter schools providing an outs...
  • 3/25/2024 12:00:00 AM

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Associate Director, Clinical Data Management - Risk-based Monitoring
  • MURAL ONCOLOGY PLC
  • Waltham, MA
  • Associate Director, Clinical Data Management The Mural Oncology team brings together oncology expertise and passion to m...
  • 3/24/2024 12:00:00 AM

Worcester has a total area of 38.6 square miles (100 km2), 37.6 square miles (97 km2) of land and 1.0 square mile (2.6 km2) (roughly 2.59%) of water. Worcester is bordered by the towns of Auburn, Grafton, Holden, Leicester, Millbury, Paxton, Shrewsbury, and West Boylston. Worcester is known as the Heart of the Commonwealth, because of its proximity to the center of Massachusetts. The city is about 40 miles (64 km) west of Boston, 50 miles (80 km) east of Springfield, and 38 miles (61 km) northwest of Providence, Rhode Island. The Blackstone River forms in the center of Worcester by the conflue...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner jobs
$52,628 to $65,339
Worcester, Massachusetts area prices
were up 1.6% from a year ago