Disability Claims Examiner, Sr. jobs in Columbia, SC
Disability Claims Examiner, Sr. 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, Sr. has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner, Sr. typically reports to a supervisor/manager. To be a Disability Claims Examiner, Sr. typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)
Recently Added Disability Claims Examiner, Sr. jobs
Disability Determination Examiner I (6 Positions) - Office of State Claims (Repost)
- State of South Carolina
-
Lexington, SC
FULL_TIME
-
Join South Carolina state government where you can have a meaningful career, incomparable benefits, and a positive work-life balance!
- You will, under guidance of a supervisor or designee, reviews applications for disability claims for the Social Security Administration.
- You will requests and authorizes payment for medical, psychological, vocational, employment, and other evidence needed to determine eligibility for benefits under Title XVI of the Social Security Act.
- You will recommend purchase of consultative examinations as needed to provide documentation of files.
- You will interview applicants, usually by telephone, to document medical and nonmedical evidence as well as determine the existence of pertinent medical sources of evidence.
- You will make sure that all information and casework actions associated with the adjudicative process are documented in an electronic file specific to each claimant.
- You will identify and resolve conflicts in medical, vocational, and other evidence. Interviews physicians and other medical sources by telephone or by letter to resolve these conflicts.
- You will implement solutions to disability claim documentation and development problems within the boundaries of organizational policy and procedures.
- You will as a Disability Examiners choose from a variety of approaches to accomplish claim documentation, but must insure claim quality and production standards are met.
- You will, under guidance of a supervisor or designee, read and analyze a great quantity of medical reports and other disability file documents and makes a judgment as to the existence of physical or mental impairments confirmed by medical diagnosis.
- You will prepare analysis and makes decision as to eligibility for benefits on a medical basis alone or remaining functional capacity of applicants to perform work.
- Makes judgments and findings of fact regarding the manner in which impairments impact the applicant’s ability to perform specific work related activities based on the presence of medically determinable physical or mental impairments and you will submit these documents for medical consultant review.
- You will make judgments regarding the accuracy of the treating physician’s opinion as to the severity of the applicants’ impairment, comparing the physicians supporting medical evidence to the opinion rendered.
- You will accept the opinion, offer a refutation of the opinion and/or weighs the opinion against the medical evidence and submits a recommendation for medical consultant review.
- You will establish residual functional capacity (ability of an applicant, given their current physical condition, age, education and work history, to function in the workplace) and findings of fact regarding age, education, and vocational background to determine eligibility for benefits.
- You will make judgment as to what occupations would be appropriate given the remaining functional capacity, relevant work skills, age, and education, if the claimant is not eligible for benefits.
- You will, under guidance of a supervisor or designee, prepares a formal determination of eligibility for benefits based on regulations for Title XVI of the Social Security Act, court orders, rules, and regulations.
- You will identify pertinent findings of fact used in arriving at a legal determination of eligibility for benefits.
- You will prepare a written individualized explanation for the disability applicant.
- You will, under the guidance of a supervisor or designee, manages the assigned caseload budget.
- You will make and justify decisions for the expenditure of funds to meet claim documentation requirements.
- You will follow established procurement and documentation procedures.
- You will identify the most cost effective forms of expenditures and utilize alternate sources of documentation to minimize budgetary expenditures.
Master's Degree, or Bachelor's Degree and two years professional experience.
- Individuals selected for positions with the South Carolina Vocational Rehabilitation Department's Disability Determination Service (DDS) will go through a complete federal background investigation. A suitability determination by the Social Security Administration is necessary to determine whether an employee can be issued credentials in order to have access to Social Security disability data, records, and systems.
Official transcripts will be required to verify college degree.The South Carolina Vocational Rehabilitation Department is committed to providing equal employment opportunities to all applicants and does not discriminate on the basis of race, color, religion, sex (including pregnancy, childbirth, or related medical conditions, including, but not limited, to lactation), national origin, age (40 or older), disability or genetic information.
The South Carolina Vocational Rehabilitation Department offers an exceptional benefits package for FTE positions that includes:
- Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children
- Paid parental leave
- Flexible work schedules
- 15 days annual (vacation) leave per year
- 15 days sick leave per year
- 13 paid holidays
- State Retirement Plan and Deferred Compensation Programs
South Carolina is making our veterans a priority for employment in state agencies and institutions. Click here for eligibility requirements - 20 Days Ago
Claims Examiner
- Polikov Recruitment Solutions
-
Columbia, SC
FULL_TIME
- Available On March 14 , 2024 Expires On May 14 , 2024 Categories Accounting / Finance / Insurance City Columbia Region South Carolina Country United States Our client is a personal and commercial insu...
- 29 Days Ago
Property Claims Examiner
- ACSI, Inc
-
North, SC
PART_TIME,CONTRACTOR
- Job Summary:We are seeking a skilled and detail-oriented Claims Examiner to join our team. As an Examiner, you will be responsible for reviewing field adjuster photos and reporting along with policy f...
- 8 Days Ago
Sr. General Liability Claims Adjuster - NY Adjusters License a Plus
- North American Risk Services, Inc. (NARS)
-
Columbia, SC
FULL_TIME
- Sr. General Liability Claims Adjuster – Active New York Adjusters License A PLUS Work-From-Home Comprehensive Benefits Package· Medical, Dental, Vision Insurance Effective on Start Date – no waiting p...
- 5 Days Ago
Field Technician
- Hancock Claims Consultants
-
Columbia, SC
CONTRACTOR
- CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
- 2 Months Ago
MOBILE EQUIPMENT DRIVER EXAMINER
- Air National Guard Units
-
Eastover, SC
FULL_TIME
- This is a National Guard Title 32 Excepted position for a MOBILE EQUIPMENT DRIVER EXAMINER, Position Description Number D2433000, and is part of the 169 LRS, South Carolina Air National Guard.
- 1 Day Ago
Filters
- Current Active Filter
- Columbia, SC
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Disability Claims Examiner, Sr. jobs found in Columbia, SC area
Property & Casualty Licensed Insurance Rep (Remote) – (English or Bilingual Spanish)
- Concentrix
-
Columbia, SC
- Job Title: Property & Casualty Licensed Insurance Rep (Remote) (English or Bilingual Spanish) Job Description ****Must h...
- 4/15/2024 12:00:00 AM
Independent Insurance Claims Adjuster in West Columbia, South Carolina
- MileHigh Adjusters Houston Inc
-
West Columbia, SC
- Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
- 4/14/2024 12:00:00 AM
Auto Damage Adjuster - Catastrophe
- Progressive Corp.
-
Columbia, SC
- Auto Damage Adjuster - Catastrophe **Job Number** : 189450 As an **auto damage** **claims adjuster** for our National Ca...
- 4/14/2024 12:00:00 AM
Licensed Property & Casualty Insurance Agent (Remote) – (English or Bilingual Spanish)
- Concentrix
-
Columbia, SC
- Job Title: Licensed Property & Casualty Insurance Agent (Remote) (English or Bilingual Spanish) Job Description ****Must...
- 4/13/2024 12:00:00 AM
Physician - Psychiatrist - Inpatient Services Manager
- Veterans Health Administration
-
Columbia, SC
- Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement ...
- 4/11/2024 12:00:00 AM
Physician - Interventional Radiologist
- Veterans Health Administration
-
Columbia, SC
- Summary This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement ...
- 4/11/2024 12:00:00 AM
Nursing Assistant
- Veterans Health Administration
-
Columbia, SC
- Summary The Columbia, SC VAMC is seeking a qualified applicants to work as a Nursing Assistant at our facility. This is ...
- 4/11/2024 12:00:00 AM
Life Insurance Agent - Remote
- The Sudhoff Agency
-
Columbia, SC
- Description: We are seeking insurance professionals who have a commitment to serve their community by assisting families...
- 4/11/2024 12:00:00 AM
About Columbia, South Carolina
One of Columbia's more prominent geographical features is its fall line, the boundary between the upland Piedmont region and the Atlantic Coastal Plain, across which rivers drop as falls or rapids. Columbia grew up at the fall line of the Congaree River, which is formed by the convergence of the Broad River and the Saluda River. The Congaree was the farthest inland point of river navigation. The energy of falling water also powered Columbia's early mills. The city has capitalized on this location which includes three rivers by christening itself "The Columbia Riverbanks Region". Columbia is lo...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner, Sr. jobs
$53,259 to $69,007
Columbia, South Carolina area prices
were up 1.5% from a year ago
were up 1.5% from a year ago
What does a Disability Claims Examiner, Sr. do?
Disability Claims Examiner, Sr. in Memphis, TN
Claims examiners work for insurance companies and they are trained from the beginning to ask questions in such a way to elicit certain information.
December 30, 2019
Disability Claims Examiner, Sr. in Provo, UT
For this reason, disability insurance claims are highly scrutinized and often fiercely litigated.
December 18, 2019
Disability Claims Examiner, Sr. in New Bedford, MA
In addition, a Disability Examiner is experienced with determining the severity and validity of a person’s disability.
December 04, 2019