Disability Claims Examiner, Sr. jobs in Tulsa, OK

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)

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Claims HMO - Claims Examiner 140-1025
  • CommunityCare
  • Tulsa, OK FULL_TIME
  • JOB SUMMARY:
    The Claims Examiner is responsible for examining claims that require review prior to being adjudicated. The examiner will use their resources, knowledge and decision-making acumen to determine the appropriate actions to pay, deny or adjust the claim. Examiners are expected to meet performance expectations in accuracy and efficiency.

    KEY RESPONSIBILITIES:
    • Examining and adjudicating claims that have pended for review utilizing resources, tools, knowledge and decision-making in determining appropriate actions.
    • Identify claims requiring additional resources and route to the team lead, supervisor or other departments as needed.
    • Enter claims information using the processing software to compute payments, allowable amounts, limitations, exclusions and denials.
    • Identify and communicate trends or problems identified during adjudication process.
    • Contribute to the creation of a pleasant working environment with peers and other departments.
    • Assist in investigating and solving claims that require additional research.
    • Consistently learn and adapt to changes related to claims processing, benefits, limits and regulations.
    • Perform other duties as assigned.
    QUALIFICATIONS:
    • Self-motivated and able to work with minimal direction.
    • Ability to read and understand claims processing manuals, medical terminology, CPT codes, and perform basic processing procedures.
    • Ability to read and understand health benefit booklets.
    • Demonstrated learning agility.
    • Successful completion of Health Care Sanctions background check.
    • Knowledge in the contracted managed care plan terms and rates.
    • General understanding of unbundling methods, COB, and other over-billing methodologies.
    • Must have high attention to detail.
    • Proficient in Microsoft applications.
    • Ability to perform basic mathematical calculations.
    • Possess strong oral and written communication skills.
    EDUCATION/EXPERIENCE:
    • High School Diploma or Equivalent required.
    • Two years related work experience in claims processing, claims data entry or medical billing OR medical related education to meet minimum two years required.
    CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin
  • 5 Days Ago

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Appraiser
  • Pacesetter Claims
  • Tulsa, OK FULL_TIME
  • Pacesetter is growing our footprint in handling property claim Appraisals and we need YOU! Qualified adjusters must have six years of adjusting experience, to include two years of Appraisal experience...
  • 19 Days Ago

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OTR Truck Driver
  • Disability Solutions
  • Kaw, OK FULL_TIME
  • Earn GREAT PAY, consistent miles & 24/7 supportSOLO DRIVERS:2,220 Miles Per Week On Average 45-60 CPM based on location and experienceTEAM DRIVERS:UP TO $15,000 SIGN-ON BONUS/SPLIT WITH AVERAGE OF 5,5...
  • Just Posted

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Legal Instruments Examiner
  • US Interior, Bureau of Indian Affairs
  • Muskogee, OK FULL_TIME
  • Duties Analyze, examine or prepare title documents ensuring land/parcel transactions are accurate using standardized and well-established guidelines as a reference. Review and identify inaccuracies or...
  • 12 Days Ago

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Claims Adjuster
  • Melton Truck Lines
  • Tulsa, OK FULL_TIME
  • Summary: Melton Truck Lines is a Qualified Self-Insured under the FMCSA; and as such its Claims Adjusters perform office work on a daily basis essential to the operations of Melton Truck Lines and are...
  • 1 Month Ago

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Domestic Violence Nurse Examiner (DYNE)
  • Domestic Violence Intervention Services
  • Tulsa, OK FULL_TIME
  • Description: The Domestic Violence Nurse Examiner (DVNE) will provide timely and comprehensive assessment and documentation in domestic violence cases, and accurate collection of forensic evidence whe...
  • 11 Days Ago

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0 Disability Claims Examiner, Sr. jobs found in Tulsa, OK area

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Physician (General Surgery)
  • Department Of Health And Human Services
  • Claremore, OK
  • Summary This position is located in the General Surgery Department at the Claremore Indian Hospital, Claremore, OK. The ...
  • 3/28/2024 12:00:00 AM

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Work From Home Sales/Data Entry Agent
  • Jobconversion, LLC
  • Tulsa, OK
  • Job Conversion, LLC is looking for both experienced and entry level sales reps who are also good at data entry. Work you...
  • 3/28/2024 12:00:00 AM

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Sales/Data Entry Agent Work From Home - No Experience
  • Jobconversion, LLC
  • Tulsa, OK
  • Job Conversion, LLC is looking for both experienced and entry level sales reps who are also good at data entry. Work you...
  • 3/28/2024 12:00:00 AM

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Auto Damage Claims Adjuster - National Catastrophe Response Team
  • Progressive Corp.
  • Tulsa, OK
  • Auto Damage Claims Adjuster - National Catastrophe Response Team **Job Number** : 188123 As an **auto damage** **claims ...
  • 3/28/2024 12:00:00 AM

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Remote Insurance Agent
  • Dorr Agency
  • Tulsa, OK
  • Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
  • 3/27/2024 12:00:00 AM

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Experienced Claims Adjuster
  • Progressive Corp.
  • Tulsa, OK
  • Experienced Claims Adjuster **Job Number** : 189636 Join one of FORTUNEs 100 Best Companies to Work For! Develop your cl...
  • 3/27/2024 12:00:00 AM

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Insurance Agent
  • HealthMarkets
  • Broken Arrow, OK
  • HealthMarkets Overview If youre looking for an exciting opportunity where you can change peoples lives and achieve finan...
  • 3/26/2024 12:00:00 AM

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REMOTE LIFE INSURANCE AGENT
  • Melendez Agency
  • Broken Arrow, OK
  • We are looking for agents who are currently licensed in Life, Health and Accident to work remotely for one of the fastes...
  • 3/25/2024 12:00:00 AM

Tulsa is located in the northeastern corner of Oklahoma, 99 miles (159 km) northeast of Oklahoma City; situated between the edge of the Great Plains and the foot of the Ozarks in a generally forested region of rolling hills. The city touches the eastern extent of the Cross Timbers, an ecoregion of forest and prairie transitioning from the drier plains of the west to the wetter forests of the east. With a wetter climate than points westward, Tulsa serves as a gateway to "Green Country", a popular and official designation for northeast Oklahoma that stems from the region's green vegetation and r...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner, Sr. jobs
$54,609 to $70,760
Tulsa, Oklahoma area prices
were up 1.2% from a year ago

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