Claims Examiner, Sr. jobs in Wisconsin
Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner, Sr. jobs
Claims Examiner (Milwaukee, WI)
- BeneSys, Inc.
-
Milwaukee, WI
FULL_TIME
-
Claims Examiner (Milwaukee, WI)Summary - Processes routine medical, dental, vision and HRA claims and provide customer service, including providing information to hospitals, physicians and participants regarding eligibility, benefits and claims status.Essential Duties and Responsibilities include but not limited to
- Process routine medical, dental, vision, HRA claims in accordance to plan benefits.
- Provide customer service by responding to and documenting telephone and/or written inquiries.
- Consistently meet established performance standards, including quantity and quality claims processing standards.
- Maintain current knowledge of assigned Plan(s) and effectively apply knowledge in the payment of claims, customer service, and all other job functions.
- Regular and predictable attendance is an essential function of this job.
Education and/or Experience- High School diploma or equivalent required.
- Basic knowledge of benefits claims adjudication principles and procedures, medical and/or dental terminology and ICD-9 and CPT-4 codes.
Qualifications- Claims examiner experience, preferred.
- Proficient with computers including keyboarding including 10-key (demonstrated ability to type quickly and accurately) and use of Microsoft Word, Outlook, and Excel.
- Provide excellent verbal and written communication skills and be capable of responding to high quality customer inquiries.
- Possess a strong work ethic and team player mentality.
- Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations.
- Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages.
- Strong decision-making, problem-solving, organizational skills and able to work in a “team” environment.
Work Schedule - Full-time. Monday – Friday, 8:00am - 4:30pm. Requires in-office days with possibility of one work from home day per week after full training.Competitive Benefits and Compensation Package- Paid Time Off (PTO)
- Pro-rated during first year of employment
- 15 days of PTO provided in the next calendar year!
- 11 paid holidays
- Health insurance, includes dependent coverage
- Employer-paid term life insurance
- Tuition reimbursement
- Long term disability insurance
- Career development opportunities
- 401k with employer match
PayThe pay range is $54,000 - $58,000 per year and is dependent on location, experience, skills, education and other business factors.Our CultureBeneSys wants to be a great service provider to the members we serve, and we recognize we can only do that if we are also a great employer with successful employees. In short, our success is driven by our employees’ successes. We want to be a place where people want to work, feel proud of what they do and feel fulfilled both professionally and personally. We want to create a place where employees can find long-term growth and potential.Our culture focuses on three core values:- Collaboration: working together across 31 locations to achieve the best for the company and our clients
- Dedication: striving to create an environment where all employees work toward a common goal while committing to providing the best customer service to our members and our colleagues
- Integrity: doing what we say we will do. Upholding strong ethical and moral principles
ADA & EEOReasonable accommodations will be made so that qualified individuals with disabilities are able to complete the application process and, if hired, fulfill the essential functions of their job. - 17 Days Ago
Claims Examiner (Waukesha, WI)
- BeneSys, Inc.
-
Waukesha, WI
FULL_TIME
- Claims Examiner (Waukesha, WI) Summary The Claims Examiner processes health claims to completion in both paper and electronic form, responds to telephone inquiries from participants and providers, and...
- Just Posted
1099 CAT Claims Examiner (Remote)
- RYZE Claim Solutions
-
Milwaukee, WI
CONTRACTOR
- 1099 CAT Claims Examiner (Remote) Contractor - 1099 Nationwide, Remote, Remote, US Overview: Our Independent Catastrophe Claims Examiners are (1099) contractors that will ensure a quality product is d...
- 13 Days Ago
Bilingual Claims Examiner/Customer Service (DeForest, WI)
- BeneSys, Inc.
-
De Forest, WI
FULL_TIME
- Bilingual Claims Examiner/Customer Service (DeForest, WI) Summary Process health claims to completion in both paper and electronic form Respond to telephone inquiries from participants and providers R...
- 7 Days Ago
Extensive Energy Search Sr. Title Examiner - Remote
- 95-2566122 First American Title Insurance Co
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Home, WI
FULL_TIME
- Who We Are Join a team that puts its People First! As a member of First American's family of companies, National Commercial Services provides single-point service for simple to multi-property / multi-...
- 11 Days Ago
SR FIELD PROPERTY CLAIMS ADJUSTER / HYBRID REMOTE
- Impact Solutions Inc
-
Milwaukee, WI
FULL_TIME
- SR FIELD PROPERTY CLAIMS ADJUSTER / HYBRID REMOTE Wisconsin Market / Remote (Must Live in Wisconsin) Base Salary $75K-115K Bonus Company Car Full Benefits. Also Includes Full Benefits Package: Medical...
- 18 Days Ago
Claims Examiner, Sr. jobs at Popular Companies
About Wisconsin
Wisconsin is bordered by the Montreal River; Lake Superior and Michigan to the north; by Lake Michigan to the east; by Illinois to the south; and by Iowa to the southwest and Minnesota to the northwest. A border dispute with Michigan was settled by two cases, both Wisconsin v. Michigan, in 1934 and 1935. The state's boundaries include the Mississippi River and St. Croix River in the west, and the Menominee River in the northeast.
With its location between the Great Lakes and the Mississippi River, Wisconsin is home to a wide variety of geographical features. The state is divided into five dist...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$61,546 to $79,350
Most Popular Cities in Wisconsin for Claims Examiner, Sr. Jobs
What does a Claims Examiner, Sr. do?
Claims Examiner, Sr. in Sarasota, FL
After reading this, you will have a much better idea on whether you will like working as a Property and Casualty Insurance Claims Examiner or not.
January 17, 2020
Claims Examiner, Sr. in Fairbanks, AK
Still, a good number of students health claims specialist resume have to contend with language skill barriers.
February 05, 2020
Claims Examiner, Sr. in Idaho Falls, ID
Kevin Pitts joined CIRSA a little over a year ago as a Workers’ Compensation Claims Examiner.
December 18, 2019