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Claim processor jobs in Moore, OK

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  • Claims Specialist

    Prorecruiters

    Claim processor job in Tulsa, OK

    Claims Specialist Pay: $60,000 - $85,000/year Experience: At least 9 years handling general liability and/or commercial auto claims; experience with high-value, complex files; strong analytical and coverage evaluation skills. Education: Bachelor's degree in Business, Risk Management, Insurance, or related field (or equivalent experience). Type: Full-time; Direct Hire Schedule: Monday - Friday, 8:00 AM to 5:00 PM ProRecruiters is seeking a Claims Specialist to join a growing and dynamic team! Job Description: Manage a portfolio of complex commercial general liability and auto claims. Lead investigations and evaluate coverage, liability, and exposure. Represent the company during mediations, depositions, and trials. Develop and execute resolution strategies for complex claims. Collaborate with underwriting and marketing teams to identify trends. Serve as a technical expert and advisor within the business. Ensure compliance with all legal and regulatory standards. Position Requirements: Strong strategic thinking and analytical ability. Excellent written and verbal communication skills. Strong negotiation and problem-solving skills. Ability to guide and support teammates on complex claim matters. Strong organizational and time-management abilities. ProRecruiters is part of Array Corporation, the leading technology-enabled workforce solutions company whose mission is to fix how work is bought, sold and delivered to enable access to the American Dream. We are proud to be an Equal Employment Opportunity and Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
    $26k-43k yearly est. 3d ago
  • LNIC Medicare Claims Processor

    Midfirst Bank 4.8company rating

    Claim processor job in Oklahoma City, OK

    LifeShield National Insurance Company is seeking exceptional individuals to join our growing team as Medicare Claims Processor. We are searching for candidates who can review and evaluate routine and complex Medicare claims in accordance with company policies and quality standards. As a member of the Claims Processing Team, you will: Manage a large volume of work and meet deadlines. Handle patient information professionally and confidentially. Resolve simple issues and follow through with complex claims in collaboration with department leadership. Position Requirements Candidates must possess a minimum of 1 year prior medical claims processing experience to be considered. Those with knowledge of Medicare claims processing are strongly encouraged to apply. Qualified candidates will also demonstrate: Strong knowledge of ICD-10, CPT, and HCPCS coding. Knowledge of Microsoft Office Experience in 10 key Understanding of HIPAA regulations. Excellent attention to detail and time management skills. Ability to work independently with minimal supervision. Strong verbal and written communication skills. Ability to collaborate effectively within a team environment.
    $39k-60k yearly est. 45d ago
  • Epic Resolute PB Claims Analyst

    Deloitte 4.7company rating

    Claim processor job in Tulsa, OK

    Are you an experienced, passionate pioneer in technology who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate on projects as a consultant without the extensive demands of travel. If so, consider an opportunity with Deloitte under our Project Delivery Talent Model. Project Delivery Model (PDM) is a talent model that is tailored specifically for long-term, onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team and be responsible for supporting the overall project goals and objectives. In this role, you will interact with stakeholders and cross-functional teams. It is expected that you will be able to perform independent tasks as well as provide technical guidance to team members, as needed. * Work with the implementation team to plan and complete build, implement end-to-end Epic. * Work command center shifts to investigate during go-live, document, and resolve break-fix tickets. * Conduct and document root cause analysis and complete any assigned system maintenance. * Assist in low level design, operational discussions, build, test, and migrate Epic build, provide go-live support following migration of new build. * Communicate regularly with Engagement Managers (Directors), project team members, and representatives from various functional and / or technical teams, including escalating any matters that require additional attention and consideration from engagement management. The Team Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation. AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements. Our Industry Solutions offering provides verticalized solutions that transform how clients sell products, deliver services, generate growth, and execute mission-critical operations. We deliver integrated business expertise with scalable, repeatable technology solutions specifically engineered for each sector. Qualifications Required * Current Epic Certification in Epic Professional Billing * 3+ years' experience in Epic Professional Billing * Experience in Epic implementation or enhancement processes * Experience in application design, workflows, build, troubleshooting, testing, and support. * Bachelor's degree, preferably in Computer Science, Information Technology, Computer Engineering, or related IT discipline; or equivalent experience * Limited immigration sponsorship may be available. * Ability to travel 10%, on average, based on the work you do and the clients and industries/sectors you serve Preferred * Hospital or Clinic operations experience * Additional Epic Certifications * ITIL process knowledge * Analytical/ Decision Making Responsibilities * Analytical ability to manage multiple projects and prioritize tasks into manageable work products * Can operate independently or with minimum supervision * Excellent Written and Communication Skills * Ability to deliver technical demonstrations Additional Requirements Information for applicants with a need for accommodation: ************************************************************************************************************ Recruiting tips From developing a stand out resume to putting your best foot forward in the interview, we want you to feel prepared and confident as you explore opportunities at Deloitte. Check out recruiting tips from Deloitte recruiters. Benefits At Deloitte, we know that great people make a great organization. We value our people and offer employees a broad range of benefits. Learn more about what working at Deloitte can mean for you. Our people and culture Our inclusive culture empowers our people to be who they are, contribute their unique perspectives, and make a difference individually and collectively. It enables us to leverage different ideas and perspectives, and bring more creativity and innovation to help solve our clients' most complex challenges. This makes Deloitte one of the most rewarding places to work. Our purpose Deloitte's purpose is to make an impact that matters for our people, clients, and communities. At Deloitte, purpose is synonymous with how we work every day. It defines who we are. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. Learn more. Professional development From entry-level employees to senior leaders, we believe there's always room to learn. We offer opportunities to build new skills, take on leadership opportunities and connect and grow through mentorship. From on-the-job learning experiences to formal development programs, our professionals have a variety of opportunities to continue to grow throughout their career. As used in this posting, "Deloitte" means Deloitte Consulting LLP, a subsidiary of Deloitte LLP. Please see ********************************* for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or protected veteran status, or any other legally protected basis, in accordance with applicable law. Requisition code: 316852 Job ID 316852
    $61k-76k yearly est. 10d ago
  • Contestable Claims Analyst

    Globe Life 4.6company rating

    Claim processor job in Oklahoma City, OK

    The Contestable Analyst reviews all aspects of a contestable claim and determines how to process. High exposure to a multitude of life claims is a norm for this position; Analyst needs to be able to identify claim benefits in regards to the specific policy and operates on multiple claims systems. The Analyst has a checklist of items to review before the claim can progress for further processing. Some of these items include; performing a name search to see if the insured has additional coverage, reinstating a policy if it has already been removed from the system, requesting various types of letters, reviewing application date versus effective date of policy, reviewing Medical Information Bureau reports, requesting recordings of contact with insured, ordering medical records, and reviewing medical records. The Contestable Analyst also determines if certain policies should be investigated by external third parties (i.e., RSB). Once the Analyst makes a claim determination, they either proceed with paying the claim or rescind the claim. A Contestable Analyst is responsible for keeping a claim moving through the processing procedures. Contestable Analyst is in contact with agents, funeral homes, coroners, medical providers, and police departments to gather and confirm information in regards to the claim. Investigates all contestable life claims and processes in accordance with policy provisions and Company procedures. Processes claims on a multiple claims system. Contacts outside 3rd parties and obtains additional claim information needed. Third parties consist of agents, beneficiaries, funeral homes, coroners, medical providers and police departments. Updates system notes with claim progress. Orders and reviews medical information. Responsible for claim movement and progression. Maintains production data and must meet the production quota set by the department. Other duties; as assigned by the supervisor. Required Skills: Must be PC/Windows literate and posses a working knowledge of MS Office (Outlook, Excel and Word). Strong communication skills. Detail oriented. Ability to work in a fast paced environment. Problem solving skills. Physical Requirements; While performing the duties of the job, the employee is regularly required to sit for extended lengths of time. The employee is frequently required to reach with hands and arms, occasionally required to stand and walk, occasionally lift and or move up to 25 lbs. Qualifications Must be PC/Windows literate and posses a working knowledge of MS Office (Outlook, Excel and Word). Strong communication skills. Detail oriented. Ability to work in a fast paced environment. Problem solving skills. Additional Information All your information will be kept confidential according to EEO guidelines.
    $62k-104k yearly est. 19h ago
  • Claims HMO - Claims Examiner 140-1031

    Communitycare 4.0company rating

    Claim processor job in Tulsa, OK

    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.
    $29k-36k yearly est. 8d ago
  • Claims ExaminerTulsa, OK

    Partnered Staffing

    Claim processor job in Tulsa, OK

    At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. Job Description Kelly Services is currently working with our client in Tulsa, OK to hire Claims Examiners. This is a temporary to hire opportunity that will be starting with a 16 week training program on August 14th. · A Claims Examiner is responsible for processing insurance claims that have been flagged by the automated system and need manual intervention in order to process accurately. · This position will work in an office setting, where you will be working on a computer majority of the day. · There are times this position requires phone work to place outbound calls but it is not a call center position. · The training offered for this position is very fast paced and it makes it unlikely for those who miss days to succeed. · During this period of time, attendance is critical. · You would be working full time hours, Monday through Friday from 8AM to 5PM for roughly the first 16 weeks. · After training, this position allows a flex schedule, which means you are able to work an 8 hour shift of your choosing between the hours of 6AM and 6PM, Monday through Friday. · Typically, Claims Examiners have the opportunity work overtime once they're trained. · The pay rate is a range between $11.77 and $12.77 and will be determined by our client based on your experience. · The position is a temporary to hire opportunity, which means our client has indicated they will hire on Kelly Temporary employees that qualify in performance and attendance. · Usually we see our employees go full time between 6 and 12 months. · This is a great way to get your foot in the door if you are seeking permanent employment with our client; however, it does start temporarily though Kelly Services. Job Specific Qualifications: • High School Diploma or GED • Data Entry and/or typing experience • Clear and concise written and verbal communication skills • Ability to multi task and prioritize is required • Social, verbal and written communication skills • Ability to sit for long periods of time • Strong problem-solving and analytical skills • Dependable and flexible Qualifications Job Specific Qualifications: • High School Diploma or GED • Data Entry and/or typing experience • Clear and concise written and verbal communication skills • Ability to multi task and prioritize is required • Social, verbal and written communication skills • Ability to sit for long periods of time • Strong problem-solving and analytical skills • Dependable and flexible Additional Information Kelly Services is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.
    $11.8-12.8 hourly 19h ago
  • Workers Compensation Claims Representative

    Sedgwick 4.4company rating

    Claim processor job in Oklahoma City, OK

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Representative **PRIMARY PURPOSE** : To process low level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of claims and negotiate settlements with general supervision. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes low level workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files necessary documentation with state agency. + Develops and coordinates low level workers compensation claims' action plans to resolution, return-to-work efforts, and approves claim payments. + Approves and processes assigned claims, determines benefits due, and administers action plan pursuant to the claim or client contract. + Administers subrogation of claims and negotiates settlements. + Communicates claim action with claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process low-level lifetime medical and/or defined period medical claims which include state and physician filings and decisions on appropriate treatments recommended by utilization review. + Maintains professional client relationships. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. **Experience** Two (2) years of claims management experience or equivalent combination of education and experience or successful completion of Claims Representative training required. **Skills & Knowledge** + Developing knowledge of regulations, offsets and deductions, disability duration, medical management practices and Social Security and Medicare application procedure as applicable to line of business + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical:** Computer keyboarding, travel as required **Auditory/Visual:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $45,000 - $68,000/yr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $45k-68k yearly 11d ago
  • DAIRY PROCESSOR

    Braum's Inc. 4.3company rating

    Claim processor job in Tuttle, OK

    There's a lot of hard work that goes into a dip of Braum's Ice Cream or a glass of Braum's Milk. The very heart of the Braum operation is the Braum Family Farm & Processing Plant located in Tuttle, Oklahoma. We are looking to hire a Dairy Processor at our Dairy Manufacturing Plant in Tuttle, OK. Pay is $21-$26 per hour (plus overtime), depending on experience. Guaranteed at least 50 hours per week. Work Schedule: 3:00 AM start time. Most shifts are 10 -12 hours per day. 4 days on 2 days off rotating schedule. Responsibilities include formulating fluid milk, cultured products, and ice cream mix. Benefits available: Competitive salary Major medical and STD available Dental & vision care program 401K with company match Paid vacations and holidays Product Discounts at our stores! If qualified, please apply online. For questions, please text or call **************. Thank you! A drug screening and background check are part of the onboarding process. Braum's is an Equal Opportunity Employer 2025-1996
    $21-26 hourly Auto-Apply 36d ago
  • Real Estate Processor

    First Bank & Trust Co 4.4company rating

    Claim processor job in Duncan, OK

    Job Details Duncan Communication Bldg - Duncan, OK Full Time High SchoolDescription JOB SUMMARY: This position is responsible for handling all stages of the in-house real estate loan process. ESSENTIAL JOB FUNCTIONS: Responsible for the processing of bank consumer real estate loans. Must be knowledgeable of bank Lending Policy, Loan Underwriting Procedures, and Appraisal Procedures, Flood Procedures, Construction Procedures and HMDA. Responsible for obtaining real estate loan applications, credit bureau reports, and all other required documentation pertaining to a loan from Loan Officer/Financial Services Representatives. Responsible for obtaining the required documentation from Loan Officers, Financial Service Representatives, or other sources, to ensure bank compliance and regulations are met. Verify that all loan disclosures and supporting documents are complete, including the ones that require signatures. Input loan information into Decision Pro, Laser Pro, and Loan Work Book. Prepare Loan Estimate and Closing Disclosures. Coordinate closings with Title Company when applicable. Submit request for loan document production from Loan Administration. Verify that all loan documents and supporting documents are complete and accurate. Authorize submission of final loan documents to Loan Officer/Financial Services Representative for loan closing. Review loan documents to sending complete loan file to Loan Administration for printing, to ensure accuracy and compliance. Sort and review all loan documents returned to RE Processing to ensure accuracy and compliance. Maintain tracking log and pipeline and report on all loans being processed. Must be able to meet attendance and punctuality standards. Strive to eliminate all loan exceptions on loans processed. Effectively work and cooperate with supervisors, co-workers and customers. Follow direction of supervisor. ADDITIONAL RESPONSIBILITIES: Perform other duties and projects as required by management. MINIMUM QUALIFICATIONS FOR CONSIDERATION: High School diploma or GED required. Related experience providing a working knowledge of loan documentation and/or processing is preferred. Bookkeeping and accounting skills required to balance transactions. Proficient computer, 10-key, and keyboarding skills. KNOWLEDGE, SKILLS, AND ABILITIES: Strong organizational and time management skills. Proficient attention to detail. Must be able to meet strict deadlines Strong analytical and problem-solving skills. Strong verbal and written communication skills. Strong interpersonal skills: able to work well with a wide range of people. Strong proficiency in Windows, Excel, Word and other Microsoft applications. Ability to learn bank real estate lending software. Ability to compute basic math functions as well as rates, yields and percentages. Strong sense of customer service. Must maintain a high level of confidentiality. Demonstrate dependability through good attendance and adherence to timelines and schedules. Demonstrate resourcefulness and ability to take initiative in development and completion of projects. PHYSICAL REQUIREMENTS: This work is sedentary and requires the following physical activities: Sitting for long periods of time, occasional bending, squatting, kneeling, stooping; good finger dexterity and feeling; frequent repetitive motions; talking, hearing, and visual acuity. Frequent lifting (up to 10 pounds of paper supplies or minor office equipment). WORKING CONDITIONS: Normal office environment. NOTE: The above statements are intended to describe the general nature and level of work performed by an employee in this position. These statements are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of employees in this position. First Bank & Trust Co. is an Equal Opportunity Employer and is committed to providing an environment free of harassment and discrimination. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting Human Resources at ************.
    $27k-33k yearly est. 60d+ ago
  • Processor

    Legacy Mutual Mortgage Services 3.4company rating

    Claim processor job in Mustang, OK

    Legacy Mutual Mortgage is an outstanding full service residential mortgage lender originating, underwriting and closing conventional, jumbo, FHA, VA and USDA mortgage loans. In business since 2005, we are dedicated to meeting the home loan needs of individual homebuyers while working with our real estate partners in Texas. Our team members are the key to Legacy's success, and we are looking for highly motivated, qualified individuals to join our talented team. This is a remote-friendly position Essential Functions Include: Reviews new loan submissions within 24 hours of receipt. Verifies loan is complete using a checklist and accompanying disclosures, documents, and other pertinent reference material. Returns any incomplete loans back to Production Associate II with explanation of any incomplete or incorrect information. Orders and receives verifications of deposit, verifications of employment, appraisal, title, etc. Compiles and processes all documents as received to meet projected close date. Inputs final and validated information and reruns Automatic Underwriting System as applicable for final loan submission. Submits loans to Underwriting as needed for a complete loan file to obtain a clear loan approval. Clears any conditions that require communication to the title companies, appraiser, employers, surveyors, etc. Submits all documents needed to draw closing documents to the Closer. Communicates loan approval from Underwriting to Production Associate II. Maintains up-to-date pipeline. Must maintain regular attendance. May perform other duties as assigned. Requirements High school diploma or equivalent with a minimum of two years' experience in the mortgage industry. Mortgage industry experience required. Must be proficient in Word, Excel and Outlook applications Must be able to work 40 hours a week during normal business hours. Must be results oriented with a strong sense of urgency. Must be organized and detail oriented. Must have a positive attitude and maintain professionalism. Must be dependable, self-motivated and require minimal supervision Legacy Mutual Mortgage is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.
    $34k-41k yearly est. 57d ago
  • Claims Auditor I

    State of Oklahoma

    Claim processor job in Oklahoma City, OK

    Job Posting Title Claims Auditor I Agency 740 STATE TREASURER Supervisory Organization Office of the State Treasurer Job Posting End Date Refer to the date listed at the top of this posting, if available. Continuous if date is blank. Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above. Estimated Appointment End Date (Continuous if Blank) Full/Part-Time Full time Job Type Regular Compensation The annual salary for this position is up to $48,000.00, based on education and experience. About The Job: The Oklahoma State Treasurer is seeking a detail-oriented and hard-working individual to join our Unclaimed Property Division. The duty of the unclaimed property program is to return unclaimed properties to proven rightful owners or their heirs. Unclaimed property may include securities, life insurance proceeds, oil/gas/mineral interest proceeds, cash, and abandoned safe deposit box contents. General Function: A Claims Auditor performs office audits of claims and other business records and documents to determine or verify compliance with laws and regulations. Advises claimants concerning the interpretation and application of statutes and regulations pertaining to unclaimed property, and depending on the complexity, consults with supervisory or lead staff members on proper action/s to be taken in processing a claim. Benefits: State employees enjoy a comprehensive benefits package with a generous monthly benefit allowance between to help offset the cost of insurance premiums for employees and their eligible dependents, a retirement savings plan, 11 paid holidays, and longevity payments. Employees earn 15 days of vacation and 15 days of sick leave in the first year of employment. Physical Demands and Work Environment: Work is typically performed in an office setting with a climate-controlled settings and exposure to moderate noise level. While performing the duties of the job, employee is required to communicate, move about inside the office, perform keyboard and 10-key entries. This position requires long periods of remaining in a stationary position and daily use of a computer and phone. Essential Functions: The functions within this job family will vary by level, but may include the following: * Communicate professionally with internal and external stakeholders in person, on the telephone and in writing. * Initiate and maintain cooperative relationships with co-workers, managers and supervisors, claimants, and members of the public. * Performs increasingly difficult office audits of claims and other business records and documents to determine or verify compliance with laws and regulations. * Advises claimants concerning the interpretation and application of the statutes and regulations pertaining to unclaimed property, and depending on the complexity, consults with supervisor or lead staff member on proper action to be taken. * Maintains records and submits oral and written reports concerning cases and activities. * Confers with attorneys, accountants and other professionals in administering the unclaimed property laws of the State. * Performs other related work and duties as required and assigned. * Build relationships and team climate in which employees are encouraged to meet their full potential and promote agency excellence while serving claimants and the public. Complexity Of Knowledge, Skills, and Abilities: Knowledge of * General accounting & bookkeeping principles and practices * Principles and practices of business organization and management. * Professional business communications (i.e. Letters, emails, phone etiquette). * State unclaimed property law and regulations and their applications. Skills in * Determining unclaimed property reporting duties based upon review of records. * Expressing ideas clearly and concisely, both orally and in writing. * Establishing and maintaining effective working relationships with other employees, and the public. * Communicate effectively with difficult or irate customers and provide de- escalation techniques when needed. * Use of computers in reviewing, analyzing, and calculations. * Maintain a professional demeanor in all situations. Ability to * Use good judgment. * Critical thinking. * Read, interpret, and apply various rules and regulations. * Be proficient with PC office software, Microsoft Office Suite, desk top tools, and data entry ability. * Demonstrate strong analytical interpersonal, problem solving, time management and negotiation skills. * Be detail-oriented with research and investigative techniques. Level Descriptor: This is the basic level of the job family where employees are primarily responsible for performing routine entry level work in a training and supervised status to build their skills applicable to claims processing. Advises claimants concerning the interpretation and application of statutes and regulations pertaining to unclaimed property, and depending on the complexity, consults with supervisory or lead staff members on proper action/s to be taken in processing a claim. This level of the job family may only initiate and recommend claims of any amount for approval. Education and Experience Requirements: Requirements at this level consist of * Completion of an Associate degree in business, accounting, finance, public administration, or law * 1-year of qualifying experience in business, accounting, finance, public administration or law. Special Requirements: * Core working hours for the Unclaimed Property Division are Monday through Friday, 08:00 am to 5:00pm. * Performance-based flextime and incentive pay opportunities are available upon completion of initial training and meeting quarterly performance metrics. * All new hire and employees are subject to a minimum 6-month to 1-year trial period. * This position is at-will and FLSA Non-Exempt. Additional Requirements: * If education, certification, or license is required to meet qualifications, applicants must provide documentation with application. * All applicants must be legally authorized to work in the United States. * All applicants may be subject to an authorized credit check at agency discretion. * This job description is not designed to cover nor contain a comprehensive listing of activities, duties or responsibilities that are required of the applicant selected for this job. Duties, responsibilities, and activities may change at any time with or without notice based upon agency and division needs. Equal Opportunity Employment The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability. Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub. If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information: Agency Contact
    $48k yearly Auto-Apply 24d ago
  • Embedded ROI Processor

    Datavant

    Claim processor job in Oklahoma City, OK

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. + **This is a Remote role** **- Full-Time: Monday - Thursday, 6am to 5pm.** **- Comfortable working in a high-volume production environment.** **- Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical record status** **- Documenting information in multiple platforms using two computer monitors.** **- Proficient in Microsoft office (including Word and Excel)** **We offer:** **Comprehensive onsite/virtual training program followed by job shadowing with an assigned mentor** **Company equipment will be provided to you (including computer, monitor, virtual phone, etc.)** **Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance** Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $15-18.3 hourly 4d ago
  • Accounting Processor

    The Hertz Corporation 4.3company rating

    Claim processor job in Oklahoma City, OK

    **A Day in the Life:** The Fleet Accounting Processor partners with various internal and external stakeholders to resolve invoice discrepancies, manage vendor inquiries, and ensure timely payments. Plays a critical role in ensuring the accurate and timely processing of fleet invoices, expense reports, and payment transactions for the company's fleet operations. The starting wage is $16.00 per hour. **What You'll Do:** + Process a high volume of vendor invoices, credit memos, and payment requests with accuracy and efficiency. + Review invoices for proper coding, approvals, and compliance with company policies and procedures. + Verify purchase orders, receipts, and other supporting documentation for accuracy. + Manage manual and electronic invoice entries in the ERP accounting system. + Assist in preparing daily payment runs and reporting the payments to other departments. + Maintain accurate and organized AP records and documentation for audits and reporting. + Identify process improvement opportunities to increase efficiency. **What We're Looking For:** + Minimum 2 years of experience in accounts payable or similar accounting functions. + High school diploma or equivalent with related field experience. + Familiar with ERP systems and proficiency in Microsoft Excel. + Strong attention to detail, analytical thinking, and problem-solving skills. + Ability to collaborate with internal and external stakeholders across multiple functions and locations + Flexible and adaptable; ability to work effectively in ambiguous situations + Excellent verbal and written communication skills **What You'll Get:** + Up to 40% off the base rate of any standard Hertz Rental + Paid Time Off + Medical, Dental & Vision plan options + Retirement programs, including 401(k) employer matching + Paid Parental Leave & Adoption Assistance + Employee Assistance Program for employees & family + Educational Reimbursement & Discounts + Voluntary Insurance Programs - Pet, Legal/Identity Theft, Critical Illness + Perks & Discounts -Theme Park Tickets, Gym Discounts & more The Hertz Corporation operates the Hertz, Dollar Car Rental, Thrifty Car Rental brands in approximately 9,700 corporate and franchisee locations throughout North America, Europe, The Caribbean, Latin America, Africa, the Middle East, Asia, Australia and New Zealand. The Hertz Corporation is one of the largest worldwide airport general use vehicle rental companies, and the Hertz brand is one of the most recognized in the world. **US EEO STATEMENT** At Hertz, we champion and celebrate a culture of diversity and inclusion. We take affirmative steps to promote employment and advancement opportunities. The endless variety of perspectives, experiences, skills and talents that our employees invest in their work every day represent a significant part of our culture - and our success and reputation as a company. Individuals are encouraged to apply for positions because of the characteristics that make them unique. EOE, including disability/veteran
    $16 hourly 60d+ ago
  • Certification Specialist

    Crmresidential

    Claim processor job in Oklahoma City, OK

    Reports to: Community Manager is eligible for overtime. The Certification Specialist will receive general supervision, direction and guidance from the Community Manager. CRM Residential requires a background and drug screening as a condition of employment. Certification Specialist will be required to travel to all necessary training sessions. A valid driver's license and reliable transportation are required. Qualifications: Education: High School diploma or equivalent education required. Experience: Previous certification experience. Experience level may vary due to the special needs of the property. Skills: The position requires the ability to deal well with people and get them to feel comfortable quickly. Proficiency in MS Office (MS Excel and MS PowerPoint, in particular). Must be fluent in Spanish. Attendance: Due to the property staffing limitations, it is extremely critical that the individual be able to work their scheduled hours plus any other hours necessary to complete the job. In addition, the position requires the following: Professional image Be able to multi-task Excellent communication skills and upbeat attitude Strong customer service orientation Good organizational and time management skills Strong administrative ability The Certification Specialist will comply with established policies and authorized approval. Certification Specialist responsibilities include, but are not limited to the following: 1. Resident selection and orientation. In accordance with the Resident Selection Plan. 2. The assistance of leasing of vacant apartments in an expeditious manner per company policy striving for 100% occupancy. 3. The timely recertification and interim recertifications of residents in accordance with HUD regulation and Low Income Housing Tax Credit Program. 4. Maintaining the waiting list book and keeping it up to date in the computer following HUD regulations. 5. Assist with the development of goals and objectives for the property. 6. Resident Files Maintain resident files according to policy outlined in CRM's Occupancy Manual Assist Property Manager in preparation of various file reviews such as: Management Review Mortgagee Inspection 7. Accept daily resident requests and write up corrective work orders as directed by the Maintenance Plus program. 8. Daily management of office duties Open office at prescribed time Immediately handles daily work orders that come in Take applications for prospective residents Compute applications for eligibility, with supporting documents Send out billing notices Greet in-coming guests, respond to mail and handle all incoming telephone calls 9. Additional Skills and Responsibilities Have strong time-management skills Strong communication skills Maintain a professional demeanor Attend required training 10. In absence of the Community Manager, enforcement of the lease and the rules and regulations. 11. Attend training courses as required by CRM Residential. 12. Completion of all required reports as directed by various departments of CRM Residential. 13. Required to observe all federal and local Fair Housing Laws 14. Perform other related duties, as assigned. Job Descriptions are intended to present an illustrative description of the range of duties, the scope of responsibility and the required level of knowledge, skills and abilities necessary to describe the primary functions of the job; they are not intended to reflect all duties performed by those assigned to this classification. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship. Requirements HUD Background required Salary Description $19.00
    $26k-50k yearly est. 60d+ ago
  • Certification Specialist - Charles Atkins

    CRM Residential 3.6company rating

    Claim processor job in Oklahoma City, OK

    Job Description CRM Residential has been a trusted name in the property management industry for over 46 years specializing in affordable housing. Our success story is a testament to the dedicated and talented individuals who have chosen to build their careers with us. We take great pride in our values, and we live and breathe them every day. Working at CRM Residential is so much more than a job, it is a career with purpose. No matter what department or level of the company you join, our mission is to provide a comfortable and reliable home environment for those who need it most and to provide excellent service to our customers. You will make a difference. Why Join the CRM Residential Team: Comprehensive Health Coverage Retirement Savings with employer contribution Bonus Potential Paid Time Off (PTO) Company Paid Holidays Once eligible for enrollment, the company will contribute a Safe Harbor match of 3% of your compensation to your 401(k) account, regardless of whether you choose to make your own contributions. Pay Rate: $16-$19 per hour What You'll Get To Do: The Compliance Specialist will be responsible for keeping abreast of all HUD, state agency, and tax credit rules and regulations concerning occupancy, recertifications, and tax credit related issues. The Compliance Specialist will deal directly with HUD and state agencies in reference to Section 8 contract renewals. This role will be responsible for but not limited to: Prepare monthly, quarterly, and annually reports for Tax Credit Properties Prepare Company Occupancy Reports weekly and for properties and owners Review and critique recertification move in packages at tax credit properties Prepare handouts for training classes and an assist in allocating the cost to each property that attended training Site visits may be required from time to time to offer assistance to onsite staff pertaining to occupancy, file compliance or other tax credit specific areas Attend educational seminars relating to tax credit compliance & other affordable housing Monitor the timely completion of annual recertifications for all sites. Advise Regional Manager of any potential problems Written correspondence with owners and agencies, relating to affordable housing Requirements: High School diploma or equivalent education required. 3-4 years of experience can offset minimum educational requirements for this position. Valid driver's license and reliable transportation Ability to work with a variety of people and make them feel comfortable quickly Strong customer service skills required Must have strong organizational and time management skills Valid driver's license Proficiency at multi-tasking Organizational skills Working knowledge of Microsoft Office software Experience with verifications and renewals Other administrative duties as assigned Onsite Monday-Friday 8:30am-5:00pm Bi-lingual Spanish required About CRM Residential: CRM Residential is an award-winning full-service property management company which professionally manages 11,000+ apartments valued in excess of one billion. We are exclusively third-party so there is no conflict of interest between the properties that we manage for our clients and our own properties, because we do not own any properties. Our focus is dedicated to our clients. We are an equal opportunity employer and welcome applicants from all backgrounds to apply. If you have a passion for property management and a desire to work for a reputable company, we encourage you to apply for this exciting opportunity. Powered by JazzHR 1s7CCCZXVK
    $16-19 hourly 18d ago
  • Claims Representative

    Great American Insurance Company 4.7company rating

    Claim processor job in Tulsa, OK

    Mid-Continent Group, a subsidiary of Great American, based in Tulsa, Oklahoma, specializes in commercial casualty coverages with an emphasis on general liability for the construction, energy, and difficult-to-place business in other industries. Mid-Continent Group provides a broad selection of General Liability, Commercial Auto, Inland Marine and Umbrella products. Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group, a Fortune 500 company, combines “small company” culture with “big company” expertise. Here, your ideas will be heard, and you'll have the support to succeed. With over 35 specialty and property and casualty operations, there are always opportunities to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. Mid-Continent Group is looking for a Claims Representative to join their Multi-Peril Claims team. This individual will work a hybrid schedule from one of our downtown corporate locations in Tulsa, Oklahoma or Cincinnati, Ohio. Remote opportunities will be considered. Essential Job Functions and Responsibilities Manage an inventory of General Liability claims with some litigation. Investigate and maintain claims: Evaluate coverage and liability. Secure necessary information (i.e.: reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims. Actively work toward the resolution of claim files. Attend arbitrations, mediations, depositions, or trials as necessary. Affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority. Convey the complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties while maintaining a professional demeanor in all situations. Ensure compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements. Evaluate and make recommendations to executive management on internal and external issues of strategic importance to a product(s) and/or line of business. Job Requirements Generally, 2+ years of experience handling commercial General Liability claims and auto experience is required. Previous legal experience will be considered. Bachelor's Degree or equivalent experience is required. A Juris Doctor degree is encouraged. A successful candidate will be able to demonstrate strong writing, analytical, communication, and organizational skills. Ability to travel as needed. Company: MCC Mid-Continent Casualty Company Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.
    $32k-40k yearly est. Auto-Apply 60d+ ago
  • Processing Personnel

    Quapaw Nation Careers 3.2company rating

    Claim processor job in Miami, OK

    Job Details Miami, OK Full-Time High School General LaborDescription Job Identification: Processing Personnel Status: Non-Exempt Department: Quapaw Food Services Authority Reports to: Room Lead Work Schedule: Full-time Safety Sensitive: Yes* Driver's License Required: No Position Summary: The Meat Cutter is responsible for breaking down carcasses and fabricating retail cuts that exceed customer expectations. This role includes harvesting livestock, processing meat according to specifications, and ensuring quality control standards. The successful candidate must be dependable, skilled, and capable of working in a team-oriented environment. Essential Job Functions: Harvest livestock in accordance with USDA standards. Break down carcasses and fabricate into retail cuts. Trim meat according to customer specifications. Help monitor daily logs and maintain accurate records. Ensure proper packaging and labeling requirements are met. Maintain a clean and sanitized work environment. Assist in plant operations as needed. Lead by example and maintain a positive team morale. Help solve problems and mentor others to be problem solvers. Deliver an excellent customer experience. Perform other duties as assigned. Non-essential Job Functions: Assist with inventory management. Participate in training sessions to enhance skills. Qualifications Job Specifications: Knowledge, Skills, and Abilities: Reliable and dependable-must be punctual and maintain attendance. Strong attention to detail. Ethical mindset with a commitment to integrity. Ability to remain calm under pressure. Strong communication and teamwork skills. Ability to concentrate and perform detail-oriented tasks. Commitment to safety rules and regulations. Education & Experience: High school diploma or GED equivalent. Familiarity with power tools and processing machinery is a plus. Apprenticeship or specialization in meat cutting is an asset but not required. Previous experience in grocery store or restaurant meat cutting is welcome. On-the-job training is provided for candidates eager to learn a new career. Physical Abilities: Ability to meet the physical demands of the job: prolonged periods of sitting at a desk and working on a computer, standing for prolonged periods, lifting up to 60 pounds. Working Conditions: While performing the duties of this job, the employee is frequently exposed to cold and wet environments and moving mechanical parts and vibration. The noise level in the work environment can be loud. Disclaimers: This encompasses and describes most but not all tasks and responsibilities of the job. The management reserves the right to change the nature of the job and the with or without prior warning, as well as to give special consideration to circumstances related to the essential job functions on a case-by-case basis. The management may require the incumbent to perform other duties as assigned. This job description does not constitute a contract for employment and may be changed at the employer's discretion. PLEASE NOTE: Hiring preference in the following order will be provided to qualified members of the Quapaw Nation followed by spouses and caregivers of Quapaw Nation members and then other federally recognized tribes. The Quapaw Nation requires a designated candidate to successfully complete a pre-employment drug screen, criminal background check, and confirmation of professional references. *The Quapaw Nation will not observe a medical marijuana card for any position deemed safety sensitive in accordance with the Oklahoma Medical Marijuana and Patient Protection Act (Unity Bill).
    $30k-38k yearly est. 60d+ ago
  • Claims Follow-Up Representative

    Parkside Hospital 4.1company rating

    Claim processor job in Tulsa, OK

    Job Details Parkside Hospital - Tulsa, OK Full TimeClaims Follow-Up Representative Job Description Do you enjoy making a difference in a patient's life? Do you enjoy making a difference in your community? Come work at Parkside! Where healing happens. Every day. Parkside Psychiatric Hospital & Clinic is a comprehensive mental healthcare system providing acute in-patient care, residential treatment, and outpatient therapy. With a focus on society's most vulnerable population, Parkside provides world-class mental health services focused on children and young people, ages 5 to 26. For over 65 years, Parkside's physicians, therapists, and staff have provided state of the art, patient-centered care that propel families from hopeful to hope-filled. As a center of excellence, we cultivate talent and provide professional purpose. Together we facilitate healing, one patient at a time. The Claims Follow-Up Representative is responsible for monitoring and managing outstanding insurance claims to ensure timely and accurate reimbursement. This role involves investigating and resolving denied or delayed claims, communicating with insurance providers, and maintaining compliance with industry regulations. The ideal candidate has strong analytical skills, attention to detail, and a thorough understanding of healthcare billing processes. Key Responsibilities: • Claims Follow-Up: Track and follow up on outstanding insurance claims to ensure prompt payment. • Denial Management: Analyze claim denials, identify root causes, and take appropriate corrective actions to appeal or resubmit claims. • Insurance Communication: Contact insurance carriers via phone, email, or online portals to resolve claim issues and obtain payment status. • Documentation: Maintain accurate records of claim statuses, communications, and resolution efforts in the billing system. • Compliance: Ensure adherence to HIPAA regulations, payer policies, and industry guidelines. • Collaboration: Work closely with billing specialists, coders, and other revenue cycle team members to address claim discrepancies. • Reporting: Generate and review aging reports to prioritize follow-up efforts and track claim resolution progress. • Process Improvement: Identify trends in denials and delays, providing feedback to management for process enhancements. • Other duties as assigned. Claims Follow-Up Representative Qualifications • High school diploma or equivalent (Associate's or Bachelor's degree in healthcare administration or a related field is a plus). • 1-2 years of experience in healthcare claims follow-up, medical billing, or revenue cycle management. • Knowledge of insurance guidelines, claims processing, and medical terminology. • Familiarity with Electronic Health Records (EHR) and billing software. • Strong communication and problem-solving skills. • Ability to work independently and meet deadlines in a fast-paced environment. Benefits include: Medical, Dental, and Vision Generous Paid Time Off and Holidays 401K and match start immediately, and includes a generous match Company Paid Life Insurance and Disability and more! We are an Equal Opportunity Employer!
    $27k-33k yearly est. 60d+ ago
  • Claims Analyst/Adjuster (Little Rock AR or Enid, OK)

    Commercial Agribusiness Insurance

    Claim processor job in Rocky, OK

    Triangle Insurance is Now Hiring - Full-Time Claims Analyst/Adjuster - with an option to work out of the Little Rock AR or Enid, OK office. Join our team and immerse yourself in a highly respected organization cemented by a dynamic culture rich with ingenuity and integrity. Our generous compensation packet includes competitive pay, paid time off, exceptional benefits and dual retirement. Claims Analyst/Adjuster - Job Summary: Responsible for processing workers' compensation claims where the injury or illness is limited to medical treatment. This role provides administrative and technical support to claims adjusters and other team members, ensuring efficient processing of claims. Duties/Responsibilities: Administrative: Claim Setup and Data Entry. Receiving new claim information, inputting data into the claims management system, and creating claim files. This may involve gathering initial information from the insured or agent. Document Management. Organizing, scanning, and indexing claim-related documents (e.g., accident reports, photos, medical records, legal correspondence) and maintaining electronic and physical claim files. Communication. Answer phone calls and emails from insureds, agents, witnesses, and other parties involved in the claim, providing updates on claim status and answering general inquiries. Correspondence. Preparing and sending letters, emails, and other correspondence related to claims. This could include requests for information, reservation of rights letters, or settlement offers. Reporting. Generating reports on claim activity, such as open claims, closed claims, and reserve changes. Tracking key metrics and identifying trends. File Review. Reviewing claim files for completeness and accuracy. Ensuring all necessary documents are present and that information is correctly recorded. Support to Adjusters. Assisting claims adjusters with various tasks. System Updates. Maintaining accurate and up-to-date information in the claims management system. Other Administrative Tasks. Performing general administrative duties, such as filing, copying, and ordering supplies. Any others as assigned. Claims Handling (Workers Compensation Medical Only): Claim Intake and Setup. Receiving and processing First Reports of Injury (FROI) or other claim notifications, setting up new claims in the system, and verifying employee information and employer coverage. Medical Treatment Authorization. Reviewing medical treatment requests from healthcare providers to determine if they are reasonable, necessary, and related to the work injury. This often involves applying established medical guidelines and utilizing review protocols. Medical Bill Review. Analyzing medical bills for accuracy, appropriate coding (CPT, HCPCS), and compliance with fee schedules or negotiated rates. Identifying and resolving discrepancies. Communication. Communicating with healthcare providers to obtain medical records, clarify treatment plans, and discuss billing issues, also with employers and claimants. Claim Investigation (Limited). While the focus is medical, some investigation may be needed to confirm the injury occurred at work and is compensable under workers' compensation laws. This might involve gathering information about accidents or incident. Coordination of Care. Working with case managers or nurse case managers (if involved) to ensure appropriate medical care is provided and to facilitate a timely return to work (if applicable, though less common in medical-only claims). Payment Processing. Authorize and process payments to medical providers for authorized treatment. Claim Closure. Closing medical-only claims once treatment is complete and all bills have been processed. Compliance. Adhering to workers' compensation regulations, state-specific guidelines, and company policies. Documentation. Maintaining accurate and detailed records of all claim-related activities, including medical records, billing information, and communication logs. Subrogation. Identify and respond to any recovery potential. Additional Responsibilities: Identify and escalate potential fraud. Provide excellent customer service to all stakeholders. Regular and sustained attendance. Perform other duties as assigned. Required Skills/Abilities: Excellent interpersonal and customer service skills. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage and to draw and interpret bar graphs. Effective organizational skills and attention to detail. Excellent time management skills with a proven ability to meet deadlines. Proficient with Microsoft Office Suite, Teams, and other internal operating systems. Education - Licensing - Certifications - Experience: A bachelor's degree with business experience is preferred, or two (2) or more years of past insurance claims experience may be substituted. High School Diploma required. Adjusters' license in claims is required within the first year of employment. Physical & Work Requirements: The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand, walk, sit, use hands and fingers to grasp, handle, or feel, and reach with hands and arms. The employee must occasionally lift and move up to 10 pounds. Specific vision abilities required by this job include close vision and distance vision. The work environment for this position is normally a climate-controlled environment with moderate noise levels. Safety Sensitive Position (Yes/No): NO Safety-sensitive positions are defined as jobs or positions where the employees holding these positions have the responsibility for their own safety or other people's safety. It would be particularly dangerous if: Such an employee is using drugs or alcohol while on the job. This could include legal or illegal controlled substances. Employees are unable to provide their complete time and attention in performing the sensitive or hazardous tasks of the position. Physical limitations of the job could result in injury or harm to employees or others. DISCLAIMER This Job Description indicates the general nature and level of work expected and does not imply a contract of employment. Employment is at-will. It is not designed to cover every activity, duty, or responsibility required of the employee. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time.
    $28k-44k yearly est. 60d+ ago
  • Veterans Certification Specialist, Veteran Affairs

    Cameron University 4.2company rating

    Claim processor job in Lawton, OK

    POSTED JOB TITLE: Veterans Certification Specialist The Veterans Certification Specialist provides services related to the certification of students to the Department of Veterans Affairs (DVA) for Educational Benefits. This position is responsible for administrative duties associated with the administration and coordination of student certification and providing assistance to students. The Veterans Certification Specialist reports to the Coordinator of Veterans Affairs. Job Duties include, but are not limited to: Professional and efficient execution of Cameron University's commitment to student success KNOWLEDGE RESPONSIBILITIES Understand and comply with rules and regulations of the Department of Veterans Affairs as they relate to the GI Bill and student accessibility. Maintain student confidentiality in accordance with FERPA regulations. Maintain knowledge of policies of other departments (Registrar, Business Office, Admissions, etc.) and understand the impact on a student's GI Bill eligibility. Maintain knowledge academic program requirements. FUNCTIONAL RESPONSIBILITIES Accurately enter certification information in compliance with Federal regulations. Accurately calculate adjustments to certifications. Complete and/or file information to meet end of semester reporting requirements. Accurately calculate and reconcile tuition and fee costs for certifications and adjustments and disseminate information as appropriate with the Business office, including Debt Letter tracking. Accurately track Tungsten system approvals and associated notifications and tasks. Work collegially with all internal and external stakeholders. Assist with preparation and execution of any events hosted by the Veterans Affairs office. Assist with supervision of student staff, duties associated with the student staff and outstanding delivery of student customer assistance. Participate on university committees as assigned. Perform other related duties necessary to support the mission of Cameron University. CUSTOMER SERVICE RESPONSIBILITIES Ensure that students are served efficiently with courtesy and respect. Assist students, and their families, with maximizing student aid, entitlements, and other financial resources to make college attendance as affordable as possible. Coordinate Parent School Letter approvals and assist students with the tracking elements. MINIMUM QUALIFICATIONS: Bachelor's degree from a regionally accredited college or university. Proven track record of excellence in customer service. Ability to communicate diplomatically, clearly, and effectively, both verbally and in writing. Strong interpersonal and communication skills Demonstrated skills in Microsoft Office PREFERRED QUALIFICATIONS: Prior experience processing VA education benefits Military Affiliation Three years of Accounting Experience One or more years directly related experience with Oracle and Ellucian (Banner) system. Demonstrated understanding of educational, administrative and personnel policy and practices within higher education as well as the regional university mission and unique needs of Veterans. Bilingual: Spanish SALARY: Position funded at $30,500/annually plus benefits. Opportunity for performance compensation subject to approval and budgetary availability. PHYSICAL REQUIREMENTS: Ability to lift objects under 15 pounds including using the upper body to raise objects from a lower position to a higher position; ability to reach including extending the arm and hand; ability to stand for short or extended periods of time; ability to engage in repetitive motions including finger dexterity; ability to speak, hear and see. Ability to crouch, climb and walk stairs. INSTITUTION: Cameron University (**************** is a state-supported regional institution located in Lawton, Oklahoma, that offers undergraduate and graduate degrees. Dedicated to excellence, the university provides a wide range of economic, cultural, and educational opportunities for the betterment of all citizens. Master's-level graduate degrees are offered in business, behavioral sciences, and education; baccalaureate programs are offered in more than forty disciplines, and associate degrees are offered in many other studies. The close proximity of Fort Sill contributes to an area rich in cultural diversity and provides the opportunity for frequent cooperative efforts. The combined community of Lawton/Fort Sill has a population of more than 100,000 and is located adjacent to the picturesque Wichita Mountains Wildlife Refuge. A copy of the University's Annual Security Report, listing crime statistics and university policies, is available by contacting the Office of Public Safety or by accessing the report online at ******************** APPLYING: Attachments must include a cover letter indicating experience applicable to position, resume, transcripts (unofficial are acceptable at this point), names, addresses, and telephone numbers of three professional references. Incomplete applications might not be reviewed. DEADLINE: Applications will be accepted until the position is filled. EEO/AA Employer/Vets/Disability JOB #-A1302J
    $30.5k yearly 60d+ ago

Learn more about claim processor jobs

How much does a claim processor earn in Moore, OK?

The average claim processor in Moore, OK earns between $27,000 and $60,000 annually. This compares to the national average claim processor range of $26,000 to $62,000.

Average claim processor salary in Moore, OK

$40,000

What are the biggest employers of Claim Processors in Moore, OK?

The biggest employers of Claim Processors in Moore, OK are:
  1. Sedgwick LLP
  2. Torchmark
  3. MidFirst Bank
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