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Remote Disability Examiner Jobs in Ohio (NOW HIRING)

ACCA Careers

2027 Staff Accountant Intern

Dover, OH · On-site +1

$27/hr

Some positions at Novogradac may be open to remote or hybrid work arrangements depending on ... A examination Exhibit a basic understanding of accounting and tax rules Excellent verbal and ...

Huntington

Regulatory Reporting - Accountant III

Easton, OH · On-site +1

$57K - $113K/yr

Remote roles will also have the opportunity to come together in our offices for moments that matter ... disability insurance, retirement savings plan, paid leave programs, paid holidays and paid time off ...

New

Huntington

Regulatory Reporting - Accountant III

Columbus, OH · On-site +1

$57K - $113K/yr

... Examination Council (FFIEC) and Office of the Comptroller of the Currency. Preparation and analysis ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

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All JobsDisability Examiner JobsRemote Disability Examiner JobsRemote Disability Examiner Jobs in Ohio

Remote Disability Examiner information

What is the difference between Remote Disability Examiner vs Remote Medical Reviewer?

AspectRemote Disability ExaminerRemote Medical Reviewer
Required credentialsMedical license, clinical experienceMedical license, clinical experience
Work environmentConducts assessments, interviews, reviews medical recordsReviews medical documentation, evaluates reports
Employer & industry usageInsurance companies, government agenciesInsurance companies, government agencies
Common search intentAssess disability claims, evaluate patient conditionsVerify medical reports, ensure claim accuracy

Remote Disability Examiners and Remote Medical Reviewers both work within the insurance and government sectors, often requiring medical credentials. The key difference is that Disability Examiners conduct assessments and interviews with claimants, while Medical Reviewers evaluate existing medical documentation. Both roles involve remote work and serve similar industries, but their specific responsibilities differ.

What are the key skills and qualifications needed to thrive as a Remote Disability Examiner, and why are they important?

To thrive as a Remote Disability Examiner, you need a strong background in medical terminology, case evaluation, and knowledge of disability laws, often supported by a relevant degree or experience in healthcare or social work. Familiarity with case management systems, electronic medical records (EMRs), and government databases is typically required. Excellent analytical skills, attention to detail, and clear written communication are crucial soft skills for assessing complex cases and documenting findings. These skills ensure accurate and timely disability determinations, maintain compliance, and support fair outcomes for claimants.

What are some common challenges faced by remote Disability Examiners, and how can they be effectively managed?

Remote Disability Examiners often face challenges such as managing large caseloads, staying updated with complex regulations, and ensuring effective communication with claimants, healthcare providers, and team members virtually. To address these, strong organizational skills, regular check-ins with supervisors, and leveraging digital collaboration tools are essential. Maintaining up-to-date knowledge of relevant laws and policies through ongoing training also helps ensure accurate and timely case decisions, even when working remotely.

What are Remote Disability Examiners?

Remote Disability Examiners are professionals who evaluate medical and non-medical information to determine whether individuals qualify for disability benefits, typically for programs like Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). They review medical records, work history, and other documentation to assess eligibility according to established guidelines. Working remotely, these examiners interact with claimants, healthcare providers, and government agencies primarily through digital platforms and phone communications. Their work is critical in ensuring that disability claims are processed accurately and efficiently, even when performed outside a traditional office setting.
What are popular job titles related to Remote Disability Examiner jobs in Ohio? For Remote Disability Examiner jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Remote Disability Examiner jobs in Ohio look for? The top searched job categories for Remote Disability Examiner jobs in Ohio are:
What cities in Ohio are hiring for Remote Disability Examiner jobs? Cities in Ohio with the most Remote Disability Examiner job openings:
Remote Disability Examiner jobs near you

Claims Examiner - Commercial Healthcare

Core Specialty

Cincinnati, OH • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 3 days ago

Job description

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As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims across the U.S.

Key Accountabilities/Deliverables:

  • Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation, and resolution.

  • Provide oversight on claims portfolios within the primary casualty book. Maintain direct contact with insureds, agents, and brokers.

  • Provide oversight on claims portfolios handled by TPAs within the excess casualty book.

  • Engage in rigorous ALAE control and management, by competently selecting, instructing, and managing 3rd party vendors, as appropriate.

  • Gather and analyse information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decision within established authority levels and identifying settlement issues.

  • Establish reserves pursuant to established reserving protocols and reserve authority procedures.

  • Successfully and proactively resolve complex and/or high exposure claims, promptly limiting exposure to the Company. Substantial involvement in mediation negotiations will be required.

  • Adhere to the Panel Counsel Program and all Litigation Management Guidelines.

  • Meet all Reporting Requirements by completing reports timely and accurately, including Large Loss Reports, etc.

  • Liaise and attend meetings with the underwriting team regarding claim trends and other areas of interest.

  • Work with external customers to address questions, resolve problems and maintain rapport.

  • Occasional domestic travel may be required to attend mediations and / or trials.

  • Undertaking general office administrative duties as and when required.

  • Proactively expanding and maintaining awareness of the current market/industry and attend continuing educations programs when available.

  • In addition to the above key responsibilities, you may be required to undertake other duties from time to time as the Company may reasonably require.


Technical Knowledge and Understanding:

  • Must possess a general understanding and knowledge of state and federal laws as they apply to US Specialty Healthcare claims.

  • Must possess a general understanding of policy language/coverages applicable to US Specialty Healthcare.

  • Must understand medical terminology.


Experience:

  • College degree required or equivalent experience

  • Must be licensed as a claims adjuster in their home state - multi-state licensure is preferred.

  • A minimum of 3 years of claims adjusting or legal experience is required. A background in US Healthcare Professional/General Liability is preferred.

  • A prior history of employment as a Healthcare professional or Medical Malpractice attorney is a plus.

  • Must have experience handling Primary and Excess claims. Additional experience handling Reinsurance is preferred.

  • Ability to travel for meetings, mediations and trials as required.

  • Ability to negotiate and be persuasive.

  • Possess strong communication and writing skills.

  • Must be detail oriented and organized.

  • Must possess the ability to work independently and as a team member.

  • Must be a self-starter and possess problem solving skills.

  • Must be able to manage pending caseloads, additional projects and meet all deadlines as set by management


Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over work authorization sponsorship now or in the future for this position.
#LI-Hybrid
#LI-Remote

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At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program

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