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Remote Disability Examiner Jobs in Tennessee (NOW HIRING)

Remote Schedule * Competitive Compensation Package * Bonus Opportunity * Career Growth * A Diverse ... Company Paid Short-Term and Long-Term Disability * Tuition Reimbursement * Paid Time Off and ...

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Remote Disability Examiner information

What is a remote disability examiner?

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 the key skills and qualifications needed to thrive as a remote disability examiner?

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 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 cities in Tennessee are hiring for Remote Disability Examiner jobs?

Cities in Tennessee with the most Remote Disability Examiner job openings:

Claims Examiner, Commercial Trucking | Bodily Injury | Remote

Sedgwick

Only, TN • Remote

$80K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago


Sedgwick rating

7.6

Company rating: 7.6 out of 10

Based on 326 frontline employees who took The Breakroom Quiz

213th of 311 rated insurance


Job description

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

Claims Examiner, Commercial Trucking | Bodily Injury | Remote

PRIMARY PURPOSE OF THE ROLE To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
  • Responsible for litigation process on litigated claims.
  • Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
  • Reports large claims to excess carrier(s).
  • Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
  • Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
  • Communicates claim action/processing with insured, client, and agent or broker when appropriate.

QUALIFICATIONS

Education & Licensing: Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.

  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Secure and maintain the State adjusting licenses as required for the position.

Skills: in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws, knowledge of medical terminology for claim evaluation and Medicare compliance, knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs, strong oral and written communication, including presentation skills, and PC literate, including Microsoft Office products

Work environment requirements include -
Physical: Computer keyboarding
Auditory/visual: Hearing, vision and talking
Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

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 $80,000 to $85,000. 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.

at any time.

Sedgwickis 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.

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