Claims examiner Interview Questions

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Claims Examiner interview questions shared by candidates

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Sedgwick
Workers Compensation Claims Examiner was asked...June 19, 2019

Why do you want to leave your current job?

3 Answers

Looking to gain experience in a different line of insurance claims, higher compensation. Less

Looking to further my career in work comp

More options for professional growth

MedPoint Management

Do you know how to process claims? Do you know COB? Do you know how to use EZ CAP?

2 Answers

Yes. I have an experience processing claims. I know how to process COB.

Yes I do

Health Net

What is a CPT? What are the different levels of insurance? Describe a time where you've had to adopt to change and how did you handle it?

2 Answers

CPT is the procedure code. The time I had to adopt change when our department was transferred to a different department. Not only did my bosses change, they made major changes to how we did things. I kept up with the changes by communicating frequently and clearly with my boss in the very beginning of the change. I always asked her for feedback on my work and made sure I was doing everything correctly Less

Who's the recruiting agency that got you in ?

The question was reference an ethical situation?

1 Answers

The regulations ca be used in two ways, negative or positive. I use the regulations and laws to help me achieve the teams goals and some would refer to it as "gray area" but the bottom line is that at the end of the day, the decisions and actions taken are with the rules. Again, my purpose is to use my resources to work for me and not against. Less

Matrix Absence Management

How do you deal with someone you do not like that you work with?

1 Answers

Keep it strictly business related and professional.

Matrix Absence Management

Tell us of any new developments any new state leave laws in the last year..

1 Answers

Told them about some changes of leave laws in California and New York at the time. Less

TRISTAR Risk Management

How do you handle multitasking

1 Answers

Setting most important priorities first

Ohio Department of Job and Family Services

How long have you been doing the job and what makes you a valuable person to do the job.

1 Answers

I told them how long I have been doing it and the experience I can bring to the table of helping out the dept and I'm a very valuable person on the job. Less

CNA

They were very concerned about how I managed time and what I would do if I was overworked as they stated that they were extremely busy and admitted they had a high turnover rate

1 Answers

I told them that I was used to working overtime during my previous career. At the time it was a hourly position (it was later changed to a salaried position) Less

WellPoint

None really but again I had been on so many and I enjoy sales, most came pretty easy. I do love the "where do you see yourself five years from now" question.

1 Answers

Either being awarded an certificate fro best sales person or sitting in the seat you are asking someone that very same question. Less

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