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...19 June 2019

Why do you want to leave your current job?

4 Answers

Looking to further my career in work comp

More options for professional growth

Looking to further my career

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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 ?

TRISTAR Risk Management

How do you handle multitasking

1 Answers

Setting most important priorities first

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

James River Group

About 10 behavioral questions, be prepared and learn the S.T.A.R. responses- Tell me about a time you had multiple tasks to do at one time, how would you prioritize them.

1 Answers

New losses, voice mails, emails, work list

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

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

Sedgwick

Typical interview questions, caseload, jurisdictional knowledge, years of experience

1 Answers

Straightforward with nothing out of the ordinary

Sedgwick

How would you handle a customer that is upset

1 Answers

I would listen to what they had to say,let them vent, then defuse the situatuation Less

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