Claims Examiner jobs in the United States
Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner jobs
Auto Claims Examiner
- Allcat Claims Service, LLC
-
US TX Remote, TX
FULL_TIME
- ABOUT ALLCAT CLAIMS SERVICE Allcat Claims Service is an energetic company that places a high emphasis on learning and personal development by supporting and challenging its people to reach their full potential. As a result, Allcat Claims Service places a premium on customer service, quality, and rapid integration of emerging technology. Most importantly, we pride ourselves on handling claims both professionally and ethically. Our commitment to “Raising the Bar” has allowed us to grow our client and adjuster relationships over the years into something special. The experience of our team and their work ethic is unparalleled in the claims industry. DESCRIPTION This is a remote position that provides auto claims service to customers using multiple communication channels. Within defined guidelines and framework, responsible for investigating, evaluating, negotiating and adjusting complex injury claims presented by or against a policyholder. The role will include confirming coverage, determining liability and equitably settling claims in compliance with all state and regulatory requirements. Works under minimal supervision to perform work assignments and problem resolution. Accountable for delivering a high level of service in every interaction through setting appropriate expectations, proactive communications, advice and empathy. This role will also provide the opportunity to utilize leadership and conflict management skills as you guide the customer through the claims and repair process. JOB RESPONSIBILITIES Accountable for delivering best in class claim service through setting appropriate expectation proactive communications. Provides claims service via internal channels (phone/fax/email/mail) to insureds and third-party customers. Claim ownership and adjusts moderately complex to complex Bodily Injury claims, PIP/Med Pay, UM/UIM and Personal Liability claims as well as all auto physical damage associated with those claims. Severity of injury includes demonstrable injuries (e.g. traumatic brain injury, disfigurement, fatality). Identify, confirm, and make coverage decisions on complex claims. Investigate loss details, determine legal liability, evaluate, negotiate, and resolve claims within appropriate authority guidelines. Clearly document thought process, investigation, evaluation, negotiation and settlement decisions. Prioritize and manage assigned claims workload to keep policyholders and other involved parties informed, and provide timely claims status updates. Collaborate and support team members to resolve issues and identify appropriate matters for escalation. Serves as a resource for team members with less experience. Acquires and applies basic knowledge of Property & Casualty insurance industry products, services, and processes to include P&C insurance policy contracts and coverage's and the claim handling process and procedures. Ability to maintain discretion in business relationships and exercise sound business judgement Supports workload surges and/or Catastrophe operations as needed. MINIMUM REQUIREMENTS Bachelor’s degree 10 years of auto liability and casualty adjusting experience Current global auto adjuster license or acquisition and maintenance of state adjuster licenses Deep knowledge and understanding of the auto claims contract as well as application of case law, state laws and regulations. Mentoring/Training adjusters Reviewing and approving work of other adjusters Strong customer service, communication, organizational skills. Ability to interface with internal and external customers in a pleasant manner on an ongoing basis. Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for overall improvement of the organization. Must be accurate and detail-oriented. Ability to muti task and learn new technologies. Working knowledge of Microsoft Office applications, such as Outlook, Excel, and Word. Preferred Requirements Insurance designation / Master’s degree 5 years of Auto Claims Management experience Medical bill review experience Litigation experience Guidewire Claim System knowledge a plus Familiarity with CCC/Mitchell/ Audatex estimating platforms Fluent in English and Spanish: speak, read and write BENEFITS · Eligibility to participate in Comprehensive Benefits Package: Medical, Dental and Vision, 401K, Paid Time Off and Paid Holidays, in accordance with Company policy. Salary: $66,000-$99,000 annual salary Allcat Claims Service, LP is a total solution provider for all of your insurance claims needs. We can handle all aspects of your claims process, including initial calls received during normal business hours; as well as weekends, after hours and emergency call centers. We can also handle the estimating, closing and issuing of checks for the claim as well as issuing depreciation holdback and indemnity checks. With our real-time electronic reporting and tracking of claims, you will always be able to have the most updated information for your organization to make the most informed decisions. We have the knowledge and the team in place to make your claims department the best that it can be.
- 24 Days Ago
Examiner OTAI LA
- TM Claims Service Inc.
-
Pasadena, CA
FULL_TIME
- Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the ar...
- 20 Days Ago
Claims Examiner
- Berkley Environmental
-
Jersey, NJ
FULL_TIME
- W. R. Berkley Corporation, founded in 1967, is one of the nation’s premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account e...
- 10 Days Ago
Claims Examiner
- academy
-
Katy, TX
FULL_TIME
- Come work at a place where we take pride in creating a workplace environment that values hard work, commitment, and growth. Job Description: Education: High School diploma or equivalent required Assoc...
- 10 Days Ago
Claims Examiner
- BizTek People, Inc. | APA International Placement Consultants
-
Whittier, CA
FULL_TIME
- POSITION SUMMARY:Contract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functi...
- 10 Days Ago
Claims Examiner
- Fortuna BMC
-
Folsom, CA
FULL_TIME
- Pay: $20 - $26 per hourLocation: Folsom, CAEmployment Type: Full-time WHAT WE OFFER: Competitive pay rates based on experience and expertise Comprehensive benefits package including medical, dental, a...
- 10 Days Ago
Claims Examiner jobs at Popular Companies
Medicare Licensed Insurance Agent - UnitedHealthcare/AARP
- UHC/AARP Medicare Solutions
-
Columbus, OH
- Job Description Job Description AEP begins 10/15/2024-12/07/2024 OEP begins 01/01/24-03/31/2024 SEP 1/1/24-09/30/24 for ...
- 5/19/2024 12:00:00 AM
Insurance Sales Executive
- Ohio Public Risk Insurance Agency
-
Westerville, OH
- Job Description Job Description We are expanding and recruiting licensed sales professionals to join our team of profess...
- 5/18/2024 12:00:00 AM
Insurance Agent Dayton Ohio
- Associated Insurance Agencies
-
Westerville, OH
- Job Description Job Description Benefits/Perks: Competitive Pay Professional Development Job Stability in a growing indu...
- 5/17/2024 12:00:00 AM
Licensed Property & Casualty Insurance Agent (Remote) – (English or Bilingual Spanish)
- Concentrix
-
Columbus, OH
- Job Title: Licensed Property & Casualty Insurance Agent (Remote) (English or Bilingual Spanish) Job Description ****Must...
- 5/17/2024 12:00:00 AM
Licensed Property & Casualty Insurance Agent (Remote NV) – (English or Bilingual Spanish)
- Concentrix
-
Columbus, OH
- Job Title: Licensed Property & Casualty Insurance Agent (Remote NV) (English or Bilingual Spanish) Job Description ****M...
- 5/17/2024 12:00:00 AM
Licensed Property & Casualty Insurance Agent (Remote GA) – (English or Bilingual Spanish)
- Concentrix
-
Columbus, OH
- Job Title: Licensed Property & Casualty Insurance Agent (Remote GA) (English or Bilingual Spanish) Job Description ****M...
- 5/17/2024 12:00:00 AM
*Consultive Insurance Career - NO COLD CALLING - Renewal Income - FREE Warm Leads and No Prior Exper
- TAG
-
Columbus, OH
- Job Description Job Description The Assurance Group (www.assuregrp.com) is looking for the right person to fill a consul...
- 5/17/2024 12:00:00 AM
Account Representative - State Farm Agent Team Member
- Trenton Karlson - State Farm Agent
-
Grove City, OH
- Job Description Job Description ROLE DESCRIPTION: Trenton Karlson - State Farm Agent is seeking an organized and efficie...
- 5/15/2024 12:00:00 AM
Income Estimation for Claims Examiner jobs
$47,982 to $63,628