Claims Examiner jobs in Washington
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
Claims Examiner - Workers Compensation
- Cynet Systems
-
SeaTac, WA
CONTRACTOR
-
Job Description:
Pay Range $25hr - $30hr
Responsibilities:- Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
- Negotiates settlement of claims within designated authority.
- Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
- Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
- Prepares necessary state fillings within statutory limits.
- Manages the litigation process; ensures timely and cost effective claims resolution.
- Coordinates vendor referrals for additional investigation and/or litigation management.
- Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
- Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
- Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
- Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
- Ensures claim files are properly documented and claims coding is correct.
- Refers cases as appropriate to supervisor and management.
- Education & Licensing.
- Bachelor's degree from an accredited college or university preferred.
- Professional certification as applicable to line of business preferred.
- Five years of claims management experience or equivalent combination of education and experience required.
- Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
- Excellent oral and written communication, including presentation skills.
- PC literate, including Microsoft Office products.
- Analytical and interpretive skills.
- Strong organizational skills.
- Good interpersonal skills.
- Excellent negotiation skills.
- Ability to work in a team environment.
- Ability to meet or exceed Service Expectations.
- 7 Days Ago
Claims Examiner Trainee
- WPAS
-
Mercer Island, WA
FULL_TIME
- Responsibilities: Work with trainer and/or assigned co-worker to learn and perform review of plan documents and procedures to apply plan provisions, limitations and exclusions when making benefit dete...
- 12 Days Ago
Workers Compensation Claims Specialist
- Stop Claims Corp.
-
Everett, WA
FULL_TIME
- Job DescriptionFast growing corporation looking for a dynamic team member, that can establish strong working relationships with co-workers, clients & negotiate the myriad of issues with all matters La...
- 22 Days Ago
WA - Spokane - 1099 Property Adjuster
- Copper Claims Services, Inc.
-
Spokane, WA
CONTRACTOR
- 1099 Property Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions for Prope...
- 12 Days Ago
Multi-line Insurance Claim Field Adjuster - Minimum 3 Years of Experience
- Intermountain Claims Inc
-
Yakima, WA
FULL_TIME
- Description: Intermountain Claims, Inc., a premier regional independent claim adjusting and insurance services company in business for over 40 years, is seeking to employ a Multi-Line Insurance Claim ...
- 16 Days Ago
Entry-level Paralegal - Now Hiring
- Claims Management Inc
-
Puyallup, WA
FULL_TIME
- Job DescriptionCMI exists to improve the world by championing the injured. We are a rapidly growing firm looking for amazing team members, which in this case, is a skilled and compassionate paralegal....
- 20 Days Ago
Claims Examiner jobs at Popular Companies
Claims Examiner
- US Tech Solutions, Inc.
-
Atlanta, GA
- Job Title: Claims Examiner Location: Remote Duration: 06 months contract (C2H) Job Description: Responsibilities: • Inve...
- 6/11/2024 12:00:00 AM
Claims Examiner
- Manpower
-
El Segundo, CA
- Our client, Legal Industry is seeking a Claims Examiner to join their team. As a Legal Claims Examiner you will be part ...
- 6/11/2024 12:00:00 AM
Claims Examiner
- Insight Global
-
Folsom, CA
- Insight Global is looking for a Claims Examiner for one of their insurance clients in Folsom, CA. This is a fully onsite...
- 6/10/2024 12:00:00 AM
Claims Examiner
- Insight Global
-
Folsom, CA
- The Claims Examiner is responsible for ensuring claims are coded and processed correctly and for meeting production requ...
- 6/10/2024 12:00:00 AM
Claims Examiner
- Capital Blue Cross
-
Harrisburg, PA
- Position Description: This position is responsible for the coding and total processing of claims and triaging claim adju...
- 6/9/2024 12:00:00 AM
Claims Examiner
- The Jonus Group
-
- Position Overview: As a Commercial Auto and General Liability Claims Adjuster, you will be responsible for managing comp...
- 6/8/2024 12:00:00 AM
Claims Examiner
- AIG
-
Cincinnati, OH
- This is a hybrid role in Cincinnati Ohio requiring 3 to 4 days in office. Who we are American International Group, Inc. ...
- 6/8/2024 12:00:00 AM
Claims Examiner
- JCW
-
- JCW is currently recruiting on behalf of a rapidly growing Property & Casualty Insurance Company who are looking to add ...
- 6/7/2024 12:00:00 AM
About Washington
Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$51,855 to $68,763