Also referred to as: Claim Review and Settlement Examiner I, Insurance Claims Examiner I
Requirements and Responsibilities

Claims Examiner I reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner I 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 I determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner I work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner I typically requires 0-2 years of related experience.

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