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

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. Has contact with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. Typically requires a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Claims Examiner typically requires 0-2 years of related experience.

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