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.
- Just Posted
Workers' Compensation Claims Examiner
- Intermountain Claims Inc
-
Missoula, MT
FULL_TIME
- Job Description Intermountain Claims, Inc., a premier regional independent claims adjusting company is seeking to hire an additional Workers’ Compensation Claims Examiner to work in our Missoula, MT o...
- 13 Days Ago
Property Claims Examiner
- K2 Claims Services, LLC
-
Harrisburg, PA
FULL_TIME
- Property Claims Examiner K2 Claims Services, LLC (K2 Claims) is seeking Property Claims Examiner to join its Claims Team. This position will be primarily remote with occasional meetings/trainings in H...
- 13 Days Ago
Workers Compensation Claims Examiner
- TheBest Claims Solutions
-
Riverside, CA
FULL_TIME
- We are currently sourcing candidates for a Claims Examiner position. This position is direct-hire and remote. For this position we are looking for candidates with 3 years of experience handling Califo...
- 13 Days Ago
Workers Compensation Claims Examiner | Must Reside in California
- Sedgwick Claims Management Services Inc.
-
San Diego, CA
FULL_TIME
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
- 20 Days Ago
Claims Examiner
- Centers Plan for Healthy Living
-
Farmingdale, NY
FULL_TIME
- Centers Plan for Healthy Living's goal is to create the ultimate healthcare experience that provides our members, their families, healthcare decision makers, and general caregivers with the guidance a...
- 16 Days Ago
Claims Examiner jobs at Popular Companies
Remote Insurance Agent
- Dorr Agency
-
Powell, OH
- Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
- 4/24/2024 12:00:00 AM
Licensed Independent Medicare Insurance Agent - Remote
- Assurance
-
Columbus, OH
- Medicare agents - sell Medicare Advantage, Medicare Supplement and PDP from home this AEP! Assurance is looking for lice...
- 4/24/2024 12:00:00 AM
Claims Examiner –Remote
- Generis Tek Inc
-
Columbus, OH
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
Remote Insurance Agent
- Propel Personnel
-
Columbus, OH
- Job Description Job Description Remote Insurance Agent Job Overview Join one of the nation’s leading Fortune 100 Insuran...
- 4/22/2024 12:00:00 AM
Senior Auto Claims Examiner | Remote
- King's Insurance Staffing
-
Columbus, OH
- Our client has been experiencing continued growth and seeking to add a Senior Auto Liability/Bodily Injury Claims Examin...
- 4/22/2024 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...
- 4/22/2024 12:00:00 AM
Insurance Agent
- Klutz Agency
-
Westerville, OH
- As an insurance agent at the Klutz Agency, you are committed to helping families and individuals protect what matters mo...
- 4/21/2024 12:00:00 AM
Claims Examiner -Remote
- Generis Tek Inc
-
Columbus, OH
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/20/2024 12:00:00 AM
Income Estimation for Claims Examiner jobs
$47,863 to $63,469