Claims Examiner jobs in Jacksonville, FL
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 2025 Salary.com)
Recently Added Claims Examiner jobs
Claims Examiner
- Fortegra
-
Jacksonville, FL
FULL_TIME
-
Primarily responsible for providing exceptional customer service to our clients. Take incoming calls using our Web Warranty/Web Claim program. Review claims for approvals, distribution of authorizations or sending of denial letters. Helps to enforce contractual requirements impartially and expeditiously. Adjudicate, investigate and/or deny claims by verifying submitted information, coverage issued, and other pertinent information. Identify claims of a potentially fraudulent nature and refer to management for review. Monitor and process claims to meet the demands of a production environment and to adhere to established service standards.
- Process claims via our phone and portal systems using Web Warranty/Web Claims program.
- Handle customer service questions or transfer call to appropriate numbers.
- Adjudicate claims based off the terms and conditions of the service contract.
- Follow-up with Service Providers and Technicians for required claims information.
- Complete Claim Administration functions.
- Handle ESC Resend Requests.
- When required, may send cleaning products to customers.
- Participate in any projects, reports, documentation, tasks or objectives assigned.
Qualifications- High School Diploma or equivalency required.
- 2 or more years experience with claims and/or other related claims processes is required.
- 1-2 years of customer service experience preferred. Bilingual (Spanish/English) highly preferred.
- Demonstrate exceptional customer service skills and stellar telephone etiquette with professional dictation and written communication skills.
- Strong e-mail and internet skills Ability to analyze/resolve problems and adapt to change.
- MS Office Suite, including word, excel and access (typing min 50 wpm).
- Must be able to multi-task (computer, phone, and documents/reference manuals).
Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.
All your information will be kept confidential according to EEOC guidelines. - 14 Days Ago
Field Claims Adjuster
- EAC Claims Solutions LLC
-
Jacksonville, FL
CONTRACTOR
- At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and comp...
- 1 Month Ago
Subrogation Claims Specialist
- Eckert & Associates, P.A. - Downtime Claims
-
Fleming, FL
FULL_TIME
- Position: Subrogation Claims SpecialistLocation: In Person, In Office – Fleming Island, FL 32003Reports to: Attorney & ManagerPosition Description:We are seeking a highly motivated and experienced Sub...
- 21 Days Ago
Paramedical Examiner
- American Para Professional Services
-
Jacksonville, FL
FULL_TIME
- APPS Paramedical is the nation’s largest and most technologically advanced health information provider. Our network of health professionals conducts physical examinations, testing, and personal health...
- 1 Month Ago
Paramedical Examiner
- American Para Professional Services
-
Orange, FL
FULL_TIME
- APPS Paramedical is the nation’s largest and most technologically advanced health information provider. Our network of health professionals conducts physical examinations, testing, and personal health...
- 1 Month Ago
Property Desk Adjuster
- EAC Claims Solutions LLC
-
Jacksonville, FL
CONTRACTOR
- At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and comp...
- 1 Month Ago
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0 Claims Examiner jobs found in Jacksonville, FL area
Licensed Medicare Insurance Agent - UnitedHealthcare/AARP
- UHC/AARP Medicare Solutions
-
Jacksonville, FL
- Job Description Job Description Health Insurance License required! As a Medicare agent, you review your clients' health ...
- 1/19/2025 12:00:00 AM
Health Agent - Work Remote - Licensed Agents Only - High Commissions!
- PlatinumOneLLC
-
Jacksonville, FL
- Job Description Job Description A Health AND Life Insurance License is required for the position. Please read the full j...
- 1/19/2025 12:00:00 AM
Life Insurance Sales Representative
- Johnson Alliance Life Insurance Group
-
Jacksonville, FL
- Job Description Job Description Be your own boss! Set your own hours! Be in control of how much money you make! We are l...
- 1/19/2025 12:00:00 AM
Life Insurance Broker
- Brittian Life Insurance Group
-
Jacksonville, FL
- Job Description Job Description Job Overview: We are seeking a motivated Insurance Agent to join our team. The ideal can...
- 1/19/2025 12:00:00 AM
Personal Lines Underwriter
- Burns & Wilcox
-
Jacksonville, FL
- Responsibilities Develop and execute marketing plan to drive new and renewal business, including in-person visits, telem...
- 1/19/2025 12:00:00 AM
Commercial Lines Underwriter
- Burns & Wilcox
-
Jacksonville, FL
- Responsibilities Develop and execute marketing plan to drive new and renewal business, including in-person visits, telem...
- 1/19/2025 12:00:00 AM
Outside Sales Career with Free Leads, Superior Support, No Cold Calling
- TAG
-
Jacksonville, FL
- Job Description Job Description The Assurance Group (www.assuregrp.com) is looking for the right person to fill a consul...
- 1/16/2025 12:00:00 AM
Technology Prospecting Specialist
- AD Solutions
-
Jacksonville, FL
- Job Description Job Description Be Part of Something Bigger: Market Development Representative Opportunity in Jacksonvil...
- 1/15/2025 12:00:00 AM
About Jacksonville, Florida
Jacksonville is the most populous city in Florida, the most populous city in the southeastern United States and the largest city by area in the contiguous United States. It is the seat of Duval County, with which the city government consolidated in 1968. Consolidation gave Jacksonville its great size and placed most of its metropolitan population within the city limits. As of 2017 Jacksonville's population was estimated to be 892,062. The Jacksonville metropolitan area has a population of 1,523,615 and is the fourth largest in Florida.
Jacksonville is centered on the banks of the St. Johns ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$46,296 to $61,387
Jacksonville, Florida area prices
were up 1.5% from a year ago
were up 1.5% from a year ago