Claims Examiner jobs in Pennsylvania

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)

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Claims Examiner
  • Pennsylvania Lumbermens Mutual Insurance Company
  • Philadelphia, PA FULL_TIME
  • Pennsylvania Lumbermens Mutual Insurance Company

    Position: Claims Examiner Department: Claims

    Reports To: Casualty Claims Manager

    Position Summary: The purpose of this position is to facilitate, coordinate and expedite the immediate handling of all casualty claims, to control and critique large exposure cases and to resolve claims in a prompt, fair and equitable manner.

    Essential Functions and Responsibilities:

    Establish accurate reserves.

    Determine verification of coverage.

    Delegate settlement authority to adjustors.

    Handle all complicated litigation and critique trial preparation with attorneys.

    Attend mediation and settlement conferences.

    Analyze insurance contracts.

    Communicate with the public.

    Maintain an appropriate diary date on files under direct supervision.

    Ensure that a file is proceeding towards a prompt, fair and equitable claim settlement.

    Direct responsibility for supervision of all subrogation and arbitration handling.

    Knowledge and Skills:

    10 years experience in casualty claims.

    Knowledge of MSOffice.

    Prior supervisory experience.

    Basic knowledge of various applicable state law systems.

    Strong litigation skills.

    Above average reading comprehension and math skills.

    Ability to deal with a variety of personalities.

    Ability to handle difficult situations, including upset policyholders in a courteous and professional manner.

    Experience controlling expenses.

    Proficient negotiation skills.

    Strong oral and written communication skills.

    Strong analytic skills and ability to pay close attention to detail.

    Strong customer service skills.

    Ongoing training through the Insurance Institute of America.

    College degree preferred.

    Physical Requirements:

    Ability to hear.

    Ability to speak clearly.

    Ability to sit for extended periods of time.

    Job Type: Full-time

    Pay: $70,000.00 - $90,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Employee discount
    • Flexible schedule
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Parental leave
    • Professional development assistance
    • Referral program
    • Retirement plan
    • Tuition reimbursement
    • Vision insurance

    Schedule:

    • Monday to Friday

    Work setting:

    • Hybrid work

    Experience:

    • Property & Casualty: 5 years (Preferred)
    • Casualty Claims: 5 years (Preferred)
    • commercial claims: 3 years (Preferred)

    Work Location: Hybrid remote in Philadelphia, PA 19103

  • 26 Days Ago

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Claims Examiner
  • Penn Lumbermens Mutual Ins.
  • Philadelphia, PA FULL_TIME
  • Pennsylvania Lumbermens Mutual Insurance CompanyPosition: Claims Examiner-Property/Casualty Department: Claims Reports To: Claims ManagerPosition Summary: Manage and direct the resolution of a caseloa...
  • 15 Days Ago

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Claims Examiner
  • Capital Blue Cross
  • Harrisburg, PA FULL_TIME
  • Position DescriptionAt Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us ...
  • 1 Month Ago

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Senior Claims Examiner
  • Berkley
  • Philadelphia, PA OTHER
  • Company Details As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers country...
  • 19 Days Ago

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Claims Examiner I
  • PA Treasury Department
  • Scranton, PA FULL_TIME
  • For immediate consideration, please submit a resume and application to: Pennsylvania Treasury Department at careers@patreasury.gov. Questions may be directed to Human Resources at 717-787-5979. The Pe...
  • 1 Day Ago

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Claims Examiner I
  • PA Treasury Department
  • Harrisburg, PA FULL_TIME
  • For immediate consideration, please submit a resume and application to: Pennsylvania Treasury Department at careers@patreasury.gov. Questions may be directed to Human Resources at 717-787-5979. The Pe...
  • 1 Day Ago

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Claims Examiner I
  • Western Growers Family of Companies
  • Irvine, CA
  • Description Part of the Western Growers Family of Companies, Western Growers Assurance Trust (WGAT) was founded in 1957 ...
  • 3/29/2024 12:00:00 AM

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Cargo Claims Examiner
  • Swift Transportation
  • Phoenix, AZ
  • Description Position at Swift Transportation Accelerate your Career! At Swift, our greatest asset is OUR PEOPLE! We stri...
  • 3/29/2024 12:00:00 AM

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Automotive Claims Examiner
  • AmTrust Financial Services, Inc.
  • Boca Raton, FL
  • Overview: AmTrust Financial Services is seeking an individual who have a strong background as an automotive technician t...
  • 3/29/2024 12:00:00 AM

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Reinsurance Claims Examiner
  • Berkley
  • Stamford, CT
  • Company Details: Berkley Re is a specialty P&C reinsurer that provides solutions for insurers with a successful business...
  • 3/28/2024 12:00:00 AM

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Commercial Claims Examiner
  • Safepoint MGA, LLC
  • Tampa, FL
  • Safepoint Insurance is a Property and Casualty insurance carrier based in Temple Terrace, FL. Location: Office in Tampa,...
  • 3/28/2024 12:00:00 AM

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Transportation Claims Examiner
  • Swift Transportation Company
  • Phoenix, AZ
  • **Description** *Position at Swift Transportation* *****REMOTE or Local Opportunity*** Accelerate your Career!** At Swif...
  • 3/27/2024 12:00:00 AM

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Claims Examiner Construction Defect
  • Kinsale Insurance
  • Richmond, VA
  • Kinsale Insurance is an Excess & Surplus lines insurer specializing in hard-to-place, small to medium sized commercial a...
  • 3/27/2024 12:00:00 AM

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UI Collections Claims Examiner
  • Texas Workforce Commission
  • Austin, TX
  • WHO WE ARE: Texas Workforce Commission connects people with careers across the state. While we are based in Austin, just...
  • 3/26/2024 12:00:00 AM

Pennsylvania (/ˌpɛnsɪlˈveɪniə/ (listen) PEN-sil-VAY-nee-ə), officially the Commonwealth of Pennsylvania, is a state located in the northeastern and Mid-Atlantic regions of the United States. The Appalachian Mountains run through its middle. The Commonwealth is bordered by Delaware to the southeast, Maryland to the south, West Virginia to the southwest, Ohio to the west, Lake Erie and the Canadian province of Ontario to the northwest, New York to the north, and New Jersey to the east. Pennsylvania is the 33rd-largest state by area, and the 6th-most populous state according to the most recent of...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$47,638 to $63,174