Claims Examiner, Sr. jobs in Maryland

Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. 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, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner
  • Harford Mutual Insurance Group
  • Bel Air, MD OTHER
  • Job Details

    Level:    Experienced
    Job Location:    Home Office - Bel Air, MD
    Position Type:    Full Time
    Education Level:    4 Year Degree
    Salary Range:    Undisclosed
    Travel Percentage:    Up to 25%
    Job Category:    Insurance

    Description

    WHO WE ARE:

    Harford Mutual Insurance Group is a growing, dynamic community partner located in Bel Air in Harford County, Maryland, offering a positive, diverse, and inclusive work environment with a rich company culture. We provide commercial property and casualty insurance products and services to a regional market. Founded in 1842 on the principles of mutuality for our business clients, our agents, and our company, we believe in insuring opportunity through mutual success® and invite our employees to continue that tradition with respect, integrity, exemplary service, and personal responsibility.

     

    THE OPPORTUNITY

    The Claims Examiner investigates, evaluates, and resolves commercial lines claims and makes recommendations for resolutions from any of Harford Mutual Insurance Group companies.  The incumbent will be expected to handle efficiently, and competently low severity claims in a fast-paced work environment, and to possess comprehensive knowledge of all coverages and claims handling procedures while providing quality claims service to policyholders and agents. 

     

    WHAT YOU’LL DO:

    • Conducts prompt and thorough investigations of commercial line claims within departmental and regulatory guidelines through telephone, written, and other communication methods with policyholders, claimants, attorneys, public adjusters, witnesses, and others with pertinent information.
    • Provides quality claims service to our policyholders and agents by remaining in constant communication with them throughout the claim lifecycle.
    • Evaluates coverage and resolve claims within authority to include ability to draft the respective communications required on the claim.
    • Analyze information to evaluate assigned claims to determine the extent of loss, taking into consideration coverage, damages, liability, and future investigation needs.
    • Demonstrate a general understanding of commercial lines coverage issues, policy forms, contracts, regulatory requirements, and changing legal landscape.     
    • Accurately apply the HMIG reserving practice by continually evaluating claim exposure to establish appropriate and timely reserves over the life of the claim and notify claim management when exposure exceeds authority.
    • Negotiates the disposition of claims with insureds and claimants within delegated authority while developing and employing creative resolution strategies.
    • Establish and execute appropriate action plans to manage claims proactively and promptly with a strategic plan for optimal claim outcomes.  
    • Maintain a claim diary and comply with departmental diary procedures.
    • Excellent organization and problem-solving skills along with the ability to multi-task and prioritize to ensure that all claims are handled efficiently and effectively.
    • Direct and handle subrogation, salvage, and loss recovery efforts on assigned files
    • Continuing education on insurance and claims matters.
    • Performs other duties or special projects as required or as assigned by a supervisor.

     

    WHAT YOU’LL BRING:

    • Four-year college degree; or comparable work experience
    • 0 – 2 years’ experience
    • Willingness to pursue designation

     

    WHO YOU ARE:

    • Ability to understand and analyze policy coverages
    • Strong organizational and time management skills
    • Strong negotiation skills
    • Strong collaborating skills, and an ability to work effectively both independently and as part of a team
    • Comfortable in a fast-paced environment with frequent deadlines; high energy, self-motivated and     proactive
    • Excellent communication and interpersonal skills
    • Ability to multitask, and be flexible regarding workload and assignments
    • Ability to exercise judgment

     

    Visit our Careers Page for more information on our competitive compensation/benefits packages.


  • 15 Days Ago

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Claims Examiner
  • Johns Hopkins Medicine
  • Hanover, MD FULL_TIME
  • Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is ...
  • 24 Days Ago

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Claims Examiner
  • Healthcare Support Staffing
  • Annapolis, MD FULL_TIME
  • Company DescriptionWhy You Should Work For Us:HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placin...
  • 1 Month Ago

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Claims Examiner, Auto
  • Harford Mutual Insurance Group
  • Bel Air, MD FULL_TIME
  • WHO WE ARE: Harford Mutual Insurance Group is a growing, dynamic community partner located in Bel Air in Harford County, Maryland, offering a positive, diverse, and inclusive work environment with a r...
  • 16 Days Ago

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Medical Claims Examiner
  • Johns Hopkins Medicine
  • Hanover, MD FULL_TIME
  • Johns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is ...
  • 6 Days Ago

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Medical Only Claims Examiner
  • Harford Mutual Insurance Group
  • Bel Air, MD OTHER
  • Job Details Level: Entry Job Location: Home Office - Bel Air, MD Position Type: Full Time Education Level: 4 Year Degree Salary Range: Undisclosed Travel Percentage: Negligible Job Category: Insurance...
  • 1 Month Ago

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VCCO #24-164: Claims Investigator Trainee (Newark, NJ)
  • New Jersey Attorney General's Office
  • Newark, NJ
  • The New Jersey Attorney General’s Office – Victims of Crime Compensation Office is seeking two (2) enthusiastic individu...
  • 4/22/2024 12:00:00 AM

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Claims Investigator
  • Daniel J. Hannon and Associates, Inc.
  • Forest Hills, NY
  • Job Description Job Description Company Info: Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance...
  • 4/22/2024 12:00:00 AM

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Claims Investigator
  • Daniel J. Hannon and Associates, Inc.
  • Buffalo, NY
  • Job Description Job Description Company Info: Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance...
  • 4/22/2024 12:00:00 AM

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Card Claim Investigator
  • First Horizon
  • Maryville, TN
  • First Horizon's Card Claim Center serves as the primary point of contact for consumer and small business credit and debi...
  • 4/21/2024 12:00:00 AM

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Claims Examiner -Remote
  • Generis Tek Inc
  • San Antonio, TX
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/20/2024 12:00:00 AM

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Claims Examiner -Remote
  • Generis Tek Inc
  • Boston, MA
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/20/2024 12:00:00 AM

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Claims Examiner -Remote
  • Generis Tek Inc
  • Seattle, WA
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/20/2024 12:00:00 AM

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Claim Examiner
  • Pyramid Consulting, Inc
  • Garden City, NY
  • Immediate need for a talented Claim Examiner. This is a 6+ Months contract opportunity with long-term potential and is l...
  • 4/18/2024 12:00:00 AM

Maryland (US: /ˈmɛrələnd/ (listen) MERR-əl-ənd) is a state in the Mid-Atlantic region of the United States, bordering Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware to its east. The state's largest city is Baltimore, and its capital is Annapolis. Among its occasional nicknames are Old Line State, the Free State, and the Chesapeake Bay State. It is named after the English queen Henrietta Maria, known in England as Queen Mary. Sixteen of Maryland's twenty-three counties border the tidal waters of the Chesapeake Bay estuary and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$64,225 to $82,804

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