Claims Investigator jobs in the United States

The Claims Investigator examines, and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates and processes insurance claims and makes recommendations for resolution. Being a Claims Investigator has contact with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Claims Investigator determines settlement according to organization practices and procedures. Typically requires a bachelor's degree. Typically reports to a supervisor or manager. Being a Claims Investigator works on projects/matters of limited complexity in a support role. Work is closely managed. Working as a Claims Investigator typically requires 0-2 years of related experience. (Copyright 2021

OS&D Claims Analyst
  • Dayton Freight
  • Dayton, OH
  • Investigation and determination of new claims * Reinvestigation and determination of disputed claims * Investigation and determination of interline claims * Continually work with Claims Supervisor on ...
  • 14 hours ago

Medical Only Claims Examiner
  • Modis
  • Jersey City, NJ
  • The Worker's Compensation Medical Only Claims Adjuster is responsible for the prompt and effective investigation of worker's compensation claims involving injuries that require medical treatment but ...
  • 15 hours ago

Auto Field Claims Representative I, II, Sr. (depending on experience)
  • National General Insurance
  • Stockton, CA
  • Summarize claims in excess of authority and submit to manager for approval * Maintain relations ... Receive claim assignments and verify/investigate coverage and document all appropriate information ...
  • 22 hours ago

Workers Compensation Claims Examiner Medical Only
  • Tristar Insurance
  • Long Beach, CA
  • Initiates and conducts claims investigation in a timely manner.* * Medical only, indemnity. * Determines compensability of claims and administer benefits, based upon state law and in accordance with ...
  • yesterday

Claims Examiner
  • D3 Legal Search, LLC
  • Atlanta, GA
  • Investigate coverage issues. * Draft actions plans, including coverage recommendations, for the approval of Claims Managers. * Establish and revise claim reserves based on claim developments and ...
  • 2 days ago

Surveillance Investigator
  • APEX
  • San Jose, CA
  • ... fraudulent claims. We are currently seeking qualified candidates for our Surveillance Investigator position. This is a full-time position and where investigators perform stationary and mobile ...
  • 5 days ago

Claims Examiner
  • Cognizant
  • Plano, TX
  • ICD-9), and POS/TOS codes to render accurate claims decisions.  ANALYZE patient and medical information to identify whether investigation for Coordination of Benefits, Subrogation, Worker ...
  • 6 days ago

Medical Only Claims Specialist Trainer I/II
  • Accident Fund Insurance Company of America
  • Lansing, MI
  • ... Investigative Services. Additional Responsibilities of Medical Only Claims Specialist Trainer II: · Mentors and provides support to Medical Only Claim Specialists team. · Participates in the ...
  • 6 days ago

Income Estimation for Claims Investigator jobs
$39,447 to $57,234