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)
Conduct investigations of various auto and property claims over the phone, accurately recording information, and analyzing photos and police / medical reports.
You will also determine coverage and liability by applying provisions of policy contracts in compliance with regulatory requirements and internal quality procedures.
Use your people skills and business smarts to provide excellent customer service by communicating with policyholders, claimants and vendors to promptly resolve problems. Required Qualifications :
Preferred Qualifications :
Last updated : 2024-02-23
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