Claims Examiner jobs in Philadelphia, PA

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

  • 1 Month 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...
  • 1 Month Ago

1
Senior Claims Examiner, Property
  • 14400 Arch Insurance Group Inc.
  • Philadelphia, PA FULL_TIME
  • With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. ...
  • 4 Days Ago

1
Senior Claims Examiner, Property
  • 14400 Arch Insurance Group Inc.
  • Philadelphia, PA FULL_TIME
  • With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. ...
  • 4 Days Ago

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Claims Examiner, Property
  • Arch Capital Group Ltd.
  • Philadelphia, PA FULL_TIME
  • With a company culture rooted in collaboration, expertise and innovation, we aim to promote progress and inspire our clients, employees, investors and communities to achieve their greatest potential. ...
  • 29 Days Ago

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LTD Claims Examiner II
  • Reliance Matrix
  • Philadelphia, PA FULL_TIME
  • Job Responsibilities and Requirements KEY RESPONSIBILITIES *other duties as assigned* Obtains and analyzes information to make claim decisions and payments on LTD, Voluntary disability and Waiver of P...
  • 1 Month Ago

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0 Claims Examiner jobs found in Philadelphia, PA area

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Insurance Agent
  • Bankers Life
  • Philadelphia, PA
  • Entry Level Insurance Sales Agent – Hybrid Remote in PA. Bankers Life® is searching for future agents to work in a fast-...
  • 4/22/2024 12:00:00 AM

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Health Services Plan (HSP) Team Lead (Remote, USA)
  • AmeriHealth Caritas
  • Philadelphia, PA
  • Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are pas...
  • 4/22/2024 12:00:00 AM

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Insurance Agent
  • M & C Insurance Agency, Inc
  • Mount Laurel, NJ
  • Job Description Job Description JOB SUMMARY: M & C Insurance Agency is currently seeking an Insurance Agent to join our ...
  • 4/20/2024 12:00:00 AM

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INSURANCE AGENT - REMOTE
  • The Slaton Agency
  • Philadelphia, PA
  • Are you looking to take your career in a new direction or are you already a licensed insurance agent? At The Slaton Agen...
  • 4/20/2024 12:00:00 AM

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Insurance Agent
  • PFP Services
  • Moorestown, NJ
  • At The Family Security Plan, our focus is on the employee and their growth. From your first day with us, you’ll be joini...
  • 4/19/2024 12:00:00 AM

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HSP Team Lead (Remote, USA)
  • AmeriHealth Caritas
  • Philadelphia, PA
  • Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are pas...
  • 4/19/2024 12:00:00 AM

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Claims Examiner –Remote
  • Generis Tek Inc
  • North Philadelphia, PA
  • Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
  • 4/18/2024 12:00:00 AM

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Remote Insurance Agent
  • Dorr Agency
  • Philadelphia, PA
  • Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
  • 4/18/2024 12:00:00 AM

Philadelphia, sometimes known colloquially as Philly, is the largest city in the U.S. state and Commonwealth of Pennsylvania, and the sixth-most populous U.S. city, with a 2017 census-estimated population of 1,580,863. Since 1854, the city has been coterminous with Philadelphia County, the most populous county in Pennsylvania and the urban core of the eighth-largest U.S. metropolitan statistical area, with over 6 million residents as of 2017[update]. Philadelphia is also the economic and cultural anchor of the greater Delaware Valley, located along the lower Delaware and Schuylkill Rivers, wit...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$50,544 to $67,023
Philadelphia, Pennsylvania area prices
were up 1.0% from a year ago