Claims Examiner jobs in Rochester, NY

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)

Recently Added Claims Examiner jobs

C
Jr Systems Analyst
  • Claims Recovery Financial Services
  • Albion, NY FULL_TIME
  • Job Title: Jr. Systems Analyst Department: Information Technology

    Reports To:     President FLSA Status: Exempt

    Position Summary
    An individual in this role will serve as the bridge between operational needs and the technology available to fill those needs quickly, accurately, and cost-effectively. This individual will interact with stakeholders across the organization, understand business process, identify improvement opportunities, prioritize company efforts on high-impact projects and ensure desired results are achieved. The ability to communicate effectively, manage indirect resources while also participating as a contributor is paramount to success.

    Essential Duties & Responsibilities
    • Understand and document business needs through direct interaction with Operations and Clients.
    • Facilitate organization wide process improvement initiatives.
    • Apply an understanding of the capabilities of technology to solve business problems.
    • Collaborate with internal and external users to understand and document business needs.
    • Design and implement solutions within approved technology toolsets that are reliable, scalable, and meet business needs
    • Complete testing and validation of both individually and peer work to ensure quality solutions.
    • Facilitate functionality reviews and user acceptance testing with stakeholders.
    • Ensures smooth transition of solutions to production, and user acceptance, by providing training and other support as needed.
    • Troubleshoots production issues and bugs to affect timely resolution and minimize business impact.
    • Follows the CRFS System Development Life Cycle in all development activities.
    • Documents all work and associated efforts within CRFS work management system.
    • Updates job knowledge by seeking educational opportunities; reading professional publications and taking on a diverse set of assignments.
    • Other responsibilities as required by business needs and delegated by senior analysts

    Qualifications

    • Prior experience in one or more of the following technologies: SQL Development, Database Development, or SSRS.
    • Knowledge on database T-SQL, stored procedures, basic administration
    • Experience with the Microsoft Office suite.
    • Strong analytical skills, as well as customer service.
    • Ability to balance competing priorities, complex situations, and tight deadlines.
    • Demonstrated attention to detail and ability to work independently.
    • Strong communication skills; demonstrating professionalism, patience, and respect through verbal and written tone.
    • Ability to maintain a high level of confidentiality.


    Claims Recovery Financial Services is committed to equal opportunity for all, without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, age, veteran status, disability, genetic information, or any other protected characteristic. Claims Recovery Financial Services will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at 585-331-9128.
  • 30 Days Ago
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C
Jr Systems Analyst
  • Claims Recovery Financial Services
  • Rochester, NY FULL_TIME
  • Job Title: Jr. Systems Analyst Department: Information Technology Reports To: President FLSA Status: Exempt Position Summary An individual in this role will serve as the bridge between operational nee...
  • 1 Month Ago
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Q
Rep examiner examone
  • Quest Diagnostics Incorporated
  • Rochester, NY FULL_TIME
  • Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on t...
  • Just Posted
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W
Title Examiner/Abstractor
  • WebTitle Agency/CLS
  • Rochester, NY PART_TIME,FULL_TIME
  • This is a full-time on-site (potential for HYBRID or part time) role for a Title Examiner at WebTitle Agency located in Rochester, NY. The Title Examiner will be responsible for conducting title searc...
  • 1 Day Ago
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T
Plans Examiner - Regulatory Compliance
  • T.Y. Lin International
  • Rochester, NY FULL_TIME
  • TYLin is a globally recognized, full-service infrastructure consulting firm committed to providing innovative, cost-effective, constructible designs for the global infrastructure market. With over 3,0...
  • 1 Month Ago
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B
Claims Representative
  • BENE-CARE
  • Webster, NY FULL_TIME
  • Claims Representative Account Services Department: Claims Department FLSA Status: Non-Exempt Employment Status: Full-Time; Monday-Friday 8:30-5:00 Salary: $50,000 - $55,000 Essential Duties and Respon...
  • 20 Days Ago
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0 Claims Examiner jobs found in Rochester, NY area

About Rochester, New York

Rochester is at 43°9′56″N 77°36′41″W / 43.16556°N 77.61139°W / 43.16556; -77.61139 (43.165496, −77.611504). The city is about 73 miles (120 km) east-northeast of Buffalo and about 87 miles (140 km) west of Syracuse and Albany, the state capital is 226 miles (360 km) to the east ; it sits on Lake Ontario's southern shore. The Genesee River bisects the city. Toronto, Canada is northwest 168 miles (270 km) and New York City is about 350 miles (560 km) to the southeast. According to the United States Census Bureau, the city has a total area of 37.1 square miles (96 km2), of which 35.8 square m...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$47,098 to $62,453
Rochester, New York area prices
were up 1.5% from a year ago
View detail