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)
HOW TO APPLY: Candidates interested in being considered for this position must submit an employment application to the Schoharie County Department of Personnel & Civil Service, 284 Main Street, PO Box 675, Schoharie, NY 12157, (e-mail civilservice@co.schoharie.ny.us) by the close of business on APRIL 30, 2024. Applications can be obtained in the Personnel Office or online at www.schohariecounty-ny.gov
May perform any or a combination of assignments in connection with determining financial eligibility, categorical classification, continued financial eligibility and income maintenance depending on the size, organizational structure and work activity needs of the social service district. The work involves the review and evaluation of applications and records and direct interviews with applicants. Work is performed under the supervision of a higher ranking Social Welfare Examiner, except in smaller agencies where work is supervised by a high ranking administrator. Does related work as required.
This will be a provisional appointment; permanent appointment will be contingent upon successful completion of the currently announced Civil Service examination* and becoming reachable on the resulting eligible list.
MINIMUM QUALIFICATIONS:
(A) Graduation from a regionally accredited or New York State registered college or university with a Bachelor’s degree, OR
(B) Graduation from a regionally accredited or New York State registered college or university with an Associate’s degree in a fiscal, business or governmental administration program, OR
(C) Graduation from high school or possession of a high school equivalency diploma, AND
(1) Two (2) years of experience in examining, investigating or evaluating claims for assistance, veterans’ or unemployment benefits, insurance or a similar program operating under established criteria for eligibility; OR
(2) Two (2) years of experience assisting the public in completing and/or processing applications in a social service setting.
NOTE: Part-time employment can be pro-rated to count towards full-time (based on number of hours worked per week) and a higher level of education can be pro-rated for experience up to a year.
Job Type: Full-time
Pay: From $40,415.00 per year
Benefits:
Schedule:
Work Location: In person
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