Claims Examiner, Sr. jobs in Miami, FL
Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. 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, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Claims Examiner, Sr. jobs
Sr. Reinsurance Claims Examiner
- Everest Global Services, Inc.
-
Miami, FL
FULL_TIME
- Title: Sr. Reinsurance Claims Examiner Company: Everest Global Services, Inc. Job Category: Claims Job Description: Everest is a leading global reinsurance and insurance provider, operating for nearly 50 years through subsidiaries in the Europe, Bermuda, Canada, Singapore, US, and other territories. Our strengths include extensive product and distribution capabilities, a strong balance sheet, and an innovative culture. Throughout our history, Everest has maintained its discipline and focuses on creating long-term value through underwriting excellence and strong risk and capital management. But the most critical asset in this organization is our people. At Everest, we are committed to the development of our people. We offer dynamic training & professional development to our employees. You will benefit from career development and learning opportunities that will let you set career goals and fulfill them, including: • Generous tuition/continuing education reimbursement • Mentoring opportunities • Flexible work arrangements • Talent development initiatives • Networking groups Everest Reinsurance Company, a member of Everest Group, is a company with $14 Billion of Gross Written Premiums and a global leader in reinsurance with a broad footprint, deep client relationships, underwriting excellence, responsive service, and customized solutions. We are seeking for a motivated and energetic individual to join our Company as Sr. Reinsurance Claims Examiner, based in Miami, FL. This position is intended to support Everest Re’s continuing expansion in international facultative reinsurance. The appointment will reinforce our commitment to providing clients and distribution partners with best-in-class claims solutions. The candidate will have multiple claims responsibilities including but not limited to investigating, evaluating, and resolving property and casualty claims and provide oversight to TPA adjusters with certain degree of latitude for independent judgment. As well as managing a broad claims portfolio, the successful candidate will assist with the training and development of the wider claims team. The role requires an innovative and inquisitive mindset to contribute to the continuous improvement of our working practices and to add to our analytical capabilities. The role holder will be required to embrace the Everest Core Values: Agility, Be a champion of company success, Collaboration, Development. The Everest Core Values are the foundation upon which we (a) conduct our work, and (b) conduct ourselves both internally with our colleagues, and externally with clients/customers. The Company's success and that of our employees begins with these values. All employees are expected to support and exhibit these values in their interactions with others and through their day-to-day responsibilities. Responsibilities include but not limited to: Adjust reinsurance claims within policy terms and market business practices, in line with Everest Re policy and designated handling authority. Contribute to the development of the claims function. Managing and directing adjusters, appraisers, experts, and other vendors in accordance with our guidelines. Liaise, collaborate, and develop relationships with our internal and external clients on all claim matters associated with assigned accounts. Work closely with the Miami based treaty claims team, the International claims team and within the broader global reinsurance claims division. Support the Underwriting team in market studies, client visits and claim audits. Participate in due diligences as part of a cross-functional transaction team. Travel may be required. Qualifications, Education & Experience: Bachelor’s degree required with advanced degree and insurance/reinsurance designations preferred. 5 – 8 years of commercial insurance or reinsurance property/casualty claim-related experience preferred. Claim reinsurance technical or audit experience preferred. Capable of working independently as part of a broader integrated claims team. Leadership qualities. Strong numerical and problem-solving skills. Engagement in continuous personal and professional development activities including but not limited to undertaking relevant exams (ARe, CPCU, etc). Knowledge, Skills & Competencies: The successful candidate will work directly with the Miami / International Claims team and must thrive in a dynamic, small team environment while being capable of working effectively within a larger, multinational environment. Broad facultative cross class claims handling experience preferred. Experience handling large, complex claims particularly financial lines and in energy and heavy industries preferred. Experience using P2P messaging systems preferred. Superior oral and written communication skills including the ability to concisely present a set of complex facts, provide analysis and make recommendations. Bilingual, English and Spanish required; Portuguese is a plus. Proficiency in MS Office (Word, Excel and Access) is required. Our Culture At Everest, our purpose is to provide the world with protection. We help clients and businesses thrive, fuel global economies, and create sustainable value for our colleagues, shareholders and the communities that we serve. We also pride ourselves on having a unique and inclusive culture which is driven by a unified set of values and behaviors. Click here to learn more about our culture. Our Values are the guiding principles that inform our decisions, actions and behaviors. They are an expression of our culture and an integral part of how we work: Talent. Thoughtful assumption of risk. Execution. Efficiency. Humility. Leadership. Collaboration. Diversity, Equity and Inclusion. Our Colleague Behaviors define how we operate and interact with each other no matter our location, level or function: Respect everyone. Pursue better. Lead by example. Own our outcomes. Win together. All colleagues are held accountable to upholding and supporting our values and behaviors across the company. This includes day to day interactions with fellow colleagues, and the global communities we serve. #LI-Hybrid #LI-CK1 Type: Regular Time Type: Full time Primary Location: Miami, FL Additional Locations: Everest is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion or creed, sex (including pregnancy), sexual orientation, gender identity or expression, national origin or ancestry, citizenship, genetics, physical or mental disability, age, marital status, civil union status, family or parental status, veteran status, or any other characteristic protected by law. As part of this commitment, Everest will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Everest Benefits at everestbenefits@everestglobal.com. Everest U.S. Privacy Notice | Everest (everestglobal.com) EVEREST is a leading international reinsurance and insurance group with an extensive distribution network that spans five continents. With roots dating back to 1973, Everest has developed a global footprint and deep client relationships that are largely unmatched by its peers. The Company’s principal business strategies seek to leverage its strengths to optimize returns over the underwriting cycle, thereby creating value for its shareholders and business partners.
- 1 Month Ago
Examiner, Claims
- Independent Living Systems
-
Miami, FL
FULL_TIME
- About UsJoin us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiari...
- 1 Month Ago
Senior Claims Examiner
- PayerFusion Holdings LLC
-
Coral, FL
FULL_TIME
- JOB DESCRIPTIONAbout Us:We are a service-based company and as a licensed Third-Party Administrator, we are seeking only top talent and experienced personnel in order to meet and exceed our client's ex...
- 22 Days Ago
Property Damage Advisor
- Adjust Up Claims
-
Miami, FL
CONTRACTOR
- SEARCHING FOR OUR NEXT PROPERTY DAMAGE ADVISOROverachievers Only $50k-$300kAverage can earn $50kHigh Producers will earn $250k Location: Miami, FL. Opportunity to Work RemotelyWork Type: Part/Full Tim...
- 22 Days Ago
Door to Door Sales Advisor
- Adjust Up Claims
-
Doral, FL
CONTRACTOR
- SEARCHING FOR OUR NEXT DOOR TO DOOR SALES ADVISOR Overachievers Only $50k-$300kAverage can earn $50kHigh Producers will earn $250k Location: FloridaWork Type: Part/Full Time Independent ContractorComp...
- 22 Days Ago
Billing/Data Entry Clerk
- Claims and Risk Management Services
-
Miami, FL
FULL_TIME
- Data entry operator responsibilities include collecting and entering data in databases and maintaining accurate records of valuable company information. Our ideal candidate has essential data entry sk...
- 1 Month Ago
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0 Claims Examiner, Sr. jobs found in Miami, FL area
Claims Examiner -Remote
- Generis Tek Inc
-
Miami, FL
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/25/2024 12:00:00 AM
Property Damage Claims Adjuster
- Ascendant Insurance Solutions
-
Coral Gables, FL
- Ascendant Claims Services LLC, (an affiliate of Ascendant Commercial Insurance Inc.) is a third-party claims administrat...
- 4/25/2024 12:00:00 AM
Litigation Paralegal
- Leeds Professional Resources
-
Miami, FL
- Our client is seeking a Senior Litigation Paralegal to join their team! This role requires experience in Personal Injury...
- 4/24/2024 12:00:00 AM
Personal Injury Paralegal
- Leeds Professional Resources
-
Miami, FL
- Our client is seeking a Personal Injury Litigation Paralegal to join their team! This role requires experience in Person...
- 4/24/2024 12:00:00 AM
Paralegal
- Insight Global
-
Fort Lauderdale, FL
- Must-haves 1. Proven working experience as a Litigation Paralegal. 2. Knowledge of motions, evidence, court rules, and p...
- 4/24/2024 12:00:00 AM
Claims Examiner –Remote
- Generis Tek Inc
-
Miami, FL
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/23/2024 12:00:00 AM
Personal Injury Paralegal
- Leeds Professional Resources
-
Miami, FL
- Our client is seeking a Personal Injury Litigation Paralegal to join their team! This role requires experience in Person...
- 4/22/2024 12:00:00 AM
Senior Auto Claims Examiner | Remote
- King's Insurance Staffing
-
Miami, FL
- Our client has been experiencing continued growth and seeking to add a Senior Auto Liability/Bodily Injury Claims Examin...
- 4/22/2024 12:00:00 AM
About Miami, Florida
Miami, officially the City of Miami, is the cultural, economic and financial center of South Florida. Miami is the seat of Miami-Dade County, the most populous county in Florida. The city covers an area of about 56.6 square miles (147 km2), between the Everglades to the west and Biscayne Bay on the east; with a 2017 estimated population of 463,347, Miami is the sixth most densely populated major city in the United States. The Miami metropolitan area is home to 6.1 million people and the seventh-largest metropolitan area in the nation. Miami's metro area is the second-most populous metropolis i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$60,114 to $77,503
Miami, Florida area prices
were up 2.9% from a year ago
were up 2.9% from a year ago
What does a Claims Examiner, Sr. do?
Claims Examiner, Sr. in Riverside, CA
Health Claims Examiners, or Health Information Technicians, enter data electronically to process transactions.
December 14, 2019
Claims Examiner, Sr. in Evansville, IN
If you’re in dire straits, we can advise you on steps to get the OWCP claims examiner to pay attention to your needs, such as contacting the Department of Labor’s district director, or the national director via mail.
February 12, 2020
Claims Examiner, Sr. in Springfield, IL
No, the examiner is only involved in performing the exam and providing the results to the claims processor.
January 13, 2020