Claims Examiner, Sr. jobs in Philadelphia, PA
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
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. Our work is the catalyst that helps others achieve their goals. In short, We Enable Possibility℠.Responsibilities
- Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis
- Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
- Develop and implement strategy to resolve matters of liability and damages of a particular case
- Maintain contact with the TPA claim staff, business line leader, underwriter, and defense counsel, program manager and broker
- Investigate claim and review the insureds' materials, pleadings, and other relevant documents
- Identify and review of each jurisdiction's applicable statutes, rules, and case law
- Review litigation materials including depositions and expert's reports
- Analyze, and direct risk transfer, additional insured issues and contractual indemnity issues
- Retain counsel when necessary and direct counsel in accordance with resolution strategy
- Analyze coverage, liability and damages for purposes of assessing and recommending reserves
- Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves
- Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
- Negotiate resolution of claims
- Select and utilize structure brokers
- Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to claims inquiries from insured, counsel, underwriters, brokers, and senior management
Education and Experience- Bachelor’s degree required
- Ten to fifteen (10-15) years of work experience at an insurance company and/or insurance claims loss adjustment service provider managing property claims process supporting commercial accounts
- Considerable working knowledge of insurance industry and insurance claims operations particularly in the area of commercial property claims, property policy construction, ISO Commercial Property forms, and property insurance coverage evaluation/interpretation
- Proper adjuster licensing in all applicable states
- Legal concepts and processes knowledge base
- Exceptional communication (written and verbal), influencing, evaluation, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
- Strong time management and organizational skills
- Ability to take part in active strategic discussions
- Ability to work well independently and in a team environment
- Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint, and Word
- Willing and able to travel 10%
#LI-SW1#LI-HYBRIDFor individuals assigned or hired to work in California, Colorado, Jersey City, NJ; New York State; and/or Washington State, the base salary range is listed below. This range is as of the time of posting. Position is incentive eligible.$107,900 - $145,700/year- Total individual compensation (base salary, short & long-term incentives) offered will take into account a number of factors including but not limited to geographic location, scope & responsibilities of the role, qualifications, talent availability & specialization as well as business needs. The above range may be modified in the future
- Clickhereto learn more on available benefits
Do you like solving complex business problems, working with talented colleagues and have an innovative mindset? Arch may be a great fit for you. If this job isn’t the right fit but you’re interested in working for Arch, create a job alert! Simply create an account and opt in to receive emails when we have job openings that meet your criteria. Join ourtalent communityto share your preferences directly with Arch’s Talent Acquisition team. -
- 2 Months Ago
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...
- 2 Months Ago
Claims Examiner, General Liability (Remote)
- FutureRecruit
-
Conshohocken, PA
FULL_TIME
- Claims Examiner, General Liability (Remote)- Full-TimeLocation: West Conshohocken, PA, 19428What you will be doing: Handling non-litigated general liability claims. Entering incident reports in the sy...
- 1 Month Ago
Workers Compensation Claims Examiner III _ New York
- Tristar Insurance
-
Philadelphia, PA
OTHER
- Job Details Level: Experienced Job Location: Philadelphia Office - Philadelphia, PA Position Type: Full Time Education Level: High School Diploma or GED Salary Range: $75,000.00 - $85,000.00 Salary/ye...
- 6 Days Ago
Commercial Auto and General Liability Claims Examiner III
- TRISTAR RISK MANAGEMENT
-
Philadelphia, PA
FULL_TIME
- THIS POSITION CAN BE IN OFFICE OR REMOTE. PLEASE SIGN THE APPLICATION AT THE END POSITION SUMMARY: Responsible for the prompt review of policy information to determine coverage for loss/damage/injury....
- 8 Days Ago
Examiner
- Quest Diagnostics Incorporated
-
Voorhees, NJ
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...
- 13 Days Ago
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0 Claims Examiner, Sr. jobs found in Philadelphia, PA area
Supervisory Insurance Specialist
- Veterans Benefits Administration
-
Philadelphia, PA
- Summary The incumbent serves as Chief, Accounting Section in the Policyholders Services Division of the Philadelphia Reg...
- 5/11/2024 12:00:00 AM
Field Property Claims Adjuster
- Liberty Mutual Group
-
Philadelphia, PA
- You are here: / US,Philadelphia-PA,Field Property Claims Adjuster **Field Property Claims Adjuster** Description & Respo...
- 5/11/2024 12:00:00 AM
Insurance Agency Manager
- Transcendence Life Insurance Agency
-
Philadelphia, PA
- Description This position is 100% commission-based with the opportunity for monthly & yearly bonuses. Flexible schedule ...
- 5/10/2024 12:00:00 AM
Litigation Paralegal
- Wilson Elser
-
Philadelphia, PA
- Job Description Job Description Wilson Elser's Philadelphia office currently seeks a Litigation Paralegal to join the te...
- 5/9/2024 12:00:00 AM
Private Investigator
- Allied Universal
-
Philadelphia, PA
- Private Investigator Philadelphia, Pennsylvania Position Type Full Time Req ID: 2024-1179504 Save Job > Allied Universal...
- 5/8/2024 12:00:00 AM
Workers Compensation Paralegal (Bilingual)
- Atrium: Staffing
-
Trenton, NJ
- Our client is a large law firm that is seeking and skilled and experienced Workers Compensation Paralegal to join their ...
- 5/8/2024 12:00:00 AM
Claims- Field Claims Representative
- Cincinnati Insurance Company, Inc.
-
King of Prussia, PA
- Description: Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and...
- 5/7/2024 12:00:00 AM
Environmental Health & Safety Manager
- Campbell Soup Company
-
Downingtown, PA
- Since 1869 we've connected people through food they love. Our history was created by remarkable people, ideas, and innov...
- 5/7/2024 12:00:00 AM
About Philadelphia, Pennsylvania
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, Sr. jobs
$65,946 to $85,025
Philadelphia, Pennsylvania area prices
were up 1.0% from a year ago
were up 1.0% 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