Claims Examiner, Sr. jobs in Saint Petersburg, 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)

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Desk Claims Adjuster
  • Vault Risk Management Services LLC
  • Petersburg, FL FULL_TIME
  • Description

    Job Responsibilities:

    • Manage a vigorous load of claims involving high-net-worth homeowner lines.
    • Analyze coverage and manage first-party property losses, including litigated and non-litigated claims.
    • Effectively interact with insureds, brokers, insured’s personal and/or legal representatives, defense counsel, and other parties as required.
    • Direct independent field adjusters or use available technology to scope losses, estimate damages, investigate subrogation opportunities, and assist our clients as their individual and unique needs dictate.
    • Draft and issue reservation of rights and denial letters; retain and direct counsel; evaluate exposure and establish reserves; manage emergency response and repair vendors; manage various experts, including engineers, accountants, and rebuilding consultants; report internally and externally as required; and negotiate settlements.
    • Represent the Company in resolving complex claims and participate in legal proceedings, including mediations.
    • Participate in underwriting decision-making, including renewal risk assessment and communication with program agents.
    • Work with other company areas, including underwriting, finance and accounting, actuarial, sales and marketing, risk management, operations, and technology on projects as requested.
    • Prepare claim summaries and other reports as necessary for management.
    • Present severity claims to senior management in large loss meetings.
    • Comply with internal and external reporting.
    • Travel 10%, including catastrophe travel to large-scale catastrophic events.

    Preferred Qualifications:

    • A Bachelor’s degree is preferred.
    • 2-3 years of desk claims adjusting experience required.
    • Experience in handling high-net-worth clients is preferred.
    • Active Florida adjuster's license.
    • Strong time management and attention to detail.
    • Strong written and verbal communication skills, including communicating effectively through multiple channels.
    • Effective ability to cultivate strong business relationships and provide exceptional customer service.
    • Basic ability to navigate computers and applications (Microsoft Office).
    • Ability to work a flexible schedule to accommodate business needs upon request.

    Benefits:

    • Flexible Spending Accounts & Health Savings Account, with company contributions
    • Company-paid comprehensive life & disability insurance plans
    • 24/7 Telehealth doctor access, virtual wellness screenings, Employee Assistance Programs
    • Company 401k retirement plan with Day 1 eligibility (5% company match, 100% immediate vesting)
    • 23 PTO days, accrued yearly
    • 11 paid holidays

    Vault is committed to providing equal opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.


  • 9 Days Ago

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Medical Claims Denial and AR/Appeals Specialist
  • Medenet Inc
  • Saint Petersburg, FL FULL_TIME
  • Medenet is searching for a confident professional who combines excellent billing and/or AR skills, along with customer service skills. This position is part of a team that is responsible for account r...
  • 6 Days Ago

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Independent Insurance Claims Adjuster in Seminole, Florida
  • MileHigh Adjusters Houston Inc
  • Seminole, FL FULL_TIME
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
  • 6 Days Ago

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Independent Insurance Claims Adjuster in Saint Petersburg, Florida
  • MileHigh Adjusters Houston Inc
  • Saint Petersburg, FL FULL_TIME
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
  • 9 Days Ago

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Independent Insurance Claims Adjuster in Pinellas Park, Florida
  • MileHigh Adjusters Houston Inc
  • Pinellas Park, FL FULL_TIME
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
  • 11 Days Ago

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Sr Project Manager (Implementation)
  • FIS Global
  • Petersburg, FL OTHER,FULL_TIME
  • Position Type : Full time Type Of Hire : Experienced (relevant combo of work and education) Education Desired : Bachelor of Business Administration Travel Percentage : 0%Job DescriptionAre you ready t...
  • 12 Days Ago

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0 Claims Examiner, Sr. jobs found in Saint Petersburg, FL area

A
Private Investigator
  • Allied Universal
  • Saint Petersburg, FL
  • Private Investigator St. Petersburg, Florida Position Type Full Time Req ID: 2024-1151080 Save Job > Allied Universal Co...
  • 5/8/2024 12:00:00 AM

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Injury Adjuster - FPI
  • USAA
  • Tampa, FL
  • Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
  • 5/6/2024 12:00:00 AM

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Sr. Injury Adjuster
  • USAA
  • Tampa, FL
  • Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
  • 5/6/2024 12:00:00 AM

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Injury Examiner - various locations
  • USAA
  • Tampa, FL
  • Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
  • 5/6/2024 12:00:00 AM

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Human Resources Generalist (On site - Largo, FL)
  • Griffin Resources
  • Largo, FL
  • Company Description Griffin Resources is recruiting on behalf of a client in the manufacturing industry for a Human Reso...
  • 5/6/2024 12:00:00 AM

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Medical Claims Examiner
  • SNI Companies
  • Tampa, FL
  • Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services ·Fo...
  • 5/4/2024 12:00:00 AM

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Claims Examiner
  • Quality Carriers
  • TAMPA, FL
  • Quality Carriers, Inc. is the nation’s #1 tank trucking company. We transport a broad range of chemical products and pro...
  • 5/4/2024 12:00:00 AM

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Claims Examiner
  • Quality Distribution, Inc.
  • Tampa, FL
  • Quality Carriers, Inc. is the nation's #1 tank trucking company. We transport a broad range of chemical products and pro...
  • 5/4/2024 12:00:00 AM

St. Petersburg is a city in Pinellas County, Florida, United States. As of the 2015 census estimate, the population was 257,083, making it the fifth-most populous city in Florida and the largest in the state that is not a county seat (the city of Clearwater is the seat of Pinellas County). St. Petersburg is the second-largest city in the Tampa Bay Area, after Tampa. Together with Clearwater, these cities comprise the Tampa–St. Petersburg–Clearwater Metropolitan Statistical Area, the second-largest in Florida with a population of around 2.8 million. St. Petersburg is located on the Pinellas pen...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$59,201 to $76,330
Saint Petersburg, Florida area prices
were up 1.1% from a year ago

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