Claims Examiner, Sr. jobs in Somerset, NJ
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
Commercial Auto Claims Examiner - Warren, NJ
- Everest Re Group, Ltd.
-
Warren, NJ
FULL_TIME
-
Title:Commercial Auto Claims Examiner - Warren, NJCompany:Everest Insurance CompanyJob Category:ClaimsJob Description:Everest Insurance, a member of Everest Re Group, Ltd., has an opportunity for a Claims professional to join our Commercial Auto Claims team located in our headquarters in Warren, NJ. This individual should possess the ability to handle mainstream Commercial Auto claims. More particularly, the ideal candidate will be able to analyze insurance coverage and liability and resolve claims according to certain Best Practices and within stated authority limits. This position will report to the Director of Commercial Auto Claims.Responsibilities include but not limited to:
- Reviewing and analyzing coverage and prepare appropriate coverage position letters
- Investigation, analysis and evaluation of assigned claims, including Collision, PD, BI and Med Pay/PIP if applicable
- Management and direction of outside counsel as well as reviewing and approving legal and/or expense budgets and bills
- Preparation of case summary reports related to matters of significant reserve activity
- Timely and appropriate setting of claim reserves
- Development and execution of claim strategies as well as resolution strategies
- Negotiation and resolution of claims
- Determining and resolving workload and assignment issues to ensure effective claims processing, expense management and claims disposition
- Identifying issues and trends in the portfolio; taking appropriate and/or corrective action where necessary; communicating trends to underwriters, insureds and brokers
- Extensive communication with insureds, brokers, reinsurers, actuaries and business unit contacts
- Attending client meetings and industry functions to support retention and development of client relationships and business
Qualifications, Education & Experience:- 1-3 years of claims experience in Commercial Auto and current, working knowledge of jurisdictional laws and regulations
- Strong oral and written communication skills
- Strong analytical and organizational skills
- Strong negotiation and investigation skills
- Ability to evaluate coverage issues involving a wide variety of loss scenarios
- Ability to think strategically
- Currently holds or readily can obtain all required Adjuster Licenses
- Knowledge of the insurance industry, claims and the legal and regulatory environment
- Knowledge of claims handling or insurance legal statutes and procedures
- Ability to identify and use relevant data and metrics to best manage claims
- Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy to improve processes and generate optimal departmental efficiency
- Ability to and willingness to present to senior management and other group settings
- Ability to influence others and resolve complex, disputed claims
- Some travel is required
Knowledge, Skills & Competencies:- Bachelor’s degree or equivalent work experience required
- Insurance industry designation(s)/certification(s) preferred
#LI-Hybrid#LI-RS1Type:RegularTime Type:Full timePrimary Location:Warren, NJAdditional Locations:As an effective team member, employees at Everest Insurance must champion the Everest Insurance Culture:
- Collaboration: Open and transparent communication with customers and colleagues
- Thoughtful Assumption of Risk: Supporting the Everest goal of carefully writing profitable business by ensuring data quality, prompt and accurate feedback to Underwriters, and operational control throughout the enterprise.
- Execution: Delivering outstanding support to the organization through strong day-to-day business operations, effective project management, and careful oversight of vendors.
- Humility: Caring and respectful approach to service colleagues, customers, and the community.
- Leadership: By example, every day.
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 Talent Acquisition at 1-908-604-3000. - 15 Days Ago
Commercial Auto Claims Examiner - Warren, NJ
- Everest National Insurance Company
-
Warren, NJ
FULL_TIME
- 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 foo...
- 15 Days Ago
General Liability Claims Adjuster
- TheBest Claims Solutions
-
Bridgewater, NJ
FULL_TIME
- Our client is seeking to add a remote Commercial General Liability Claims Adjuster to their team. The ideal candidate will have 2 years experience handling moderate Commercial General Liability claims...
- 11 Days Ago
Field Examiner / Nationwide
- Durkin Group
-
Liberty, NJ
FULL_TIME
- Durkin Group seeks experienced field examiners to join our team. The Field Examiner is a key member of the collateral examination team and will participate in the execution of asset based field examin...
- 1 Month Ago
Reinsurance Claim Examiner
- Everest Global Services, Inc.
-
Warren, NJ
FULL_TIME
- Title: Reinsurance Claim Examiner Company: Everest Global Services, Inc. Job Category: Claims Job Description: Everest is a leading global reinsurance and insurance provider, operating for nearly 50 y...
- 1 Month Ago
Claims Specialist I
- Everest National Insurance Company
-
Warren, NJ
FULL_TIME
- Title: Claims Specialist I Company: Everest Insurance Company Job Category: Claims Job Description: Everest Group, a NYSE listed S&P 500, is a leading global reinsurance and insurance provider, operat...
- 11 Days Ago
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0 Claims Examiner, Sr. jobs found in Somerset, NJ area
Senior Actuary
- Parker B Associates
-
Trenton, NJ
- Senior Actuary Permanent New Jersey / Hybrid $130,000 - $160,000 Our client is a leading insurance organisation looking ...
- 4/19/2024 12:00:00 AM
Claims Examiner –Remote
- Generis Tek Inc
-
New York, NY
- Please Contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Abhinav Chakraborty ...
- 4/18/2024 12:00:00 AM
Entry Level Claims Examiner
- Country-Wide Insurance Company
-
New York, NY
- Country-Wide Insurance Company is seeking new employees for its upcoming claims training class. Our training program off...
- 4/18/2024 12:00:00 AM
VCCO #24-164: Claims Investigator Trainee (Newark, NJ)
- New Jersey Attorney General's Office
-
Newark, NJ
- The New Jersey Attorney General’s Office – Victims of Crime Compensation Office is seeking two (2) enthusiastic individu...
- 4/17/2024 12:00:00 AM
Claims Examiner
- The Jonus Group
-
New York, NY
- We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
- 4/17/2024 12:00:00 AM
Claims Investigator
- Daniel J. Hannon and Associates, Inc.
-
Forest Hills, NY
- Job Description Job Description Company Info: Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance...
- 4/17/2024 12:00:00 AM
Surveillance Investigator
- Daniel J. Hannon and Associates, Inc.
-
Elmhurst, NY
- Job Description Job Description Company Info: Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance...
- 4/17/2024 12:00:00 AM
Claims Examiner
- MagnaCare
-
New York, NY
- About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the...
- 4/15/2024 12:00:00 AM
About Somerset, New Jersey
Somerset is an unincorporated community and census-designated place (CDP) located within Franklin Township, in Somerset County, New Jersey, United States. As of the 2010 United States Census, the CDP's population was 22,083.
Somerset housed one of the first Marconi Wireless Stations in the United States.
According to the United States Census Bureau, the CDP had a total area of 6.444 square miles (16.692 km2), including 6.327 square miles (16.388 km2) of land and 0.117 square miles (0.304 km2) of water (1.82%)....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner, Sr. jobs
$70,018 to $90,273
Somerset, New Jersey area prices
were up 1.5% from a year ago
were up 1.5% 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