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)
Casualty Claims Injury Examiner
Who we are:
Bear River Mutual Insurance Company was founded in 1909 and is Utah’s oldest mutual property and casualty insurance company. Headquartered in Murray, Utah, Bear River Mutual is organized as a mutual insurance company and owned by the policyholders. Once people become members of the Bear River Mutual family, they are treated as owners of the Company since, after all, they are.
About the Claims Department.
Our purpose is to fulfill the promise made to our members when involved in an unexpected, covered event. We seek talented individuals wanting an opportunity to make a difference when people need us most.
Build a rewarding career where values count.
Your unique talents and abilities are extremely valuable to us. We are proud of the insurance services we provide our members and seek individuals excited to use their skills to make a difference and contribute to their own and company success.
Job Summary: Insurance professional with a minimum of 3 years’ experience resolving bodily injury, liability claims. Responsible for proactively conducting investigations, evaluating, and negotiating settlements of bodily injuries, and auto claims. Will be the primary contact for customers and other specialists to facilitate the resolution of the claim.
Essential Job Functions:
- Determine coverage and liability
- Proactive communication with customers, and other insurers
- Ability to negotiate effectively with customers, and service providers
- Collect and maintain proper documentation including but not limited to interviews, police reports, scene investigations, medical and wage loss records, etc.
- Review and analyze documentation in support of claim submissions
Education/Certification: Bachelor’s degree, or equivalent experience specific to the Insurance Industry.
Required Knowledge and Experience:
3 years prior personal lines claims handling experience. A demonstrated understanding of good faith claims practices, standard Auto policy coverage, medical terminology, insurance and motor vehicle statutes and tort law as well as Arbitration rules and regulations.
Skills/Abilities:
- Excellent communication skills
- Excellent negotiation skills
- Well organized and attentive to detail
- Ability to resolve conflict amicably
- Reliable and self-directed
- Familiar with the use of operating systems and app’s
- Job Type: Office environment
Job Type: Full-time
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Work Location: Hybrid remote in Murray, UT 84107
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