Disability Claims Examiner jobs in Tampa, FL

Disability Claims Examiner reviews, evaluates and processes disability insurance claims according to procedure and practice. Examines claims material to ensure insurance coverage and validity. Being a Disability Claims Examiner has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner typically reports to a supervisor/manager. To be a Disability Claims Examiner typically requires 0-2 years of related experience. Works on projects/matters of limited complexity in a support role. Work is closely managed. (Copyright 2024 Salary.com)

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Claims Examiner
  • Heritage Insurance
  • Tampa, FL FULL_TIME
  • Claims Examiner


    Position Summary:

    Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned claims, while engaging in indemnity and expense management. Promptly manages claims by completing essential functions including contacts, investigation, damages development, evaluation, reserving, and disposition.

     

    Responsibilities:

    • Provides voice to voice contact within 24 hours of first report.
    • Conducts timely coverage analysis and communication with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. 
    • Investigates each claim through prompt contact with appropriate parties such as policyholders, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.  Records necessary statements. 
    • Identifies resources for specific activities required to properly investigate claims such as Subro, Fire or Fraud investigators and to other experts. Requests through Unit Manager and coordinates the results of their efforts and findings.
    • Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. 
    • Maintains effective diary management system to ensure that all claims are handled timely. Evaluates liability and damages exposure, and establishes proper indemnity and expense reserves, at required time intervals.
    • Utilizes evaluation documentation tools in accordance with department guidelines. 
    • Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority. 
    • Negotiate disposition of claims with insured’s and claimants or their legal representatives.  Recognizes and implements alternate means of resolution. 
    • Maintains and document claim file activities in accordance with established procedures. 
    • Attends depositions and mediations and all other legal proceedings, as needed. 
    • Protects organization's value by keeping information confidential.
    • Maintains compliance with Claim Department's Best Practices.
    • Provides quality customer service and ensures file quality
    • Supports workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs.
    • Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner.
    • Participates in special projects as assigned.
    • Some overnight travel maybe required.
    • Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures.

     

    Qualifications:

    • Associate’s Degree required; Bachelor’s Degree preferred.  A combination of education and significant directly related experience may be considered in lieu of degree.
    • 620 Licensure required.
    • One to three years of experience processing claims; property and casualty segment preferred.
    • Experience with Xactware products preferred.
    • Demonstrated ability to research, conduct proactive investigations and negotiate successful resolutions.
    • Proficiency with Microsoft Office products required; internet research tools preferred.
    • Demonstrated customer service focus / superior customer service skills.
    • Excellent communication skills and ability to interact on a professional level with internal and external personnel
    • Results driven with strong problem solving and analytical skills.
    • Ability to work independently in a fast paced environment; meets deadlines, and manages changing priorities effectively.
    • Detail-oriented and exceptionally organized
    • Collaborative partner; ability to contribute to a positive work environment.

     

    General Information:

    All employees must pass a pre-employment background check.  Other checks may be needed based on position: driving history, credit report, etc.


    The preceding job description has been designed to indicate the general nature of work performed; the level of knowledge and skills typically required; and usual working conditions of this position.  It is not designed to contain, or be interpreted as, a comprehensive listing of all requirements or responsibilities that may be required by employees in this job.  Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.      


    Heritage Insurance Holdings, Inc. is an Equal Opportunity, Affirmative Action Employer.  We will not discriminate unlawfully against qualified applicants or employees with respect to any term or condition of employment based on race, color, national origin, ancestry, sex, sexual orientation, age, religion, physical or mental disability, marital status, place of birth, military service status, or other basis protected by law.


  • 1 Day Ago

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Claims Examiner
  • Heritage MGA LLC
  • Tampa, FL FULL_TIME
  • Claims ExaminerPosition Summary:Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer servi...
  • 8 Days Ago

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Claims Examiner
  • Quality Carriers, Inc.
  • TAMPA, FL FULL_TIME
  • Quality Carriers, Inc. is the nation’s #1 tank trucking company. We transport a broad range of chemical products and provide our customers with value added services. We’re a core carrier for many of t...
  • 17 Days Ago

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Claims Examiner
  • HCI
  • Tampa, FL FULL_TIME
  • JOB SUMMARYThe Claims Examiner – Inside Desk Adjuster has direct responsibility for homeowners' property insurance claims, starting with contacting the insured upon the loss through claims resolution....
  • 1 Month Ago

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Senior Claims Examiner
  • Heritage Insurance
  • Tampa, FL FULL_TIME
  • Job Summary: Investigates, evaluates, reserves, negotiates and settles assigned claims in accordance with Best Practices. Provides quality claim handling and superior customer service on assigned clai...
  • 2 Days Ago

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Commercial Claims Examiner
  • HeritageInsurance
  • Tampa, FL FULL_TIME
  • Job Summary: Investigates, evaluates, reserves, negotiates and settles assigned commercial claims in accordance with Best Practices. Provides quality claim handling and superior customer service on as...
  • 10 Days Ago

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0 Disability Claims Examiner jobs found in Tampa, FL area

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Commercial Claims Examiner
  • Safepoint MGA, LLC
  • Tampa, FL
  • Safepoint Insurance is a Property and Casualty insurance carrier based in Temple Terrace, FL. Location: Office in Tampa,...
  • 3/28/2024 12:00:00 AM

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Insurance Claims Processor / Insurance Claims Adjuster (Medicare)
  • Insurance Administrative Solutions, L.L.C.
  • Clearwater, FL
  • * 28-Feb-2022 to 15-Mar-2022 (EST) * Clearwater, FL, USA * Hourly * Full Time *Medical - Dental - Vision - 401K - Basic ...
  • 3/28/2024 12:00:00 AM

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Remote Legal Account Executive
  • Examworks Group, Inc.
  • Tampa, FL
  • Overview: The Legal Account Executive identifies opportunities, seeks and engages new clients, develops new proposals an...
  • 3/28/2024 12:00:00 AM

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Foreman - Sanitation
  • City of Treasure Island
  • Saint Petersburg, FL
  • Foreman - Sanitation Print (https://www.governmentjobs.com/careers/mytreasureisland/jobs/newprint/4397675) Apply ? Forem...
  • 3/28/2024 12:00:00 AM

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Claims Service Representative
  • Safepoint MGA, LLC
  • Tampa, FL
  • Safepoint Insurance is an admitted Property and Casualty Insurance carrier. We are based in Temple Terrace, FL. Our Clai...
  • 3/27/2024 12:00:00 AM

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Clinical Nurse
  • Department of Defense
  • Tampa, FL
  • Summary Click on "Learn more about this agency" button below for IMPORTANT additional information. This position will su...
  • 3/27/2024 12:00:00 AM

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CERTIFIED REGISTERED NURSE ANETHSTHETIST
  • Veterans Health Administration
  • Bay Pines, FL
  • Summary PLEASE READ THE COMPLETE ANNOUNCEMENT TO ENSURE YOU UNDERSTAND THE QUALIFICATION REQUIREMENTS AND SUBMIT A COMPL...
  • 3/27/2024 12:00:00 AM

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Police Officer
  • Department of Defense
  • Tampa, FL
  • Summary You will serve as a Police Officer for the DEPARTMENT OF THE NAVY. Learn more about this agency Help Overview * ...
  • 3/26/2024 12:00:00 AM

Tampa is a major city in, and the county seat of, Hillsborough County, Florida, United States. It is on the west coast of Florida on Tampa Bay, near the Gulf of Mexico, and is the largest city in the Tampa Bay Area. The bay's port is the largest in the state, near downtown's Channel District. Bayshore Boulevard runs along the bay, and is east of the historic Hyde Park neighborhood. Today, Tampa is part of the metropolitan area most commonly referred to as the "Tampa Bay Area". For U.S. Census purposes, Tampa is part of the Tampa-St. Petersburg-Clearwater, Florida Metropolitan Statistical Area....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner jobs
$47,466 to $58,931
Tampa, Florida area prices
were up 1.1% from a year ago