Claims Examiner jobs in the United States

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner 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 determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Claims Examiner
  • AIG Claims, Inc.
  • Remote, OH FULL_TIME
  • Who we are American International Group, Inc. (AIG) is a leading global insurance organization. AIG member companies provide a wide range of property casualty insurance in approximately 70 countries and jurisdictions. These diverse offerings include products and services that help businesses and individuals protect their assets and manage risks. We’re also committed to making a positive difference for our colleagues and in the communities where we work and live. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Get to know the business General Insurance is a leading provider of insurance products and services for commercial and personal insurance customers. It includes one of the world’s most far-reaching property casualty networks. General Insurance offers a broad range of products to customers through a diversified, multichannel distribution network. Claims Our Claims professionals support AIG policyholders through some of the most trying times. When our clients face losses large and small, we step up to help them ease the financial burdens of catastrophic events like fires and hurricanes; we help them get their businesses back up and running again or recoup the value of a lost family heirloom or a prized possession. Our Claims team is an industry leader, drawing daily on its unparalleled levels of expertise to offer our clients the highest levels of stewardship to drive total cost of claim improvement and consistent outcomes. AIG manages claims using a wealth of technical and market knowledge about risks, business practices, and the ever-evolving legal and regulatory environment. What you need to know Provide technical expertise in directing and resolving Federal Workers’ Compensation claims in accordance with best claim practice guidelines. Utilize investigation, claim handling, litigation, and negotiation skills to ensure timely cost-effective claim settlements and file closure. Claims could be of unlimited value but utilize independent decision making with reserve and settlement authority up to $150,000. Provide prompt effective customer service to differentiate AIG from our competiton. Manage indemnity, medical and legal aspects of assigned claims using available resources which include medical management services to manage medical treatment and coordinate use of independent medical evaluations where appropriate. Gather documentation and make a timely recovery submission to DFEC in a complete and efficient manner to ensure full recovery is received. What we’re looking for 5 years’ experience handling workers’ compensation claims Bachelor’s degree from a four-year college or university preferred Ability to make independent decisions within prescribed autonomy limit #LI-CY1 Enjoy benefits that take care of what matters At AIG, our people are our greatest asset. We know how important it is to protect and invest in what’s most important to you. That is why we created our Total Rewards Program, a comprehensive benefits package that extends beyond time spent at work to offer benefits focused on your health, wellbeing and financial security—as well as your professional development—to bring peace of mind to you and your family. Reimagining insurance to make a bigger difference to the world American International Group, Inc. (AIG) is a global leader in commercial and personal insurance solutions; we are one of the world’s most far-reaching property casualty networks. It is an exciting time to join us — across our operations, we are thinking in new and innovative ways to deliver ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times of uncertainty and discover new potential. We invest in our largest asset, our people, through continuous learning and development, in a culture that celebrates everyone for who they are and what they want to become. Welcome to a culture of belonging We’re committed to creating a culture that truly respects and celebrates each other’s talents, backgrounds, cultures, opinions and goals. We foster a culture of inclusion and belonging through our flexible work arrangements, diversity and inclusion learning, cultural awareness activities and Employee Resource Groups (ERGs). With global chapters, ERGs are a cornerstone for our culture of inclusion. The diversity of our people is one of AIG’s greatest assets, and we are honored that our drive for positive change has been recognized by numerous recent awards and accreditations. AIG provides equal opportunity to all qualified individuals regardless of race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories. AIG is committed to working with and providing reasonable accommodations to job applicants and employees with disabilities. If you believe you need a reasonable accommodation, please send an email to candidatecare@aig.com. Functional Area: CL - Claims Estimated Travel Percentage (%): Relocation Provided: AIG Claims, Inc. At AIG, helping people discover new potential is our purpose. As a global risk leader, we do this for our clients every day. Through our deep expertise in their industries and our innovative solutions that help them smartly manage risk, we enable their growth in ways they never thought possible. But we also do the same thing for our employees, because we know our people are our greatest strength-the source of every insight, every idea and every innovation. When we're working as one team to do what's right for our colleagues and our communities, we can achieve excellence together. We encourage colleagues to give back to the causes they care most about, supporting these efforts through our Volunteer Time Off and Matching Grants Programs. Join our Talent Network . Additional information about AIG can be found at www.aig.com | YouTube | Twitter | LinkedIn.
  • 3 Days Ago

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Auto Claims Examiner
  • Allcat Claims Service, LLC
  • US TX Remote, TX FULL_TIME
  • ABOUT ALLCAT CLAIMS SERVICE Allcat Claims Service is an energetic company that places a high emphasis on learning and personal development by supporting and challenging its people to reach their full ...
  • 1 Month Ago

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Examiner OTAI LA
  • TM Claims Service Inc.
  • Pasadena, CA FULL_TIME
  • Description Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the ar...
  • 1 Month Ago

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Claims Examiner
  • Berkley Environmental
  • Jersey, NJ FULL_TIME
  • W. R. Berkley Corporation, founded in 1967, is one of the nation’s premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account e...
  • 21 Days Ago

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Claims Examiner
  • BizTek People, Inc. | APA International Placement Consultants
  • Whittier, CA FULL_TIME
  • POSITION SUMMARY:Contract role. Contract to hire potential for the right candidate! The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functi...
  • 21 Days Ago

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Claims Examiner
  • Fortuna BMC
  • Folsom, CA FULL_TIME
  • Pay: $20 - $26 per hourLocation: Folsom, CAEmployment Type: Full-time WHAT WE OFFER: Competitive pay rates based on experience and expertise Comprehensive benefits package including medical, dental, a...
  • 21 Days Ago

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Medical Claims Examiner
  • SCUFCW Trust Fund
  • Irvine, CA
  • Job Description Job Description ***This position is located in Cypress, CA Southern California United Food & Commercial ...
  • 5/31/2024 12:00:00 AM

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Claims Examiner
  • LanceSoft Inc
  • Brea, CA
  • Job Description: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to ...
  • 5/31/2024 12:00:00 AM

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Medical Claims Examiner
  • SCUFCW Trust Fund
  • Cypress, CA
  • Job Description Job Description Southern California United Food & Commercial Workers Unions & Food Employers Joint Benef...
  • 5/31/2024 12:00:00 AM

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Claims Examiner / Auditor
  • Century Group
  • Irvine, CA
  • One of our leading clients is seeking a highly organized and detail-oriented leader to join and oversee our collections/...
  • 5/31/2024 12:00:00 AM

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Claims Examiner
  • AltaMed
  • Montebello, CA
  • Work Boldly. Live Brilliantly. At AltaMed, we don't just serve our communities, we are part of them. We have raised the ...
  • 5/30/2024 12:00:00 AM

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Insurance Claim Examiner
  • cesna
  • Anaheim, CA
  • [Position] Claims Examiner for Insurance Industry. [About Our Client] One of the largest non-life insurance companies ba...
  • 5/30/2024 12:00:00 AM

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Claims Examiner
  • E-Solutions
  • Whittier, CA
  • POSITION SUMMARY: The claims examiner reports directly to the claims manager. They are primarily responsible for the pro...
  • 5/29/2024 12:00:00 AM

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Medical Claims Examiner
  • SCUFCW Trust Fund
  • Anaheim, CA
  • Job Description Job Description ***This position is located in Cypress, CA Southern California United Food & Commercial ...
  • 5/27/2024 12:00:00 AM

Income Estimation for Claims Examiner jobs
$47,982 to $63,628