302 Claims Examiner jobs in the United States

Job Description

Claims Processor

Whittier, CA.

We are currently hiring for a Claims Processor in the Whittier, CA area. We have several opportunities available due to our growing needs! We are specifically looking for entry to mid-level candidates who are interested in a long-term career with opportunities for growth, development, and advancement. If you’re interested in such an opportunity, this position could be the right fit for you.

Claims Processor Pay Rate:

• starting pay is $24-$28.00

Claims Processor Shift :

• 1st shift
• 7:00am-3:30pm

Claims Processor Job Description:

• The claims examiner reports directly to the claims manager. They are primarily responsible for the processing functions (operation, adjudication, and

Job Description

Summary: The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes claims by performing the following duties.

***This Not a Remote Position***

Essential Duties and Responsibilities include the following. Other duties may be assigned.

· Compares data on claim with internal policy and other company records to ascertain completeness and validity of claim.

· Comprehensive understanding of employee benefits for medical, dental and vision plans.

· Adjudicates medical claims, applies coordination of benefits as outlined in plan guidelines and works with providers to gather the necessary documents to make final

Job Description

Seeking a insurnace claims file exmainer trainee in Huntsville, Texas. This is a office position, not remote. Candidate must have some property, GL insurance knowledge. Good matth skills and be able to understand insurnace policies. Position is at the office, 8 AM to 5 PM Monday thru Friday. 

Small office enviroment.

Small office enviroment.

Job Description

The Claims Processing Coordinator handles the preparation of Hydradry's claims and is responsible for communication with insurance company and adjusters for status of claims and supplemental payments.

Responsibilities:

• Review insurance breakdowns, send supplements and communicate with insurance companies.
• Communicate with other departments when insurance clarifications are needed.
• Work with accounting to facilitate collections.
• Keep detailed daily notes.
• Prepare invoices using Xactimate estimating software.
• Analyze customer balance statements to determine amounts owed.
• Send information to insurance company and adjusters.
• Prepare final paperwork, and collections.
• Answer phones and assist with all departmental tasks.
• Communicate with homeowners regarding insurance and collections.

Requirements:

• High School Diploma or Equivalent
• At least 1-2yrs of Customer Service and Computer Experience
• Prior Experience with Insurance Policies
• Prior Insurance Collections Experience
• Ability to communicate effectively with homeowners and insurance adjusters both in person and over the phone.
• Roofing knowledge, Florida Building Code knowledge, and understanding of insurance is a plus.
• Xactimate, Mica, Housecall Pro, Contents Track

**This Company Participates in E-Verify**

Our Company Culture is one that strives "to provide an exceptional employee experience which leads the way to delighted customers. We encourage our employees to achieve their personal and professional goals. Our continuous success is the result of our inclusive, collaborative, and positive environment .

We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall,

Job Description

Summary: The Claims Examiner I is responsible for ensuring claims are coded and processed correctly and for meeting production requirements. Processes claims by performing the following duties.

***This Not a Remote Position***

Essential Duties and Responsibilities include the following. Other duties may be assigned.

· Compares data on claim with internal policy and other company records to ascertain completeness and validity of claim.

· Comprehensive understanding of employee benefits for medical, dental and vision plans.

· Adjudicates medical claims, applies coordination of benefits as outlined in plan guidelines and works with providers to gather the necessary documents to make final

Job Description

Senior Property Desk Examiner (remote)

Company Overview:
Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally recognized for exceptional service. We understand the importance of adapting to the demands of a dynamic market and tailoring our services to our client's specific needs. As a claims organization, what we do is complex. Our mission is simple: to provide outstanding service, retain extraordinary professionals, and utilize the best technology in the industry!

As a leading organization in the industry, we offer dynamic and challenging opportunities to individuals who want to make a difference. We value camaraderie, vision, a passion for excellence, creativity, and a “roll-up-your-sleeves, get it done” mentality. We are searching for experienced, energetic, creative, and self-reliant professionals for exciting career opportunities!

Job Summary:
The work of our inside desk examiners directly contributes to the success of our organization. You will be able to make a meaningful impact by leveraging your industry expertise, customer service skills, and ability to manage priorities in a fast-paced environment. We are currently growing and are looking for a TPA Property Claims Examiner with a minimum of five years of experience in this discipline of the insurance claims industry. The optimal candidate will be a team player with experience handling Residential and Commercial Property damage claims. This position allows the right candidate to expand their career and grow with a forward-thinking organization.

Responsibilities :

• End-to-end management of property claims according to policy coverage and state requirements.
• Conduct thorough investigations to determine damages.
• Ability to evaluate property damage estimates provided by field adjusters.
• Recognition of subrogation potential.
• Work well with internal and external customers to provide superior reports that allow proper evaluations of claim values.  
• Appropriately represent the company by executing a high level of service and maintaining professionalism at all times.

• At least 5+ years of relevant experience
• Must maintain current and valid adjuster license(es)
• Strong project management skills and ability to work independently
• Strong working knowledge of insurance laws
• Strong verbal and written communication skills
• Excellent customer service skills
• Experience at a Third-Party Administrator (TPA) company is a plus but not mandatory

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Job Description

Who are we?
A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.

We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty, and specialty lines insurance company in the world?

Learn more about our unique culture and history.

Job Opportunity:

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for an experienced Multi-Line Senior Claims Examiner to join our dynamic Claims team. The examiner will be responsible for handling of specialty lines claims and management oversight of TPA claims as well as some handling of individual claim files, collaborating with underwriters throughout the claims process and marketing BHSI Claim Service to customers. We are seeking candidates with a high level of technical skill, as well as excellent communication and interpersonal skills. The position will be based in either our New York, Boston or Atlanta office.

Duties & Responsibilities:

• Responsible for the oversight, managing and adjusting of primary and TPA claims to include; commercial auto, general casualty, errors & omission, accident & health, homeowner and commercial property claims. Ensure high level of customer service and technical claim file quality.
• Duties include proactive handling of claims from first notice of loss through ultimate resolution, working and advising internal partners on claims, developing a plan of action for ultimate resolution, obtaining budgets and meeting with clients and brokers.
• Perform audits of TPA claims.
• Process monthly funding for TPA accounts.
• Provides outstanding customer service and works well with the insured, broker and TPA in the handling and adjudication of claims.
• Analyze and draft coverage letters as appropriate and communicates coverage positions effectively.
• Conducts, coordinates, and proactively directs investigation, defense and settlement of claims.
• Directs and closely monitors assignments to experts and defense counsel.
• Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company.
• Drafts reports, sets reserves within authority or make claim recommendations concerning reserve changes.
• Travels to audits, conferences, mediations, and trials as necessary

Qualifications, Skills, and Experience:

• 5+ years of multi-line claim handling experience or matching equivalency; and be able to demonstrate technical competence in the handling of specialized program claims.
• College degree preferred.
• Ability to work independently and assimilate learning materials on many different subjects from various sources.
• Excellent interpersonal communications and negotiation skills.
• Ability to work in a team environment.
• Should have technical competence in all aspects of multi-line claims with particular emphasis on customer service.
• Experience in handling and adjusting claims in all 50 states and possess required licenses.

BHSI Offers:

• A competitive package and exciting growth opportunities for career-oriented teammates.
• A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders.
• A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework.
• Benefits that support your life and well-being, which include:

• • Comprehensive Health, Dental and Vision benefits
  • Disability Insurance (both short-term and long-term)
  • Life Insurance (for you and your family)
  • Accidental Death & Dismemberment Insurance (for you and your family)
  • Flexible Spending Accounts
  • Health Reimbursement

Job Description

Who are we?
A strategic and trusted insurance partner, Berkshire Hathaway Specialty Insurance (BHSI), provides a broad range of commercial property, casualty and specialty insurance coverages and outstanding service to customers and brokers around the world. Part of Berkshire Hathaway’s insurance operations, we bring our solutions to market with our stellar brand name, top-rated balance sheet, and the expertise of our global team of professionals, who exude excellent capabilities and strong character.

We are a values-based organization where respect, integrity, excellence, collaboration, and passion define who we are and how we do business. We value diversity of backgrounds, experience, and perspectives and strive to foster an inclusive environment that enables all our team members to bring their best selves to work. We are one team committed to building a culture where every teammate has the opportunity to contribute and be recognized. Want to be part of the team building the finest property, casualty, and specialty lines insurance company in the world?

Learn more about our unique culture and history.

Job Opportunity:

Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for an experienced Multi-Line Senior Claims Examiner to join our dynamic Claims team. The examiner will be responsible for handling of specialty lines claims and management oversight of TPA claims as well as some handling of individual claim files, collaborating with underwriters throughout the claims process and marketing BHSI Claim Service to customers. We are seeking candidates with a high level of technical skill, as well as excellent communication and interpersonal skills. The position will be based in either our New York, Boston or Atlanta office.

Duties & Responsibilities:

• Responsible for the oversight, managing and adjusting of primary and TPA claims to include; commercial auto, general casualty, errors & omission, accident & health, homeowner and commercial property claims. Ensure high level of customer service and technical claim file quality.
• Duties include proactive handling of claims from first notice of loss through ultimate resolution, working and advising internal partners on claims, developing a plan of action for ultimate resolution, obtaining budgets and meeting with clients and brokers.
• Perform audits of TPA claims.
• Process monthly funding for TPA accounts.
• Provides outstanding customer service and works well with the insured, broker and TPA in the handling and adjudication of claims.
• Analyze and draft coverage letters as appropriate and communicates coverage positions effectively.
• Conducts, coordinates, and proactively directs investigation, defense and settlement of claims.
• Directs and closely monitors assignments to experts and defense counsel.
• Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company.
• Drafts reports, sets reserves within authority or make claim recommendations concerning reserve changes.
• Travels to audits, conferences, mediations, and trials as necessary

Qualifications, Skills, and Experience:

• 5+ years of multi-line claim handling experience or matching equivalency; and be able to demonstrate technical competence in the handling of specialized program claims.
• College degree preferred.
• Ability to work independently and assimilate learning materials on many different subjects from various sources.
• Excellent interpersonal communications and negotiation skills.
• Ability to work in a team environment.
• Should have technical competence in all aspects of multi-line claims with particular emphasis on customer service.
• Experience in handling and adjusting claims in all 50 states and possess required licenses.

BHSI Offers:

• A competitive package and exciting growth opportunities for career-oriented teammates.
• A dynamic, action oriented, and thoughtful environment centered on always doing the right thing for our customers, teammates, and our other stakeholders.
• A purposely non-bureaucratic organization that embraces simplicity over complexity and emphasizes individual excellence in a team framework.
• Benefits that support your life and well-being, which include:

• • Comprehensive Health, Dental and Vision benefits
  • Disability Insurance (both short-term and long-term)
  • Life Insurance (for you and your family)
  • Accidental Death & Dismemberment Insurance (for you and your family)
  • Flexible Spending Accounts
  • Health Reimbursement

We are seeking a skilled Auto Insurance Claims Examiner to join our team. In this role, you will be responsible for examining and resolving complex auto insurance claims presented by or against our members.

As an Auto Insurance Claims Examiner, you will analyze information obtained from multiple parties, including police reports, recorded statements, and witness statements, to determine liability and compliance with state laws and regulations.

• Examine highly complex auto insurance claims to determine coverage concerns, review prior loss history, and create Special Investigation Unit (SIU) referrals when appropriate.
• Negotiate liability for comparative negligence (claimant or adverse carrier) and evaluate and negotiate settlement of automobile first and third-party physical damage claims within established settlement authority limits.
• Collaborate with external and internal business partners to facilitate claims resolution and clearly document thought process, investigation, negotiation, and settlement decisions.
• Support members, business partners, and claimants through exceptional service and effective communication using various channels, including digital tools.

The ideal candidate will have strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills. If you are a detail-oriented and organized individual with a passion for resolving complex insurance claims, we encourage you to apply for this exciting opportunity.