UNKNOWN

FEED

Bachelor's Degree with 1 year of experience in Auto/General Liability Claims, Insurance, or related fieldExperience in a call center, particularly within the Insurance industryAbility to maintain composure under pressureAbility to type at least 30 words-per-minuteKnowledge of claim investigation proceduresKnowledge of approaches and techniques for recognizing, anticipating, and resolving problemsProficiency in documenting case details accurately and assessing payment eligibility. Manage negotiations with claimants, claimant's legal representatives or third parties by utilizing strong communication and negotiation skills in sharing investigative results and rationale, listening to claimant perspective and arguments, and influencing claimant perspective to achieve consensus on appropriate and final resolution of assigned claims.

J.B. Hunt

Casualty Claims Examiner I

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PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Skills & Knowledge Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

HOUR

Retail Industry

Claims Examiner - Workers Compensation

o* Provide expert claim handling in coverage, investigation, evaluation, and resolution of first and third-party Ocean Marine and Energy Claims, including marine contractors, hull and machinery, cargo, general average, Jones Act, Longshore and Harbor Workers Compensation Act, and energy claims. o* Set accurate reserves on each claim within the given authority level and promptly advise management of claims requiring reserves exceeding authority.

Coaction Specialty Insurance Group

Senior Claims Examiner

Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our service differentiation to create an unparalleled global claims handling experience. 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.

<p><em>AIG and its member companies form one of the world’s leading insurance organizations. We provide insurance for businesses and individuals, helping individual customers plan for their futures by offering life insurance, travel insurance, product warranty, auto insurance and retirement products. Our commercial clients have come to rely upon our risk expertise and financial strength to help them address some of their most complex challenges – from huge construction projects to protecting themselves from the emerging threats to data security. We offer our people the chance to grow in a dynamic company that values teamwork, fresh perspectives, and a commitment to helping their clients.</em></p>

American International Group Inc (AIG)

Complex Claims Examiner- Federal Workers Compensation

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Description: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

ObjectWin Technology Inc

PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

Claims Examiner

If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at ssc.customersupport@ey.com. EYs Forensics Insurance and Federal Claims Services practice specializes in helping clients achieve their financial recovery goals following disaster events such as hurricanes, fires, tornadoes, cyber incidents, and other catastrophic losses.

YEAR

Ernst & Young Global Ltd

Forensics - Insurance and Federal Claims Services - Insurance Adjuster - Manager

Other demands include the ability to openly communicate with others by talking, listening, comprehending, and reading, being able to lift light objects (If you are interested in applying for employment and need special assistance or accommodation to apply for a posted position, contact our Human Resources department. An employee must be willing and able to work their regularly assigned work schedule, and in times of need, be able to work an extended schedule depending on company or departmental needs, project requirements, or customer demands.

Orion180 Insurance Services

QUALIFICATIONS REQUIRED: Education/Experience: High school diploma or GED required; Bachelor's degree in a related field (preferred); three (3) or more years of related experience; or equivalent combination of education and experience. This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work on time is inherently required of this position.

TRISTAR Insurance Group, Inc

Workers Compensation Claims Examiner II (Remote)

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. QUALIFICATIONS REQUIRED: Education/Experience: High school diploma or GED required; Bachelor's degree in related field (preferred) and a minimum of five (5) years commercial auto casualty related experience; or equivalent combination of advanced education and experience.

Commercial Auto, BI, Liability Claims Examiner III

Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. QUALIFICATIONS REQUIRED: Education/Experience: High School Diploma or GED required; bachelor's degree in related field (preferred) and three years auto and general liability casualty related experience; or equivalent combination of advanced education and experience.

Commercial Auto, BI & GL Claims Examiner III _ Temp

We're in search of highly motivated Bodily Injury Claims Examiners with prior casualty and bodily injury experience, in private passenger automotive liability claims, looking to help deliver world-class service to our clients. Negotiate claims settlements for evaluated damages with insureds, claimants and/or attorneys as assigned from letter of representation through settlement or verdict.

GEICO GENERAL INSURANCE COMPANY

Bodily Injury Claims Examiner

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.

Markel Group Inc

Senior Claims Examiner, Excess Construction

Leveraging deep technical expertise and a strategic mindset, you will oversee the full claims lifecycle-ensuring high-quality investigations, timely resolution, and alignment with corporate objectives, regulatory requirements, and Coaction's claim handling guidelines. Salary range specific to for this role: $103,000-$168,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance.

Coaction Specialty Insurance Group Inc

Senior Claims Examiner, Professional Lines

FULL_TIME

Reviews, researches, and resolves pended claims for Medi-Cal types: medical, hospital, ancillary, long term care, encounter data, other coverage, and batch claims within. The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform.

Partnership HealthPlan of California

Claims Examiner II

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Coordinate, manage, and resolve all covered claims without Notice of Intent, potential or asserted, against SIP participants: Responsible for the management and resolution, including denial, settlement or defense of all assigned covered claims, potential or asserted, against entities and individuals protected by the SIP, including ( but not limited to) negotiating directly with claimants to resolve meritorious matters without the necessity of litigation, managing the denial of claims without merit up to Notice of Intent, and collaborating with assigned Litigation staff for transition of claims that receive legal interest. Participants, with whom the incumbent will have daily contact include, (but not limited to) faculty members, staff members, and administrators of: UF Colleges of Medicine, Dentistry, Pharmacy, Nursing, Veterinary Medicine (including the Veterinary Medicine Teaching Hospital (VMTH)), Health-Related Professions and their affiliated facilities and programs throughout the State of Florida, Shands Jacksonville Medical Center and its affiliated facilities.

University of Florida

Senior Claims Examiner - Gainesville or Jacksonville

This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Typically handles moderate to complex exposure ocean marine first and third party property damage claims including, but not limited to, Ocean Cargo, Commercial General Liability, Hull, Piers Wharves & Docks, Protection & Indemnity, and Marina Operator's Legal Liability.

Senior Claims Examiner, Ocean Marine

CONTRACTOR

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. Experience Five (5) years of commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverages, principles, and laws.

Apidel Technologies

Claims Examiner - Auto

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This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist Company claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.

Claims Examiner Jobs in the United States

Casualty Claims Examiner I J.B. Hunt

Claims Examiner - Workers Compensation Retail Industry

Senior Claims Examiner Coaction Specialty Insurance Group

Complex Claims Examiner- Federal Workers Compensation American International Group Inc (AIG)

Claims Examiner - Workers Compensation ObjectWin Technology Inc

Claims Examiner ObjectWin Technology Inc

Forensics - Insurance and Federal Claims Services - Insurance Adjuster - Manager Ernst & Young Global Ltd

Claims Examiner Orion180 Insurance Services

Workers Compensation Claims Examiner II (Remote) TRISTAR Insurance Group, Inc

Commercial Auto, BI, Liability Claims Examiner III TRISTAR Insurance Group, Inc

Commercial Auto, BI & GL Claims Examiner III _ Temp TRISTAR Insurance Group, Inc

Bodily Injury Claims Examiner GEICO GENERAL INSURANCE COMPANY

Senior Claims Examiner, Excess Construction Markel Group Inc

Senior Claims Examiner, Professional Lines Coaction Specialty Insurance Group Inc

Senior Claims Examiner, Professional Lines Coaction Specialty Insurance Group

Claims Examiner II Partnership HealthPlan of California

Senior Claims Examiner - Gainesville or Jacksonville University of Florida

Senior Claims Examiner, Ocean Marine Markel Group Inc

Claims Examiner - Auto Apidel Technologies

Senior Claims Examiner, Lawyers and Financial Advisors Professional Liability Markel Group Inc

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