UNKNOWN

FEED

Investigation and overpayment administration: Facilitate claims investigation, negotiate settlements, interpret medical records, respond to Department of Insurance complaints, and authorize payment to claimants and providers. Overpayment reviews and recovery of claims overpayment; corrected financial histories of patients and service providers to ensure accurate records.

GuideWell Mutual Holding Corp

Claims Examiner I

linkup_via_bold

OTHER

The position requires strong analytical judgment, excellent communication skills, and consistent collaboration with clients, claimants, vendors, legal counsel, and internal teams. This role handles highly complex claims and plays a critical part in ensuring compliance with state regulations, timely investigations, accurate reserving, and effective claim resolution.

TEEMA Group

Workers Compensation Claims Examiner II/III

WorkWolf

The Senior Claims Examiner is responsible for managing and analyzing a diverse portfolio of reinsurance claims across multiple lines of business, delivering timely and accurate claim handling, and maintaining strong relationships with cedents, brokers, and internal business partners. The role collaborates closely with underwriting, actuarial, and finance teams to evaluate complex coverage issues, analyze claim developments, and provide insights that support sound business decisions.

W. R. Berkley Corp

Senior Claims Examiner

In addition to maintaining an active caseload, the Team Leader provides day-to-day guidance, technical expertise, and operational support to Claims Examiners to promote consistency, quality, and adherence to established claims-handling practices. POSITION SUMMARY: Under the oversight of the Area Manager, the Claims Examiner III - Team Leader reports to the Claims Supervisor and/or Area Manager and is responsible for managing all aspects of Professional Liability claims from inception through resolution, within established authority levels and company guidelines.

TRISTAR Insurance Group, Inc

Professional Liability Claims Examiner III _ Team Leader

We are hoping you will join us as a Claims Examiner Sr and help shape the future of healthcare where you'll be an integral part of our Claims Administration team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. If you make it through the steps above and are selected for this exciting role, you will be required to undergo a reference and a background check (to include a conviction record) and if applicable also pass a drug screening and/or a post-offer pre-employment medical examination (for specific positions) If you are an Internal CalOptima Health applicant, please apply through the internal portal on InfoNet.

YEAR

CalOptima

Claims Examiner Sr

PART_TIME

You'll work closely with experienced claims professionals and legal partners while handling a diverse portfolio, including litigated claims. This position combines analytical thinking, strategic decision-making, and skilled negotiation to ensure fair and timely claim outcomes.

Kinsale Management, Inc

Claims Examiner (Property & Casualty)

The Claims Examiner position is responsible for evaluating and processing claims by performing all functions required to determine whether a claim is payable, deferred, or declined. This position ensures claims are handled in accordance with policy provisions, regulatory requirements, and company guidelines, while providing timely and professional correspondence to internal and external customers.

OneMain (Formerly Springleaf & OneMain Financials).

Claims Examiner

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You'll work closely with experienced claims professionals and legal partners while handling a diverse portfolio of claims, including litigated claims. This position combines analytical thinking, strategic decision-making, and skilled negotiation to ensure fair and timely claim resolution.

Claims Examiner (Bodily Injury)

Identify premature conclusions, missing investigative steps, unsupported valuations, improper communications, and failures to distinguish covered damage from excluded or unrelated loss. Independently handled claims in at least one area, such as property, auto physical damage, bodily injury, general liability, commercial casualty, catastrophe, or specialty claims.

HOUR

Mercor

Senior Claims Examiner - Multiline

Manatal

Senior Claims Examiner - Multiline - AI Trainer

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, coverage's, principles, and laws. Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.

Iconma LLC

Claims Examiner - Auto

Responsibilities: 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. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

Claims Examiner - Workers Compensation (Hourly)

Handling liability and construction defect claims from inception until completion; reviewing liability claims, litigated by counsel or insurance adjuster managed; maintaining a point person role reporting to the proper client and ensuring all time lines are properly followed; resolving claims by denial, settlement or referral to another insurance company. The role of Vanguard's Liability Examiner is to investigate and evaluate insurance claims, determining liability, handling construction defect and managing the claims process, often including litigation and settlement negotiations, to ensure timely and cost-effective resolutions for our clients.

Vanguard Claims Administration

Liability Claims Examiner

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The Casualty Claims Examiner will work alongside claims management, providing direction and oversight ensuring that compliance with best practices and state/local guidelines. Management reserves the right to add to, modify, or change the work assignments of the position as business needs dictate.

AssuranceAmerica Corporation

Casualty Claims Examiner

ADAPTED_NOW

AIG Warranty delivers a full range of service solutions including warranty management administration, extended service contracts and mobile insurance theft/loss programs, customer service support, service network management, claims processing services, and service contract underwriting. Claims Analysts are responsible for receiving incoming calls and emails from Service Providers needing authorization or payment for repairs on major appliances, consumer electronics, heating and air, or other home systems.

<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

Warranty Claims Examiner

American International Group Jobs

Kinsale Management

American International Group Inc (AIG)

Claims Examiner II, Warranty

FULL_TIME

Position Purpose: The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims and other duties as necessary. Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients.

DOCTORS HEALTHCARE PLANS, INC.

Claims Examiner II

partner JazzHR

The "perfect" candidate for this position has a familiarization with handling Aviation claims; specifically, knowledge of aircraft operation and/or repair. Apply today to join a team that keeps the aviation industry moving forward safely.

Claims Examiner Jobs in the United States

Claims Examiner I GuideWell Mutual Holding Corp

Workers Compensation Claims Examiner II/III TEEMA Group

Senior Claims Examiner W. R. Berkley Corp

Professional Liability Claims Examiner III _ Team Leader TRISTAR Insurance Group, Inc

Claims Examiner Sr CalOptima

Claims Examiner (Property & Casualty) Kinsale Management, Inc

Claims Examiner OneMain (Formerly Springleaf & OneMain Financials).

Claims Examiner (Bodily Injury) Kinsale Management, Inc

Senior Claims Examiner - Multiline Mercor

Senior Claims Examiner - Multiline - AI Trainer Mercor

Claims Examiner - Auto Iconma LLC

Claims Examiner - Workers Compensation (Hourly) Iconma LLC

Liability Claims Examiner Vanguard Claims Administration

Casualty Claims Examiner AssuranceAmerica Corporation

Warranty Claims Examiner American International Group

Claims Examiner (Bodily Injury) Kinsale Management

Claims Examiner (Property & Casualty) Kinsale Management

Claims Examiner II, Warranty American International Group Inc (AIG)

Claims Examiner II DOCTORS HEALTHCARE PLANS, INC.

Aviation Claims Examiner HCC Life Insurance Company

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