UNKNOWN

FEED

The position also provides subject matter expertise, mentors newer examiners, and supports claim-related investigations, training, and process improvements. The Senior Long-Term Disability (LTD) Claims Examiner investigates, analyzes, and adjudicates complex long-term disability, voluntary disability, and waiver of premium claims.

Vets Hired

LTD Claims Examiner Sr.

FULL_TIME

Working knowledge of Microsoft Word & Excel is required Strong analytical skills are required to effectively and efficiently analyze information. Excellent verbal and written communication skills to express complex evaluations and resolve claims through a well-planned negotiation strategy.

YEAR

Core Specialty Insurance Services, Inc.

Senior Claims Examiner

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The primary responsibility of the Senior Claims Examiner position is the direct management of assigned complex claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file. For that reason, we partner with The Predictive Index (PI) - an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style.

ProAssurance Corp

Senior Product Liability Claims Examiner - Medmarc

The Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc.

Elite

Workers Compensation Claims Examiner (TEXAS Jurisdiction)

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The position requires the following, but is not limited to: This position consists of providing feedback, training and educational material to claim associates throughout our operating states from a Home Office setting. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.

Auto-Owners Insurance Company

Senior Claims Examiner – Home Office Commercial Property Claims

PART_TIME

We’re known for our innovative, high-quality approach to specialty insurance — helping clients navigate complex risks across Property, Casualty, and Specialty lines in all 50 states. You’ll develop hands-on expertise in evaluating and resolving commercial insurance claims under the guidance of experienced Claims Supervisors.

Kinsale Management, Inc

Associate Claims Examiner

The Senior Claims Examiner will adjust workers’ compensation claims from inception through settlement and closure, ensuring timely processing of claims and payment of benefits, managing, and directing medical treatment, setting reserves, and negotiating settlements. Must possess a current Experienced Indemnity Claims Adjuster Designation, provided by an insurer, as defined in California Code of Regulations, Title 10, Chapter 5, Subchapter 3, Section 2592.01(f).

Workers Compensation Claims Examiner (California Jurisdiction)

This role offers a unique opportunity to develop expertise in commercial insurance, credit risk, insolvency matters, recoveries, and international trade while collaborating with colleagues across a global organization. You will collaborate closely with customers, brokers, legal counsel, recovery specialists, and internal business partners to deliver fair and timely claim resolutions.

Atradius NV

Claims Examiner - Trade Credit Insurance

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

Tokio Marine HCC - Surety Group, a member of the Tokio Marine Group of Companies, has an exciting opportunity for an Associate Claims Examiner position on-site at our office in Los Angeles, California. We are looking for motivated individuals to join our team of highly skilled claims examiners who are part of a successful division that specializes in surety bond business.

HOUR

HCC Life Insurance

Claims Examiner

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Effectively utilizes available technology and tools, including emerging and AI‑enabled solutions, to support efficient workflows, accuracy, and a positive client service experience.

Relation Insurance

Claims Examiner - TPA

Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. This individual works both independently and in conjunction with internal customers to adjudicate claims and responds to provider or client inquiries in an accurate, timely and courteous manner.

Arizona Priority Care

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Adjudicate all claims types including Dental, Vision and Medical claims for inpatient and outpatient facilities, Blue Card, physician claims, In and Out of Network claims, Medicaid reclamation (HIPD), outpatient lab and radiology, accident and Third-Party Liability (TPL) claims, by calculating benefit due to approve or deny, based on SPD and within accepted corporate cycle timeframe. Claims Examiner I is responsible for reviewing and processing medical, dental, vision, and electronic claims per state, federal, and health plan regulatory requirements and department guidelines, as well as meeting established quality and production performance benchmarks, including research and review of applicable documentation.

Western Growers

Claims Examiner I (50480)

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.

CalOptima

Claims Examiner Sr

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

Claims Examiner II, Accident & Health

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.

Claims Examiner (Property & Casualty)

Review documents, estimates, policy forms, and determine if and how coverage applies to submitted claims; Authorize payment within scope of authority, effectively resolving claims in a cost-effective manner and ensuring timely issuance of disbursements; referrals to carriers as needed; Write coverage letters detailing coverage positions. Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role.

Proctor Loan Protector

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).

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

Claims Examiner Jobs in the United States

LTD Claims Examiner Sr. Vets Hired

Senior Claims Examiner Core Specialty Insurance Services, Inc.

Senior Product Liability Claims Examiner - Medmarc ProAssurance Corp

Workers Compensation Claims Examiner (TEXAS Jurisdiction) Elite

Senior Claims Examiner – Home Office Commercial Property Claims Auto-Owners Insurance Company

Associate Claims Examiner Kinsale Management, Inc

Workers Compensation Claims Examiner (California Jurisdiction) Elite

Claims Examiner - Trade Credit Insurance Atradius NV

Workers Compensation Claims Examiner II/III TEEMA Group

Claims Examiner HCC Life Insurance

Claims Examiner - TPA Relation Insurance

Claims Examiner Arizona Priority Care

Claims Examiner I (50480) Western Growers

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

Claims Examiner Sr CalOptima

Claims Examiner II, Accident & Health American International Group

Claims Examiner (Property & Casualty) Kinsale Management, Inc

Claims Examiner Proctor Loan Protector

Claims Examiner OneMain (Formerly Springleaf & OneMain Financials).

Senior Claims Examiner - Multiline Mercor

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