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View salary and benefits informationSupervises activities in the claims department. Leads the examination of personal and property and casualty insurance claims based on policy provisions, appraisal, and verifiable damage. Interacts with claimants and oversees the review of records and documentation to ascertain insurance coverage. Supervises settlement negotiations within authorized limits and escalates claims exceeding authorization. May conduct team training. May require a bachelor's degree. Typically reports to a manager or head of a unit/department. Working team member that may validate or coordinate the work of others on a more...
The Claims Investigations Supervisor I oversees the investigation of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Supervises activities in the claims department. Being a Claims Investigations Supervisor I supervises negotiations to settle claims out-of-court up to a predetermined limit. Interacts with claimants and oversees the review of claim forms and other records to determine insurance coverage. In addition, Claims Investigations Supervisor I refers claims exceeding authorized limits to next level of supervision. May make re more...
The Claims Negotiations Supervisor I oversees the investigation of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Supervises activities in the claims department. Being a Claims Negotiations Supervisor I supervises negotiations to settle claims out-of-court up to a predetermined limit. Interacts with claimants and oversees the review of claim forms and other records to determine insurance coverage. In addition, Claims Negotiations Supervisor I refers claims exceeding authorized limits to next level of supervision. May make recommen more...
Reviews insurance claim forms and supporting documents for completeness and accuracy and obtains missing information as necessary. Inputs claim information into system for processing. Verifies coverage eligibility. Calculates settlement amounts according to guidelines. Processes routine claim payments. Requires a high school diploma or equivalent. Typically reports to a supervisor. Works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. more...
The Claims Investigator I corresponds with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested insurance claims. Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Being a Claims Investigator I prepares reports of investigation findings. Makes recommendations for settlement of routine property/casualty claims based on coverage, appraisal, and verifiable damage. In addition, Claims Investigator I may conduct field evaluations to inspect and document damage or loss. more...
Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. 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. Determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Work is closely managed. Works on projects/matters of limited complexity in a support rol more...
Receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Produces routine and ad hoc reports. Requires a high school diploma. Typically reports to a supervisor. Works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. more...
Audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Typically reports to a supervisor or a manager. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. Typically requires 2 to 4 years of related experience. more...
The Automotive Claims Adjuster I corresponds with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested insurance claims. Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Being an Automotive Claims Adjuster I prepares reports of investigation findings. Makes recommendations for settlement of routine property/casualty claims based on coverage, appraisal, and verifiable damage. In addition, Automotive Claims Adjuster I may conduct field evaluations to inspect and do more...
The Insurance Claims Examiner I examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being an Insurance Claims Examiner I communicates with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Insurance Claims Examiner I determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a su more...
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