Claims Examiner I
Also referred to as: Claim Review and Settlement Examiner I, Insurance Claims Examiner I
Requirements and Responsibilities
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 role. Typically requires 0-2 years of related experience.
Similar Jobs:  Claims Examiner III, Claims Examiner II, Claims Examiner IV, Claims Adjuster I, Claims Supervisor I, Disability Claims Examiner, Claims Examiner V, Disability Claims Examiner, Sr., Claims Adjuster II
Level of Education:  Claims Examiner I Salaries with an Associate's Degree, Claims Examiner I Salaries with a Bachelor's Degree, Claims Examiner I Salaries with a Master's Degree or MBA, Claims Examiner I Salaries with a JD, MD, PhD or Equivalent
Industries:  Business Services, Edu., Gov't. & Nonprofit, Energy & Utilities, Financial Services, Healthcare, Insurance, Retail & Wholesale, Transportation