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View salary and benefits informationSupervises most 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 be responsible for reviewing and processing highly complex or high-value claims. May assist in training Property and Casualty Claims Examiners and Adjusters. May require a bachelor's degr more...
The Claims Investigations Supervisor II oversees the investigation of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Supervises most activities in the claims department. Being a Claims Investigations Supervisor II 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 II refers claims exceeding authorized limits to next level of supervision. May more...
The Claims Negotiations Supervisor II oversees the investigation of insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. Supervises most activities in the claims department. Being a Claims Negotiations Supervisor II 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 II refers claims exceeding authorized limits to next level of supervision. May be re 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 moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience. more...
The Claims Investigator II is responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested claims. Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Being a Claims Investigator II may conduct field evaluations to inspect and document damage or loss. Prepares reports of investigation findings. In addition, Claims Investigator II typically requires an associate's degree. Typically reports to a supervisor or manager. Being a Claims Investig 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. Occasionally directed in several aspects of the work. Gaining exposure to some of the com more...
Receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. 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 moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related 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. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. Typically requires 4 to 7 years of related experience. more...
The Insurance Claims Examiner II examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being a Insurance Claims Examiner II 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 II determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a more...
The Automotive Claims Adjuster II is responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested claims. Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Being an Automotive Claims Adjuster II may conduct field evaluations to inspect and document damage or loss. Prepares reports of investigation findings. In addition, Automotive Claims Adjuster II typically requires an associate's degree. Typically reports to a supervisor or manager. B more...
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