| Claims Examiner IV |
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| Also referred to as: Claim Review and Settlement Examiner IV, Insurance Claims Examiner IV |
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| 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 highly independent. May assume a team lead role for the work group. A specialist on complex technical and business matters. Typically requires 7+ years of related experience. |
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| Similar Jobs: Claims Examiner I, Claims Examiner II, Claims Examiner III, Disability Claims Examiner, Disability Claims Examiner, Sr., Claims Examiner V, Claims Adjuster I, Claims Adjuster II, Claims Supervisor II |
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| Level of Education: Claims Examiner IV Salaries with No Diploma, Claims Examiner IV Salaries with a High School Diploma or Technical Certificate, Claims Examiner IV Salaries with an Associate's Degree, Claims Examiner IV Salaries with a Bachelor's Degree, Claims Examiner IV Salaries with a Master's Degree or MBA, Claims Examiner IV Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Business Services, Edu., Gov't. & Nonprofit, Energy & Utilities, Financial Services, Healthcare, Insurance, MFG Nondurable, Retail & Wholesale, Transportation | |
