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Requirements and Responsibilities

Claims Examiner III reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner III 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. Additionally, Claims Examiner III determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner III work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be a Claims Examiner III typically requires 4 -7 years of related experience.

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