Claims Examiner IV reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner IV 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 IV determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner IV work is highly independent. May assume a team lead role for the work group. A specialist on complex technical and business matters. To be a Claims Examiner IV typically requires 7+ years of related experience.
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