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 ...plex tasks within the job function. Typically requires 2 -4 years of related experience.More Show Less
Create an Alert for Claims Examiner II Jobs
Create a Job Alert
Get notified when new Claims Examiner II jobs are posted
Massachusetts Property Insurance Underwriting Association is seeking an Examiner II to join their Claims Department. This position reports to the Property Claims Manager and has no supervisory responsibility. This position is responsible for the examination of property claims in accordance with Association claims procedure, and the evaluation and pursuit of salvage and subrogation recoveries. JOB REQUIREMENTS. This position requires a college deg...
Massachusetts Property Insurance Underwriting Association is seeking an Examiner II to join their Claims Department. This position reports to the Property Claims Manager and has no supervisory responsibility.This position is responsible for the examination of property claims in accordance with Association claims procedure, and the evaluation and pursuit of salvage and subrogation recoveries.JOB REQUIREMENTS:This position requires a college degree...
Company Description. The Claims Examiner is responsible for reviewing, evaluating, and making final decisions on life, accidental injury & death, simple annuity, and rider claims. This role requires knowledgeable claim assessment, policy interpretation, benefit calculation, and customer communication. The examiner will approve or deny claims within assigned authority limits, provide mentorship to junior staff, and support continuous improvement i...
. Forrest T. Jones & Company, Inc., and its affiliates (“FTJ”), provide insurance and insurance related services to clients, corporations, employers and individuals. These services include providing benefits through innovative life and health insurance plans, financial services, and customized insurance products for niche markets. Position Summary. The Claims Examiner II is responsible for the accurate and timely processing of life claims. The Cl...
Company. NICO National Indemnity Company. Want to work for a company with unparalleled financial strength and stability that offers “large company” benefits with an exciting, friendly, and “small company” atmosphere. Our companies, as members of the Berkshire Hathaway group of Insurance Companies, provides opportunities for professionals interested in just that. A Brief Overview. Investigate, evaluate, provide defense if appropriate, negotiate an...
Position Purpose. The. Claims Examiner. is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims and other duties as necessary. Key Responsibilities. Review, research, analyze and process professional claims by navigating multiple applications and platforms accurately. Ensure that the proper benefits are applied to the claim using the appropriate tools (e.g. CMS guideli...
Company: NICO National Indemnity Company Want to work for a company with unparalleled financial strength and stability that offers “large company” benefits with an exciting, friendly, and “small company” atmosphere. Our companies, as members of the Berkshire Hathaway group of Insurance Companies, provides opportunities for professionals interested in just that. A Brief Overview Investigate, evaluate, provide defense if appropriate, negotiate and ...
Company: NICO National Indemnity Company Want to work for a company with unparalleled financial strength and stability that offers “large company” benefits with an exciting, friendly, and “small company” atmosphere. Our companies, as members of the Berkshire Hathaway group of Insurance Companies, provides opportunities for professionals interested in just that. A Brief Overview Investigate, evaluate, provide defense if appropriate, negotiate and ...
Requirements. Under general supervision, the Claims Examiner II reviews and resolves a caseload of claims with varying degrees of complexity within established timeframes and using appropriate program policies and procedures. Reviews may include medical, dental, inpatient and/or DME claims that require intervention for pricing, documentation requirements, appropriate coding and benefit determinations. Position overview Essential Functions. Indepe...
Job Details. Job Location. Burlingame, CA. Salary Range. $36.92 - $41.85 Hourly. Description. The MSO Claims Examiner is responsible for the daily review, audit, examination, investigation and adjudication of hospital and professional claims. Must exceed qualitative standard and meet quantitative production standard. Responsible to prepare files and documents for the annual health plan delegation oversight audits, assist Claims Supervisor with ...
