Courses

Job Profile

  • Review settled insurance claims.
  • Determine whether payments and settlements have been made in accordance with company practices and procedures.
  • Report overpayments, underpayments, and other irregularities.
  • Confer with legal counsel on claims requiring litigation.
  • Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
  • Enter claim payments, reserves and new claims on a computer system, inputting concise yet sufficient file documentation.
  • Resolve complex, severe exposure claims, using high service oriented file handling.
  • Present cases and participate in their discussion at claim committee meetings.

Employment Opportunity

  • claims examiner
  • healthcare claims examiner
  • claims research analyst
  • environmental claims examiner
  • property and automotive claims examiner
  • business and financial claims examiner
  • workers’ compensation claims examiner
  • travel, sport, and leisure claims examiner

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