Claims Examiner
Miami, FL · On-site
... the insurance company, and other parties that may be involved in the claim. Major Responsibilities: * Communicate regularly by telephone with clients keeping them updated throughout the claims ...
Quick apply
Claims Examiner
Miami, FL · On-site
... the insurance company, and other parties that may be involved in the claim. Major Responsibilities: * Communicate regularly by telephone with clients keeping them updated throughout the claims ...
Claims Examiner
Miami, FL · On-site
... the insurance company, and other parties that may be involved in the claim. Major Responsibilities: * Communicate regularly by telephone with clients keeping them updated throughout the claims ...
Quick apply
Claims Examiner
Miami, FL · On-site
... the insurance company, and other parties that may be involved in the claim. Major Responsibilities: * Communicate regularly by telephone with clients keeping them updated throughout the claims ...
Claims Examiner
Miami, FL · On-site
... claim issues and facilitate timely reimbursement. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Claims Examiner helps protect the organization from ...
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Claims Examiner
Miami, FL · On-site
... claim issues and facilitate timely reimbursement. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Claims Examiner helps protect the organization from ...
Claims Examiner
Miami, FL · On-site
... claim issues and facilitate timely reimbursement. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Claims Examiner helps protect the organization from ...
Quick apply
Claims Examiner
Miami, FL · On-site
... claim issues and facilitate timely reimbursement. By maintaining up-to-date knowledge of healthcare regulations and insurance policies, the Claims Examiner helps protect the organization from ...
Property Insurance Claims Examiners
Pinellas Park, FL · On-site
$60K - $85K/yr
... claim and working as efficiently with focus on amicable indemnity. Our Desk Examiners also have ... Following the destructive hurricane seasons of 2004 and 2005, a group of seasoned insurance ...
Property Insurance Claims Examiners
Pinellas Park, FL · On-site
$60K - $85K/yr
... claim and working as efficiently with focus on amicable indemnity. Our Desk Examiners also have ... Following the destructive hurricane seasons of 2004 and 2005, a group of seasoned insurance ...
Claims - Claims Examiner
Pensacola, FL · On-site
Our solutions span the insurance senior market sector, focusing on long-term care and Medicare ... Analyze claim documentation including invoices, care plans, and provider credentials * Apply ...
Claims - Claims Examiner
Pensacola, FL · On-site
Our solutions span the insurance senior market sector, focusing on long-term care and Medicare ... Analyze claim documentation including invoices, care plans, and provider credentials * Apply ...
Claims Examiner I - Commercial Auto
Lake Mary, FL · On-site +1
$55K - $78K/yr
Athens Program Insurance Services is the centerpiece of P amp;C claims administration in the ... Negotiate settlement of claim within individual authority ($15,000 unless otherwise noted)
Claims Examiner I - Commercial Auto
Lake Mary, FL · On-site +1
$55K - $78K/yr
Athens Program Insurance Services is the centerpiece of P amp;C claims administration in the ... Negotiate settlement of claim within individual authority ($15,000 unless otherwise noted)
Claims Examiner I - Commercial Auto
Lake Mary, FL · On-site +1
$55K - $78K/yr
Athens Program Insurance Services is the centerpiece of P amp;C claims administration in the ... Negotiate settlement of claim within individual authority ($15,000 unless otherwise noted)
Claims Examiner I - Commercial Auto
Lake Mary, FL · On-site +1
$55K - $78K/yr
Athens Program Insurance Services is the centerpiece of P amp;C claims administration in the ... Negotiate settlement of claim within individual authority ($15,000 unless otherwise noted)
Claims Auditor I
Doral, FL · On-site
$23.73 - $35.60/hr
Audit work completed by claim examiners and associates to ensure accuracy in underpayment dispute ... Minimum of 5 years of claims processing experience, preferably within healthcare or insurance. * At ...
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Claims Auditor I
Doral, FL · On-site
$23.73 - $35.60/hr
Audit work completed by claim examiners and associates to ensure accuracy in underpayment dispute ... Minimum of 5 years of claims processing experience, preferably within healthcare or insurance. * At ...
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions-through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions-through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Brandon, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Brandon, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Plant City, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Plant City, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Tampa, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Riverview, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Riverview, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Largo, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Injury Claims Examiner
Largo, FL · On-site
... claim resolutions--through both settlement and litigation. You will play a pivotal role in ... Understanding and ability to execute and comply with Department of Insurance Guidelines and ...
Insurance Claim Examiner information
What does an insurance claim examiner do?
An Insurance Claim Examiner reviews insurance claims to determine their validity and ensures that claims are processed accurately according to policy terms. They investigate claims by gathering information, assessing documentation, and sometimes consulting with medical or legal experts. Their goal is to confirm that claims are legitimate and to determine the appropriate payout or denial. Examiners also help prevent fraud and ensure compliance with laws and company guidelines. They play a critical role in balancing customer service with protecting the financial interests of the insurance company.
What are the key skills and qualifications needed to thrive as an insurance claim examiner?
To thrive as an Insurance Claim Examiner, you need a solid understanding of insurance policies, claims procedures, and investigative techniques, usually supported by a bachelor's degree in a related field. Familiarity with claims management software, regulatory compliance systems, and industry certifications like AIC (Associate in Claims) are typically required. Attention to detail, strong analytical thinking, and effective communication are standout soft skills for this role. These competencies enable accurate claim assessments, minimize fraud, and maintain trust with policyholders and stakeholders.
What are some common challenges faced by insurance claim examiners, and how can they be managed on the job?
Insurance Claim Examiners often encounter challenges such as handling complex claims, managing tight deadlines, and ensuring compliance with ever-changing regulations. To manage these, examiners typically rely on strong organizational skills, attention to detail, and ongoing professional development to stay updated on industry standards. Collaboration with adjusters, legal teams, and policyholders is also key to resolving issues efficiently and fairly, while maintaining clear communication helps prevent misunderstandings and delays.
How much do insurance claim examiners make in the US?
Insurance claim examiners in the US typically earn a median annual salary of around $45,000 to $70,000, depending on experience, location, and employer. Entry-level examiners may start lower, while experienced professionals or those with specialized skills can earn higher wages, often working in office environments with standard full-time hours.
How to become an insurance claim examiner?
To become an insurance claim examiner, candidates typically need a high school diploma or equivalent, with some roles requiring postsecondary education or specialized training. Relevant skills include attention to detail, communication, and knowledge of insurance policies; obtaining certifications such as the Certified Claims Professional (CCP) can enhance job prospects. Experience in insurance or customer service is often preferred, and examiners usually work in office environments with standard business hours.
Is being an insurance claim examiner hard?
Insurance claim examiners analyze insurance claims to determine coverage and payout amounts, which can involve detailed review of policies, reports, and documentation. The job requires strong attention to detail, analytical skills, and knowledge of insurance policies, and it can be challenging during high-volume periods or complex claims.
What are popular job titles related to Insurance Claim Examiner jobs in Florida?
For Insurance Claim Examiner jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Insurance Claim Examiner jobs in Florida look for?
The top searched job categories for Insurance Claim Examiner jobs in Florida are:
Full-time
Re-posted 28 days ago
Job description
Position Summary
The Claims Examiner reports to the Director of Claims. The Claims Examiner is an exciting and challenging position that is the primary contact to our client throughout the claims process and help manage the investigation of their claim. The position will work hand in hand and under the direction of the Public Adjuster who represents the client by serving as a liaison between the client, the insurance company, and other parties that may be involved in the claim.
Major Responsibilities:
- Communicate regularly by telephone with clients keeping them updated throughout the claims process and collecting documents to substantiate the claim.
- Communicate frequently by telephone and in writing with insurance adjusters and other representatives of insurance companies to gather and provide information.
- Communicate with vendors for services needed by clients and obtain invoices, estimates and other documents from vendors.
- Review documents and correspondence, such as insurance policies, letters from insurance companies, and reports, invoices and proposals from vendors.
- Prepare formal letters and documents for submission to insurance companies in response to requests for information.
- Prepare and organize electronic and hard copy files in a concise manner.
- Assist clients in completing documents requested by insurance companies.