Claims Examiner

Job Description

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.