Claims Examiner
Jobtailor
Handle low to moderate low exposure claims Confirm claim coverage by reviewing policies and supporting documents Analyze coverage and communicate coverage positions Draft coverage position letters independently Investigate, evaluate, negotiate, and settle assigned claims Obtain, review, and analyze documentation, policy provisions, and other records Conduct, coordinate, and direct investigations into loss facts and extent of damages Evaluate coverage, liability, and damages to determine insured exposure Set reserves within authority or recommend reserve changes to the manager Use the diary system to resolve outstanding issues and ensure timely claim processing and closure Negotiate and settle claims directly with claimants Prepare reports by collecting and summarizing information Participate in special projects and assist team members as requested Provide timely service throughout the claim lifecycle in accordance with service level agreements and company policies Identify subrogation opportunities and fraud potential and make appropriate referrals Provide customer service to internal and external customers Requirements Bachelor’s degree or equivalent work experience Must have or be eligible to receive claims adjuster license Successful completion of basic insurance courses or achievement of an industry designation (INS, IEA, AIC, ARM, SCLA, CPCU) Minimum of two years of claims handling experience or equivalent combination of education and experience Knowledge of insurance industry or claims handling preferred Successful completion of two years as an Associate Claims Specialist preferred Excellent written and oral communication skills Strong analytical and problem-solving skills Strong organization and time management skills Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word) Ability to work in a team environment Strong desire for continuous improvement Ability to travel to industry conferences or meetings, if required US Work Authorization required Markel does not provide visa sponsorship for this position, now or in the future Core Competencies Demonstrates expertise in claims handling, including analyzing coverage, negotiating settlements, and providing exceptional customer service throughout the claim lifecycle. Proficient in utilizing Microsoft Office tools and maintaining compliance with industry standards and regulations. Highest-signal resume keywords Claims Handling Experience Claims Adjuster License Analytical Skills Microsoft Office Proficiency Customer Service Hard Skills Claims Analysis Coverage Evaluation Negotiation Documentation Review Report Preparation Subrogation Identification Fraud Detection Reserve Setting Investigation Coordination Policy Provision Analysis Soft Skills Written Communication Oral Communication Problem-Solving Organization Time Management Team Collaboration Continuous Improvement Certifications & Qualifications Claims Adjuster License INS IEA AIC ARM SCLA CPCU Industry Keywords Insurance Industry Claims Handling Coverage Position Loss Investigation Service Level Agreements Customer Service Fraud Potential Subrogation Opportunities Claims Lifecycle Policy Provisions Tools & Technologies Microsoft Excel Microsoft Outlook Microsoft PowerPoint Microsoft Word Diary System #J-18808-Ljbffr Jobtailor
- ...Join Our Team as an Insurance Claims Examiner - Make an Impact in Healthcare Payment Accuracy! Are you passionate about ensuring fair and accurate healthcare claims processing? We're seeking a dedicated Insurance Claims Examiner to join our dynamic team in Doral, FL, and...SuggestedWork at office
$19 - $23 per hour
...satisfactorily, with or without a reasonable accommodation; including, but not limited to: Configure,implementand administer a robust claims quality and auditingprogram Establish best practice claims paymentmethodologybased on current CMS claims paymentregulations Conduct...SuggestedHourly payFull time- ...New York Life Direct is seeking an Incontestable Claims Examiner to support processing incontestable life insurance claims. You will gather documentation, verify information, and provide service to beneficiaries and internal teams while following established workflows....SuggestedWork at officeRemote work
- Casualty Claims Examiner at AssuranceAmerica Job Summary This position is responsible for the oversight of complex and large exposure losses and will report to the National Casualty Claims Manager. The Casualty Claims Examiner works alongside claims management, providing...SuggestedFull timeContract workWork experience placementLocal areaHome office
- Acrisure is seeking a remote Workers’ Compensation Claims Examiner to manage a desk and caseload of workers’ compensation claims from assignment through resolution. You will investigate claims, evaluate liability and exposure, maintain reserves, and support claim resolution...SuggestedRemote job
- ## General Liability AdjusterApplylocations: Telecommuter FLtime type: Full timeposted on: Posted Todayjob requisition id: R76112By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who...
- Great American Insurance Group is seeking a Crop Adjuster in the Town of Florida, NY, to handle insurance claims for various crops. This role involves conducting field inspections, documenting claims, and ensuring compliance with insurance policies and regulations. The...Part timeSeasonal work
$54k - $103k
...potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving...Work experience placementWork at officeLocal areaFlexible hours- ...We are seeking a highly skilled and experienced Global Third Party Claims Handler to oversee the technical handling of claims across multiple jurisdictions and regions. This position requires a strong background in handling multi-line claims, including First Party Auto...Work at officeLocal areaFlexible hours
- Sedgwick Claims Management Services Ltd in the United States seeks a Commercial General Liability Claims Adjuster to handle end-to-end complex third-party bodily injury and property damage claims under CGL policies. The role requires advanced coverage analysis, liability...
- Job Details Job Location: BFC HQ - Saint Petersburg, FL 33701 Production Underwriter – Small Business / Businessowners Policy (BOP) About Bankers Insurance Group Founded in 1976, Bankers Insurance Group has grown from a small local company into a diverse corporation known...Full timeLocal area
- The underwriter is responsible for assessing and managing risk associated with surety bond applications. They evaluate the financial strength and credibility of applicants, analyze terms, and make informed decisions to protect the interests of the surety company while ...Temporary workWork visaFlexible hours
- General Placement Service is recruiting on behalf of a respected national insurance carrier. they seek to hire a P&C Underwriter to underwrite new business for their clients. In this role you will work fully remote for a growing insurance provider with national reach. ...Remote work
$59.9k - $98.2k
Zurich is seeking an experienced Litigation Claims Specialist to join its Commercial General Liability team. At Zurich North America Claims, we recognize that flexibility and work-life balance are key considerations when choosing your next career move. Our hybrid work...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$18 - $19 per hour
Overview Position Title: Claim Assistant Location: Maitland, FL (in-office reporting M-F) Schedule: 8:00 am-4:30 pm ET Salary Range: $18-$19/hr Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management...Work at office- ...coordination Reimbursement - investigation, verification Job Summary The primary function/purpose of this job: Verify member submitted claims forms, member’s eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data...Contract workFor contractorsShift work
$20 - $25 per hour
...ask for an accommodation or an alternative application process. Claims Analyst Full Time Staff South Florida Community Care Network,... ...operational efficiency. Provide guidance and training to Claims Examiners and contribute to claims procedures, SOPs, and reference materials...Hourly payFull timeRemote work- ...defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated Casualty Claims professional to join our team. This job requires mastery of claims-handling skills and requires the person to Investigate assigned...Local areaWork from home
- Complete outbound calls to insurance carriers to file claims on behalf of clients Participate in inter/intraoffice discussions and problem solving Complete timely review and entry of new losses Determine if coverage is in place and send documentation to insurance carriers...Work at office
$15 - $16 per hour
...forward. If you only make one career connection today, connect with Kelly. Job Description Kelly Services is currently seeking several Claims Specialist for our client's Lake Mary, FL location. In addition to working with the world’s most recognized and trusted name in...Hourly payPermanent employmentTemporary workImmediate startMonday to Friday- ...traveler chasing the Northern Lights, we’re there to ensure their journey is safe and supported. From assisting with emergency medical claims to guiding customers through trip disruptions or ID theft, your work helps turn travel challenges into stories of resilience. Set...Temporary workInternshipWork at officeLocal areaWork from homeMonday to FridayWeekend work2 days per week3 days per week
$16 - $17 per hour
GoldenTrust Insurance is one of South Florida’s fastest-growing agencies, known for delivering trusted insurance solutions with professionalism, transparency, and care. We are expanding our team and seeking a detail-oriented and analytical Insurance Underwriter Agent to...Hourly payFlexible hours$84.8k - $127.2k
...The Hartford is seeking a Consultant Claims to manage complex general liability claims. In this role, you will conduct investigations, analyze legal matters, and communicate with stakeholders. Candidates must have a Bachelor’s degree and at least five years of experience...- Underwriter needed for Carrier Agency in Broward County. Fabulous organization - wonderful environment. As an Underwriter, you will be responsible for evaluating new business applications, ensuring eligibility based on company guidelines, and reviewing renewal policies ...
- ...brokerage of Venbrook Group, LLC, a holding company with subsidiaries engaged in retail broking, wholesale broking, programs, and claims services. As an independent, multi‑line wholesaler in the property and casualty marketplace, Brooks Insurance provides coverage on...Shift work
- The Underwriter is responsible for validating income, asset, and collateral documents including self-employed tax returns. The Underwriter may be involved in one or several types of mortgage lending including, but not limited to, conventional, FHA, government, USDA, etc...Self employmentWork at officeRemote work
- Since ourinception, Apex MCA Holdings has made it our mission to provide a better funding experience for small to mid-market businesses. We understand that traditional capital sources have made it unreasonably difficult for businesses to get the capital needed to remain...Bank staffWork at office
- At Frontline Insurance, we are on a mission to Make Things Better, and our Territory Personal Lines Underwriter plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making...Temporary workLocal area
- ...The Credit and Collection Manager - Claims has the responsibility of leading and coordinating activities related to credit management, collections and claims administration. His main objective is to ensure efficiency in the recovery of outstanding accounts and the effective...
- ...CNA Financial is seeking a Claims Quality Review Director to conduct on-site audits of Auto Physical Damage and General Liability claims, ensuring accuracy, timeliness, and compliance with CNA guidelines. The role supports leadership with trend analysis, process improvements...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Examiner. Be the first to apply!
- claim examiner Florida, NY
- claims analyst Florida, NY
- medical insurance claims specialist Florida, NY
- claim specialist Florida, NY
- insurance claims processor Florida, NY
- claims processor Florida, NY
- remote medical claims processor Florida, NY
- claims assistant Florida, NY
- claims consultant Florida, NY
- property claims Florida, NY

