Claims Examiner

Job description

Know your rights Inform yourself of your rights and responsibilities by reviewing the content provided in the list below. It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. - Employment Eligibility (e-Verify): English & Spanish - Right to work: English / Spanish Position Overview: The Examiners primary responsibility involves the review and evaluation of complex natured claims. This includes reviewing, evaluating, adjusting and investigating claims. The Examiner will set and adjust reserves and approve payments. The following are the usual, basic and essential functions of the position. These functions are not to be construed as an exhaustive list of all responsibilities, duties and skills required. Essential Job Functions: - Evaluation of complex represented claims. - Communicate with independent adjusters and other experts to gather information on claims. - Negotiate and explain settlements with the insured and/or their representatives. - Knowledge of multiple policy forms. - Manage workload and provide management with reports for late reporting according to established UAC guidel...