Claims Examiner

What they do

  • Diligently review reports to ensure that no errors have been made in the appraisal process.
  • Determine whether payouts are reasonable.
  • Approve, reject or refer a claim to a specialist.
  • Meet with claimants and settle disputes.
  • Ensure compliance with regulatory standards, company policy and guidelines.
  • Provide assistance to Claims Adjusters to manage the volume of cases.
  • Consult with specialists such as lawyers, engineers, architects and physicians.
  • Assist attorneys and other specialists when defending the company against contestation.

Qualifications

  • High school diploma for entry level jobs.
  • Bachelor's degree in finance or related field preferred.
  • Sound administrative and organizational skills.
  • Great attention to detail.
  • Good interpersonal skills.
  • Excellent verbal and written communication.
  • Proficiency with mathematics and spreadsheet software.
  • Demonstrated decision-making ability.
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