Claims Examiners Property Casualty Insurance Job Description


Claims Examiners Property Casualty Insurance - Job Description
Review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures. Report overpayments, underpayments, and other irregularities. Confer with legal counsel on claims requiring litigation.
 
Claims Examiners Property Casualty Insurance
Tasks Performed
  • Adjust reserves and provide reserve recommendations to ensure reserving activities consistent with corporate policies.

  • Communicate with reinsurance brokers to obtain information necessary for processing claims.

  • Conduct detailed bill reviews to implement sound litigation management and expense control.

  • Confer with legal counsel on claims requiring litigation.

  • Contact and/or interview claimants, doctors, medical specialists, or employers to get additional information.

  • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.

  • Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.

  • Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.

  • Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis.

  • Pay and process claims within designated authority level.

  • Prepare reports to be submitted to company's data processing department.

  • Present cases and participate in their discussion at claim committee meetings.

  • Report overpayments, underpayments, and other irregularities.

  • Resolve complex, severe exposure claims, using high service oriented file handling.

  • Supervise claims adjusters to ensure that adjusters have followed proper methods.

  • Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.

 
Claims Examiners Property Casualty Insurance
Work Activities
  • communicate technical information

  • compile information through interviews

  • confer with prosecuting attorney

  • develop management control systems

  • direct and coordinate activities of workers or staff

  • examine documents for completeness, accuracy, or conformance to standards

  • follow contract, property, or insurance laws

  • investigate insurance claims

  • maintain insurance records

  • maintain records, reports, or files

  • make presentations

  • note discrepancies in financial records

  • obtain information from individuals

  • prepare reports

  • recommend claim action

  • review data on insurance applications or policies

  • use computers to enter, access or retrieve data

  • use interviewing procedures

  • use knowledge of investigation techniques

  • verify investigative information

Information Provided by O*NET

Connect on our Social Sites

         

Share this Page or Job on:




Featured Employers
MetLife Jobs

MetLife
Great American Insurance

Great American Insurance
Allstate Jobs

Allstate Insurance


Chubb


The Hanover Insurance Group
CNA
CNA
AON Jobs
AON
Sedgwick
Sedgwick
AIG

AIG
Chubb Insurance
Chubb Insurance

Insurance Company Profiles


Featured Jobs
Reston, VA
AAFMAA
Minneapolis, MN
Riverport Insurance Company
Harrison, AR
FedEx Freight
Plano, TX
Acacia Insurance Managers LLC.
Baltimore, MD
Riggs, Counselman, Michaels & Downes, Inc
Oklahoma City, OK
Associated Risk Managers of Mid America
Raleigh, NC
NC League of Municipalities
Petaluma, CA
Riverport Insurance Company
San Francisco, CA
Fidelity Health Marketplace

Career Tools & Services

Salary Comparisons
FREE Insurance Magazines
 

Advertise with Us

Employers Post Jobs and Resume Search

Advantages of Posting on InsuranceJobs.com

Insurance Employment Display Advertising

info@insurancejobs.com or 770-425-8576