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Insurance Claims Adjuster Jobs

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image What's involved with working in claims?

Some of the best insurance jobs are in the claims department. Insurance claims examiner jobs, fraud investigator jobs and insurance adjuster jobs all relate to investigating and paying customers for claims submitted to an insurance company. Depending upon the specific job, a claims associate may be called upon to provide appraisals, investigate people or events related to a claim or to negotiate a settlement.

Insurance Claims Adjusters and Investigator Jobs

Some of the most common insurance claims careers are adjusters, examiners and investigators:

·       Claims adjuster jobs involve evaluating, investigating and settling claims. There’s a great deal of training involved in this insurance claims career. Claims adjusters have to learn the policy backwards and forwards and they must also learn a great deal about the items insured.

·       Claims examiners review the work of people who work in the claims adjuster jobs, making sure all policy guidelines have been followed throughout the claims process. People who work in claims examiners jobs provide a helpful bird’s eye view of average costs for hospitals, doctors and repair work that helps keep reported claims manageable and reasonable.

·       Folks who have decided upon a claims investigator career usually only step in when fraud is suspected or something seems unusual about a claim. Claims investigators often work closely with law enforcement officials and private investigators, and do a lot of the investigative legwork themselves.

Insurance Claims Job Description         

It takes a unique, strong-willed individual to work in one of the best insurance claims careers. Some things to expect from a career in insurance claims:

·       A lot of paperwork passes over a desk in a claims adjuster or claims examiner job. Fraud investigators spend many hours completing claims reports. Some occasional weekend or evening work playing catch-up is not uncommon.

·       A claims examiner job requires some restraint and thoughtfulness. As hard as it seems to do, claims adjusters can't sympathize - or empathize - with everyone who calls into the company with a claim. Representatives can apologize for the policyholder's loss and tell them they hope everyone gets through it ok. That’s allowed. But claims associates have to be wary of policy language and the legal department’s concerns regarding language that can be used on the phone with a claimant. In other words, promises can't be made before the claim has been investigated.

·       All states require some kind of licensing for insurance claims jobs. No matter what the state requirements are, applicants can plan on spending time getting a license and completing annual continuing education for a career in insurance claims.

·       Quickly advance a career by working in the insurance claims department. Choose insurance claims careers for ample opportunity to move into a supervisor or manager role. Many claims professionals choose to move from one specialty to another specialty (property to casualty, for example), thereby increasing their knowledge and their overall value to the company, too.

Insurance Claims Salary ExpectationsDepending upon which insurance claims career path is chosen, claims professionals might start earning around $28,000 - $32,000 and over time, advance to the $70,000 range or higher, if they choose to move into management. In addition, bonuses, expense accounts and company cars are not uncommon for these insurance claims careers.

 

Subscribe to comments feed Comments (188 posted):

Brian Stripling on 01/08/2010 12:44:46
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Hello, I have had my license in Texas for about a year now but I have to found work with a insurance company. I am working for a construction company in the sales department and deal with claims and insurance companies on a regular basis
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LAURA SMITH on 01/13/2010 14:42:03
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HELP! I am anxious to return to the insurance industry after a 20 yr. lapse, due to starting a family and a career change (nursing).
Working my way up (auto claims)took approx. 5 yrs, starting at Hartford as receptionist to dispatcher (for auto appraisers).
To increase my knowledge of various types of claims and coverages, i took on a claims processing position with an insurance agency, with promotions over a 3 year period,to claims rep,reviewing and settling first party auto, homeowners and some product liability cases (via draft authority).
The increased experience led me to Prudential as a auto theft/reoovery adjuster, workly closely with S.I.U, which I really enjoyed. I was very sucessful in identifying fraudulent cases.
My promotion request (as auto appraiser) was accepted. After a one month, out of state, training course was completed, (Vale Tech, Chambersburg, PA.)i was literally "out on the road" appraising first and third party auto claims, covering several counties in NJ.,including drive-in locations. Prudential provided me with a company car and expense account.
When relocating from Bergen to Ocean county after my maternity leave, i had to (regretfully) leave the company.
My interest in a new (nursing) career started while volunteering as an EMT on the first aid squad.
During nursing school (LPN), i remained on the squad, holding several titles/positions and started a small retail business to support myself and two young daughters.
I am hoping with the various experience obtained over the years, that can utilize this for a claims position; PIP, medical fraud, etc. Any suggestions? Thanking you in advance for your imput.
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Michele Bodine on 03/26/2010 11:35:18
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I had an Insurance Adjusters License for 3 years in Florida. I was never able to obtain a job in the field.The State requested that I send it back so I complied. I am a Licensed Massage Therapist 20 Years. I have had unfortunatley quite a bit of experience in fraud working in PIP clinics in Florida. Deposed 11 times by various Insurance companies, State Investigators and SIU Departments. I now live in NJ. I am interested in obtaining an entry level postion with an Insurance company. I have completed a Medical billing/coding program this past year. I am thinking about taking an on-line Adjusters All Lines coarse to obtain my Texas License. Do you think this is a good avenue to take? Please respnd by e-mailing me at Whitelight32812@aol.com or respond on this site.
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Charles Ring on 06/13/2010 21:23:52
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Former agency owner for large captive carrier. Eighteen years in the industry. Criminal Justice degree. Licensed General Contractor for the state of NC. Special interest, claims and Fraud investigation. Please email employment opportunities to ringinsurance@gmail.com Thank you.
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Franklyn October on 07/15/2010 15:43:14
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IM LOOKING FOR PENALBEATING WORK FOR A SMALL BUSSNISS..I HAVE ONE DISABLE GUY.. JUST LOOKING FOR LINKS
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Jerren Hughes on 12/29/2010 04:05:44
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Hello, I have been a Insurance producer in Illinois for the last three years, and i'm looking to start a career as an Insurance Adjuster. What would I need To get started on the path to becoming an insurance adjuster.
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E. Parker on 01/10/2011 17:00:33
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I possess all of the operational/administrative related skills and experience required of claims handling at the Agency level. I currently hold a P & C license and am a dues paying member of CISR.

In addition, I have served at Agency CSR/Account Manager level for many years. For the last two years, I managed GBP Risk Solutions Commercial Claims Department, including reporting directly to the Agency VP & Account Executives for Customer Relationship Management. Other duties include Agency Communication, and Marketing & Operations Support.

I would appreciate an opportunity to discuss available Claims Adjuster/processor positions in Tucson Arizona.

Best regards,
Elizabeth Parker, CISR
Go2r42@gmail.com
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SEO Services india on 01/18/2011 06:19:43
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coach outlet on 02/14/2011 04:12:23
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Thanks for sharing this fun list!
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life insurance quote new jersey on 02/19/2011 01:12:46
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Informative advice … I’ll use Thanks
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About the Author
image Lisa Nichols Lisa is a freelance writer, website content strategist and marketing and PR strategy consultant. Lisa also authors the syndicated rose city journal blog. Posts from the blog appear on newspaper websites across the country. Publication credits include essays, features, commentary and non-fiction for: Chicago Sun-Times, Cincy Chic Magazine, Community Press Newspapers, Credit Union Business Magazine, Pique Fashion Magazine, Stories for Shorty: A Collection of Recollections from the Jockey Club 1982-88
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