Life As a Property and Casualty Insurance Claims Examiner
Insurance Claims Examiner Example 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.
Life As an Insurance Claims Examiner
- Resolve complex, severe exposure claims, using high service oriented file handling.
- Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
- Conduct detailed bill reviews to implement sound litigation management and expense control.
- 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.
- Prepare reports to be submitted to company’s data processing department.
Insurance Claims Examiner Required Skills
When polled, Property and Casualty Insurance Claims Examiners say the following skills are most frequently used in their jobs:
Writing: Communicating effectively in writing as appropriate for the needs of the audience.
Reading Comprehension: Understanding written sentences and paragraphs in work related documents.
Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Speaking: Talking to others to convey information effectively.
Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Negotiation: Bringing others together and trying to reconcile differences.
Related Job Titles for this Occupation:
- Liability Claims Manager
- Casualty Claims Supervisor
- Customer Care Specialist
- Litigation Examiner
- Insurance Auditor
Job Opportunities for Property and Casualty Insurance Claims Examiners
There were about 311,100 jobs for Property and Casualty Insurance Claims Examiner in 2016 (in the United States). There is little to no growth in job opportunities for Property and Casualty Insurance Claims Examiner. There will be an estimated 24,500 positions for Insurance Claims Examiner per year.
The states with the most job growth for Insurance Claims Examiner are Utah, Arizona, and Colorado. Watch out if you plan on working in Maine, District of Columbia, or Mississippi. These states have the worst job growth for this type of profession.
How Much Does an Insurance Claims Examiner Make?
The typical yearly salary for Property and Casualty Insurance Claims Examiners is somewhere between $39,620 and $98,660.
Property and Casualty Insurance Claims Examiners who work in Connecticut, Massachusetts, or New Jersey, make the highest salaries.
How much do Property and Casualty Insurance Claims Examiners make in different U.S. states?
|State||Annual Mean Salary|
|District of Columbia||$74,210|
Tools & Technologies Used by Property and Casualty Insurance Claims Examiners
Below is a list of the types of tools and technologies that Property and Casualty Insurance Claims Examiners may use on a daily basis:
- Microsoft Excel
- Microsoft Word
- Microsoft Office
- Microsoft PowerPoint
- Microsoft Publisher
- Medical procedure coding software
- Healthcare common procedure coding system HCPCS
- Medical condition coding software
- Document management system software
- Hyland OnBase Enterprise Content Management
- Axonwave Fraud and Abuse Management System
- StrataCare StrataWare eReview
- LexisNexis RiskWise
- CCC Pathways Appraisal Quality Solution
- ISO NetMap for Claims
- ISO ClaimSearch
- IBM Fraud and Abuse Management System
- Hummingbird Legal Bill Review
- Agency Management Systems AMS 360
- AutoClaims Direct DirectLink
Becoming an Insurance Claims Examiner
Individuals working as a Property and Casualty Insurance Claims Examiner have obtained the following education levels:
What work experience do I need to become an Insurance Claims Examiner?
Who Employs Property and Casualty Insurance Claims Examiners?
Property and Casualty Insurance Claims Examiners work in the following industries:
Those interested in being a Property and Casualty Insurance Claims Examiner may also be interested in:
- Social Science Research Assistants
- Loan Counselors
- Cost Estimators
- Title Examiners, Abstractors, and Searchers
- Financial Analysts
Career changers with experience as a Property and Casualty Insurance Claims Examiner sometimes find work in one of the following fields:
More about our data sources and methodologies.
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