What Does it Take to Be a Property and Casualty Insurance Claims Examiner?
Example of Insurance Claims Examiner Job 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.
List of Insurance Claims Examiner Job Duties
- Communicate with reinsurance brokers to obtain information necessary for processing claims.
- Conduct detailed bill reviews to implement sound litigation management and expense control.
- Resolve complex, severe exposure claims, using high service oriented file handling.
- Prepare reports to be submitted to company’s data processing department.
- Pay and process claims within designated authority level.
- Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
Qualities of an Insurance Claims Examiner
These are the skills Property and Casualty Insurance Claims Examiners say are the most useful in their careers:
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:
- Workers Compensation Examiner
- Claims Specialist
- Claims Director
- Claims Examiner
- Insurance Auditor
Are There Job Opportunities for Property and Casualty Insurance Claims Examiners?
In 2016, there was an estimated number of 311,100 jobs in the United States for Property and Casualty Insurance Claims Examiner. 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.
Do Property and Casualty Insurance Claims Examiners Make A Lot Of Money?
Property and Casualty Insurance Claims Examiners make between $39,620 and $98,660 a year.
Property and Casualty Insurance Claims Examiners who work in Connecticut, Massachusetts, or New Jersey, make the highest salaries.
Below is a list of the median annual salaries for Property and Casualty Insurance Claims Examiners in different U.S. states.
|State||Annual Mean Salary|
|District of Columbia||$74,210|
What Tools do Property and Casualty Insurance Claims Examiners Use?
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
How do I Become 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?
Where do Property and Casualty Insurance Claims Examiners Work?
Property and Casualty Insurance Claims Examiners work in the following industries:
Other Jobs You May be Interested In
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
Are you already one of the many Property and Casualty Insurance Claims Examiner in the United States? If you’re thinking about changing careers, these fields are worth exploring:
More about our data sources and methodologies.
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