202 claims examiner jobs found

UW ADMINISTRATIONOffice of Compliance & Risk Management WORKERS’ COMPENSATION CLAIMS EXAMINER SENIOR The Universities of Wisconsin are a premier system of public higher education serving more than 164,000 students. Awarding nearly 37,000 degrees annually, the universities are W...

Position Title: Claims Examiner I Location: Montebello, CA 90640 Post Date: Posted Today Description: Grow Healthy If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day. Job Overview A Claims Examiner is responsible for analyzing and adjudication of medical claims as it relates to managed care. Performs payment reconciliations and/or adjustments related to retroactive contract rate and fee schedule...

Temporary to Hire F/T Medical Claims Examiners Needed in Lombard, ILOur client a busy and growing Union Health & Welfare Fund located in Lombard; Illinois is looking to hire experienced full-time Medical Claims Examiners. We understand that you cannot submit any comments or text with your res...

Job Title: Sr Claim Examiner- WC Location: 350 Brea, CA 92821 Shift: 1st Responsibilities: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply....

Division or Field Office: Claims Division Department of Position: Corporate Claims Department Work from: Home in ERIE's Footprint Salary Range: $97,388.00-$155,567.00* salary range is for thislevel and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired.Position may be eligible for an annual bonus payment. At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits...

Division or Field Office: Claims Division Department of Position: Corporate Claims Department Work from: Home in ERIE's Footprint Salary Range: $97,388.00-$155,567.00* salary range is for thislevel and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired.Position may be eligible for an annual bonus payment. At Erie Insurance, you're not just part of a Fortune 500 company; you're also a valued member of a diverse and inclusive team that includes more than 6,000 employees and over 13,000 independent agencies. Our Employees work in the Home Office complex located in Erie, PA, and in our Field Offices that span 12 states and the District of Columbia. Benefits...

JOB DESCRIPTION Overview: As the Sr. Casualty Claims Examiner, you will be responsible for managing injury and damage claims in personal and commercial auto, as well as general liability cases. Locations: We are seeking candidates in Chesapeake, VA, Phoenix, AZ or O'Fallon, MO Key Responsibilities: Analyze initial reports to assess the nature of loss, determine coverage provided, and evaluate the scope of injury or damage in personal and commercial auto and general liability cases. Conduct thorough investigations into all aspects of reported claims, including potential fraud. Gather all necessary supporting documentation and verify its accuracy, relevance, and completeness. Apply knowledge of jurisdictional regulations and case law relevant to the territories handled. Effectively negotiate liability and damages when appropriate. Demonstrate the ability to manage and track cases to ensure timely development and resolution of...

JOB DESCRIPTION Chubb is currently seeking an AVP, Claims Manager to manage a team of examiners dedicated to handling litigated Employment Practices Claims and higher severity non-litigated claims. The team will be responsible for handling claims on behalf of Chubb Insureds across the United States. The position will be based in our Jersey City office and report to the Vice President of EPL Claims. Duties & Responsibilities: Ensure the delivery of timely and effective claims service through supervision of a team of examiners at various experience levels Train, mentor and develop staff who are at different stages of their career and experience levels Provide advanced technical guidance on claim investigation, reserving, case resolution and settlement strategies Actively participate in claim file and quarterly calls to address internal workflows, systems and compliance issues Demonstrate highly developed analytical, problem-solving and negotiation...

JOB DESCRIPTION Chubb seeks a Senior Claim Examiner on the Multinational Casualty claims team that provides technical, specialized claim handling on behalf of Chubb's Multinational customers in the U.S. and abroad. The successful candidate will be responsible for adjusting bodily injury and property damages claims under Automobile and General Liability (GL) policies including Product, Premises, Completed Operations and Employers Liability coverages. Experience handling international claims is not required. In this role you will develop skills in all facets of investigation, coverage determination, reserving, negotiation, settlement and overall claim strategy for non-litigated, litigated, and low to moderate severity multinational claims. The position may require up to 15% travel, typically for mediations and trials, when required. You will also represent the company at claim review meetings with our customers, management and business partners, in addition to being a U.S. claim...

JOB DESCRIPTION Chubb is seeking a Senior Claim Examiner in the Employment Practices Liability group. The Senior Claim Examiner, under appropriate direction from the manager, investigates and settles litigated and higher severity non-litigated claims promptly, equitably and within established best practices guidelines. This position will report to the Assistant Vice President of EPL Claims out of our Pittsburgh, PA office. This is not your average Claims role. When you think of a job handling insurance claims, you may think about storm damage or auto accidents. Or maybe a large stack of paper? A career in Employment Practices Liability exposes you to emerging issues in the workplace that have been and remain at the center of national and global media. Issues such as the Me Too movement, Racial Injustice and Covid. In this paperless environment, you will use your analytical skills to resolve workplace claims. We will teach you about Employment Law, contracts...

JOB DESCRIPTION Chubb is currently seeking a Workers' Compensation Lost Time Senior Claim Examiner for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report and reside in our New Haven, Connecticut office. Duties & Responsibilities: Handles all aspects of workers' compensation lost time claims from set-up to case closure ensuring strong customer relations are maintained throughout the process. Reviews claim and policy information to provide background for investigation. Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with insured, claimant and medical providers. Evaluates the facts gathered through the investigation to determine compensability of the claim. Informs insureds, claimants, and attorneys of claim denials when applicable. Prepares...

JOB DESCRIPTION Chubb is currently seeking a Workers' Compensation Lost Time Claim Examiner for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report to, and reside in, our New Haven, Connecticut. Duties & Responsibilities: Handles all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process. Reviews claim and policy information to provide background for the investigation. Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with the insured, claimant, and medical providers. Evaluates the facts gathered through the investigation to determine the compensability of the claim. Informs insureds, claimants, and attorneys of claim denials when applicable....

JOB DESCRIPTION This is a role focused on technical claim handling for Chubb's Personal Lines insureds for the Midwest, Southwest and Western territories. In this role you will manage moderate general liability and auto liability claims, both litigated and non-litigated, under primary and excess Personal Lines policies. This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies. This position will require some travel, as well as coordinating with and servicing both internal and external business partners. You will represent the company at meetings with management and business partners, as well as at mediations, arbitrations, settlement conferences and trials. Responsibilities Manage an inventory of Personal Lines Casualty claims involving moderate exposures and coverage issues. Conduct, coordinate, and direct investigation...

JOB DESCRIPTION The Sr. Property Claim Examiner is responsible for investigating/settling high exposure/high frequency claims while providing an exceptional level of customer service and maintaining a high-quality claim file. This in office position reports to a Claims Supervisor, Claims Manager or other more senior Claims Leader. POSITION RESPONSIBILITIES: Confirm coverage of claims by reviewing policies and documents submitted in support of claims. Analyze coverage and communicate coverage positions under direction of Supervisor. Conduct, coordinate, and direct investigation of 1st party and reinsurance claims. Direct and monitor assignments to experts and underlying defense counsel. Evaluate information on coverage and damage to determine the extent of the loss exposure. Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis. Set reserves within authority and/or makes recommendations to Supervisor...

JOB DESCRIPTION Chubb is currently seeking a Workers' Compensation Lost Time Claim Examiner for our Northeast, New York, and New Jersey Region. The successful applicant will be handling claims from Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey. The position will report to, and reside in, our New Haven, Connecticut, or Whitehouse Station, New Jersey office. Duties & Responsibilities: Handles all aspects of workers' compensation lost time claims from set-up to case closure, ensuring strong customer relations are maintained throughout the process. Reviews claim and policy information to provide background for the investigation. Conducts 3-part ongoing investigations, obtaining facts and taking statements as necessary, with the insured, claimant, and medical providers. Evaluates the facts gathered through the investigation to determine the compensability of the claim. Informs insureds, claimants, and attorneys...

JOB DESCRIPTION Chubb seeks to hire a Claim Examiner for our Multinational Casualty team that provides specialized claim handling on behalf of Chubb's Multinational customers in the U.S. and abroad. The successful candidate will be responsible for adjusting bodily injury and property damage claims under Automobile and General Liability (GL) policies including Product, Premises, Completed Operations and Employers Liability coverages. Experience handling international claims is desired, but not required. In this role you will hone skills in all facets of investigation, coverage determination, reserving, negotiation, settlement and overall claim strategy for non-litigated and litigated low to moderate severity multinational claims. The position may require up to 15% travel, typically for mediations and trials, when required. You will also represent the company at claim review meetings with our customers, management and business partners, in addition to being a U.S....

JOB DESCRIPTION Chubb's Recreational Marine Insurance Department is accepting applications to fill an underwriting position within the National U.S. Territory. The primary focus of the position will be recreational marine, boats and yachts with a wide variety of customer types.. The Underwriter will be responsible for driving financial performance and assisting the team in reaching their overall goals. Key Responsibilities Include: Meet or exceed financial goals including rate, growth, profit, retention, and new business Analyze and process all aspects of new business, renewals cancellations and endorsements, within authority Identify and target profitable new business opportunities Create and foster producer relationships Use appropriate written and verbal communication to effectively respond to internal and external customers Travel within assigned territory Implements underwriting objectives by reviewing, evaluating, and pricing new business...

JOB DESCRIPTION Chubb is seeking a highly motivated, results oriented Senior Commercial Lines Life Sciences Underwriter to join our industry leading life sciences practice in the Southeast Region. The primary focus of the position will be Property, Product Liability, E&O, Umbrella, Workers Compensation, Automobile and International coverages for a wide variety of customer types in this niche space. Position Responsibilities Drive financial performance of assigned book of business. Underwriter will have a renewal book with a strong flow of new business submissions. Meet or exceed financial goals including rate, growth, profit, retention, and new business Meet or exceed service standard Predominately responsible for account solicitation, risk selection and analysis (including documentation), pricing and sales of Life Sciences products and services for new and existing customers Meet with new and renewal customers and agents/brokers to negotiate coverage,...

Bachelor's degree or equivalent experience required Five or more years of progressive experience as a Claim Examiner, or the equivalent, demonstrating the technical expertise to handle the most complex cases with a high degree of judgment and discretion. Previous supervisory experience desirable Excellent verbal and written communication skills. Analytical ability. Good mathematical aptitude. Good organizational and interpersonal skills. Ability to effectively manage, supervise, and develop employees. Thorough knowledge of services being delivered by branch office. In-depth knowledge of insurance coverages, practices and negotiating skills. Familiarity with legal, medical and technical disciplines. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU) Where applicable, has passed state licensing requirements for line(s) of insurance handled. Settlement Authority: As noted in internal, client and or carrier guidelines. Bachelor's...

Bachelor's degree or equivalent experience required Five or more years of progressive experience as a Claim Examiner, or the equivalent, demonstrating the technical expertise to handle the most complex cases with a high degree of judgment and discretion. Previous supervisory experience desirable Excellent verbal and written communication skills. Analytical ability. Good mathematical aptitude. Good organizational and interpersonal skills. Ability to effectively manage, supervise, and develop employees. Thorough knowledge of services being delivered by branch office. In-depth knowledge of insurance coverages, practices and negotiating skills. Familiarity with legal, medical and technical disciplines. Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU) Where applicable, has passed state licensing requirements for line(s) of insurance handled. Settlement Authority: As noted in internal, client and or carrier guidelines. Bachelor's...