Claims Examiner jobs in Kentucky

Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

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Sr. Claims Examiner
  • Harford Mutual Insurance Group
  • Louisville, KY OTHER
  • Job Details

    Level:    Experienced
    Job Location:    MID West Location - Louisville, KY
    Position Type:    Full Time
    Education Level:    4 Year Degree
    Salary Range:    Undisclosed
    Travel Percentage:    Up to 25%

    WHO WE ARE:

    Harford Mutual Insurance Group is a growing, dynamic community partner located in Bel Air in Harford County, Maryland, offering a positive, diverse, and inclusive work environment with a rich company culture. We provide commercial property and casualty insurance products and services to a regional market. Founded in 1842 on the principles of mutuality for our business clients, our agents, and our company, we believe in insuring opportunity through mutual success® and invite our employees to continue that tradition with respect, integrity, exemplary service, and personal responsibility.

     

    THE OPPORTUNITY

    The Senior Claims Examiner investigates, evaluates, and resolves commercial lines claims and makes recommendations for resolutions from any of Harford Mutual Insurance Group companies.  The incumbent will be expected to handle efficiently and competently medium to high severity claims, and to possess comprehensive knowledge of all coverages and claims handling procedures while providing quality claims service to policyholders and agents. 

     

    WHAT YOU’LL DO: 

    • Conducts prompt and thorough investigations of commercial line claims within departmental and regulatory guidelines through telephone, written, and other communication methods with policyholders, claimants, attorneys, public adjusters, witnesses, and others with pertinent information.
    • Provides quality claims service to our policyholders and agents by remaining in constant communication with them throughout the claim lifecycle.
    • Evaluates coverage, determines liability, utilizes negotiation skills to resolves claims within authority to include ability to draft the respective communications required on the claim.
    • Analyze information to evaluate assigned claims to determine the extent of loss, taking into consideration coverage, damages, liability, and future investigation needs. Assign and manage independent adjusters, defense counsel, or other experts on a task assignment basis where necessary.
    • Demonstrate in-depth understanding of commercial lines coverage issues, policy forms, contracts, regulatory requirements, and changing legal landscape.     
    • Accurately apply the HMIG reserving practice by continually evaluating claim exposure to establish appropriate and timely reserves over the life of the claim and notify claim management when exposure exceeds authority.
    • Establish and execute appropriate action plans to manage claims proactively and promptly with a strategic plan for optimal claim outcomes.  
    • Maintain a claim diary and comply with departmental diary procedures.
    • Excellent organization and problem-solving skills along with the ability to multi-task and prioritize to ensure that all claims are handled efficiently and effectively.
    • Direct and handle subrogation, salvage, and loss recovery efforts on assigned files
    • Continuing education on insurance and claims matters.
    • Performs other duties or special projects as required or as assigned by a supervisor.

     

    WHAT YOU’LL BRING:

    • 3-4 bullet points on from essential duties and responsibilities from old template
    • Four-year college degree; or comparable claims work experience
    • Over 5 years’ experience in progressive claims roles
    • AIC or similar designation

     

    WHO YOU ARE: 

    • Ability to understand and analyze policy coverages
    • Ability to analyze information to virtually estimate damages
    • Strong negotiation skills
    • Strong collaborating skills, and an ability to work effectively both independently and as part of a team
    • Comfortable in a fast-paced environment with frequent deadlines; high energy, self-motivated and proactive
    • Excellent communication and interpersonal skills to convey complex data and information to audiences with varying levels of expertise
    • Ability to multitask, and be flexible regarding workload and assignments
    • Ability to exercise judgment
    • Strong organizational skills and time management of claims desk
    • Maintain valid adjusters’ license(s) in states assigned or an ability to obtain same.                                                                                              

     

     

    Visit our Careers Page for more information on our competitive compensation/benefits packages.

     


  • 17 Days Ago

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Remote Claims Examiner
  • Firstsource
  • Louisville, KY FULL_TIME
  • Responsibilities: - Review and analyze medical claims to determine coverage and eligibility - Investigate and gather information to support claim decisions - Evaluate medical records, bills, and other...
  • 25 Days Ago

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KY - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Louisville, KY CONTRACTOR,PART_TIME
  • 1099 Property Claims AdjusterCopper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.Copper Claims Services excels in providing custom claims solutions for ...
  • 16 Days Ago

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Kentucky Independent Auto Appraiser
  • Complete Claims Service
  • , KY CONTRACTOR
  • Complete Claims Service, LLC seeks Independent Auto Damage Appraisers across the state of Kentucky. This is a job for independent appraisers only NOT FOR INSURANCE ADJUSTERS! We are looking to hire pr...
  • 27 Days Ago

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Test Examiner
  • Threat Tec LLC
  • Fort Campbell, KY FULL_TIME
  • Threat Tec, LLC is the leader of Operational Environment (OE) replication and Threat Emulation/Wargaming solutions. Threat Tec brings innovative thinking and extensive experience to complex challenges...
  • 11 Days Ago

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Title Examiner
  • Drees Homes
  • Fort Mitchell, KY FULL_TIME
  • Overview: Drees Homes is a family-owned home building company with a passion for making custom homes easy. For 95 years, we have taken care of our employees and our customers. It’s why we rank as the ...
  • 12 Days Ago

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Claims Examiner
  • MagnaCare
  • New York, NY
  • About The Role Brighton Health Plan Solutions (BHPS) is seeking an experienced Healthcare Claims Examiner skilled in the...
  • 4/25/2024 12:00:00 AM

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Claims Examiner
  • JCW
  • JCW is currently recruiting on behalf of a rapidly growing Property & Casualty Insurance Company who are looking to add ...
  • 4/23/2024 12:00:00 AM

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Claim Examiner
  • Kansas City Life Insurance Company
  • Kansas City, MO
  • QUALIFICATIONS/REQUIREMENTS: Bachelor of Arts or Sciences degree in business field, related field, or equivalent work ex...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Chicago, IL
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • New York, NY
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • Phoenix, AZ
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • D3 Search
  • Mount Kisco, NY
  • D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a highly respected global insurer w...
  • 4/22/2024 12:00:00 AM

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Claims Examiner
  • The Jonus Group
  • White Plains, NY
  • We are seeking a Senior Claims Examiner to join our team. The Senior Claims Examiner will play a pivotal role in managin...
  • 4/22/2024 12:00:00 AM

Kentucky (/kənˈtʌki/ (listen) kən-TUK-ee), officially the Commonwealth of Kentucky, is a state located in the east south-central region of the United States. Although styled as the "State of Kentucky" in the law creating it, (because in Kentucky's first constitution, the name state was used) Kentucky is one of four U.S. states constituted as a commonwealth (the others being Virginia, Pennsylvania, and Massachusetts). Originally a part of Virginia, in 1792 Kentucky became the 15th state to join the Union. Kentucky is the 37th most extensive and the 26th most populous of the 50 United States. Ke...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$45,039 to $59,724