Claims Examiner jobs in Oregon

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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Claims Adjuster I
  • Capital Claims Management, LLC.
  • Newberg, OR FULL_TIME
  • Claims Adjuster I – JOB AD

    Job Type: Full-time, In-Office

    Pay: $60,000 - $70,000

    Who Are We?

    Capital Claims Management ("CCM") is a boutique insurance claims adjusting firm providing claims handling, defense, and program management services to insurance carriers.

    At CCM, we promote work-life balance and provide an enjoyable, low-stress work environment. A welcoming environment committed to developing and accentuating each person’s specific talents. We are different from large carriers who are very metric-driven, with vastly high demands and management that is far removed from direct claims handling. We provide extensive support to our staff’s ongoing success, requiring nearly half the intake and claim volume larger carriers put on their employees. Plus, we offer competitive pay scales. If you are at the end of your rope with your current employer, you may find much more job satisfaction at CCM.

    What Is The Opportunity?

    In this role, you will primarily handle third-party claims involving Professional Liability (E&O) and Commercial General Liability insurance. Your claim load will consist of non-litigated PL and CGL claims.

    As a Claims Adjuster I, you will handle a reasonable load of claims. You will investigate and determine coverage and liability. You will engage with all relevant parties; and accurately, efficiently work to resolve claims. A management team, claims assistants team, and peers will be available for support, to offer guidance, or approval for a higher level of authority.

    What Will You Do?

    1. Interview and correspond with insureds, claimants, and other parties to complete coverage & liability investigations and resolve claims.

    2. Make determinations on coverage and liability based on submitted evidence, discussions, contractual agreement provisions, and applicable local statutes.

    3. Write position letters consisting of: Declinations of Coverage, Reservations of Rights, Denials of Liability, and Offers.

    4. Approve payment of claims within a specific monetary limit.

    5. Guide negotiations, attempting settlement prior to legal actions for claimed losses.

    6. Comply to standards set by carrier’s Best Practices and CCM procedures.

    What Does Our Ideal Candidate Look Like?

    1. 3 years claims adjusting experience. Ideally in property, professional liability, or commercial liability. Workers’ compensation experience will be considered, but is not preferred.

    2. Experience working in insurance.

    3. Litigation experience either via prior experience claims handling, or at a law firm.

    4. Excellent customer service and conflict resolution skills.

    5. Excellent written and verbal communication skills.

    6. Prior experience authoring formal coverage and liability determination letters.

    7. Deadline and detail-oriented with time management skills and executive functioning skills. Professionalism is closely observed.

    8. Investigation skills, initiative, self-driven.

    9. Acquired a Bachelor's degree.

    10. Experience with claims-made policies preferred.

    11. General knowledge of residential construction or home inspections is a huge plus.

    We offer Medical, PTO, 401(k) matching, Life Insurance, Vision, Dental, and a variety of other generous benefits.

    CCM is an Equal Opportunity Employer

    Job Type: Full-time

    Pay: $60,000.00 - $70,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Flexible schedule
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Referral program
    • Tuition reimbursement
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday
    • No nights
    • No weekends

    Work setting:

    • In-person
    • Office

    Education:

    • Bachelor's (Preferred)

    Experience:

    • Claims Adjusting: 3 years (Preferred)
    • Litigation: 1 year (Preferred)

    Work Location: In person

  • 1 Day Ago

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Field Technician
  • Hancock Claims Consultants
  • Beaverton, OR CONTRACTOR
  • CLIMB to New Heights… And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carri...
  • 4 Days Ago

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Workers Compensation Adjuster
  • TheBest Claims Solutions
  • Portland, OR FULL_TIME
  • To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudic...
  • 8 Days Ago

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Plans Examiner
  • Douglas County (OR)
  • Roseburg, OR FULL_TIME
  • Douglas County - Building Full time position. Includes excellent benefit package, including medical/vision/dental and long-term disability/basic life coverage and County-paid PERS retirement after req...
  • 2 Days Ago

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Forensic Nurse Examiner
  • Providence Health & Services
  • Portland, OR PART_TIME
  • Description The forensic nurse examiner will provide timely, compassionate care to patients seeking medical-forensic exams in accordance with established protocols. This will include completing a medi...
  • 22 Days Ago

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Forensic Nurse Examiner
  • RSI
  • Eugene, OR OTHER
  • Forensic Nurse Job Description Job Title: Sexual Assault Nurse Examiner Department name: All Departments Reports to: Rapid SAVE Investigation-SANE Program Coordinator JOB PURPOSE: The Forensic Nurse E...
  • 8 Days Ago

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Reinsurance Claims Examiner
  • Berkley
  • Stamford, CT
  • Company Details: Berkley Re is a specialty P&C reinsurer that provides solutions for insurers with a successful business...
  • 3/28/2024 12:00:00 AM

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Commercial Claims Examiner
  • Safepoint MGA, LLC
  • Tampa, FL
  • Safepoint Insurance is a Property and Casualty insurance carrier based in Temple Terrace, FL. Location: Office in Tampa,...
  • 3/28/2024 12:00:00 AM

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Claims Examiner - Workers Compensation
  • CYNET SYSTEMS
  • Roseville, CA
  • Job Description: Pay Range $43hr - $48hr Responsibilities: Manages workers compensation claims determining compensabilit...
  • 3/28/2024 12:00:00 AM

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Claims Examiner - Workers Compensation
  • Nesco Resource, LLC
  • Roseville, CA
  • PRIMARY PURPOSE: To analyze complex or technically difficult workers' compensation claims to determine benefits due; to ...
  • 3/28/2024 12:00:00 AM

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Transportation Claims Examiner
  • Swift Transportation Company
  • Phoenix, AZ
  • **Description** *Position at Swift Transportation* *****REMOTE or Local Opportunity*** Accelerate your Career!** At Swif...
  • 3/27/2024 12:00:00 AM

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Claims Examiner Construction Defect
  • Kinsale Insurance
  • Richmond, VA
  • Kinsale Insurance is an Excess & Surplus lines insurer specializing in hard-to-place, small to medium sized commercial a...
  • 3/27/2024 12:00:00 AM

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UI Collections Claims Examiner
  • Texas Workforce Commission
  • Austin, TX
  • WHO WE ARE: Texas Workforce Commission connects people with careers across the state. While we are based in Austin, just...
  • 3/26/2024 12:00:00 AM

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Claims Examiner
  • Proctor Loan Protector
  • Troy, MI
  • Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best...
  • 3/24/2024 12:00:00 AM

Oregon (/ˈɒrɪɡən/ (listen) ORR-ih-gən) is a state in the Pacific Northwest region on the West Coast of the United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. The parallel 42° north delineates the southern boundary with California and Nevada. Oregon is one of only four states of the continental United States to have a coastline on the Pacific Ocean. Oregon was inhabited by many indigenous tribes before Western traders, explorers, and settlers arrived. An autonomous government ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Examiner jobs
$47,992 to $63,642