Disability Claims Examiner jobs in Iowa

Disability Claims Examiner reviews, evaluates and processes disability insurance claims according to procedure and practice. Examines claims material to ensure insurance coverage and validity. Being a Disability Claims Examiner has contact with agents, claimants, and policy holders. Typically requires a bachelor's degree or its equivalent. Additionally, Disability Claims Examiner typically reports to a supervisor/manager. To be a Disability Claims Examiner typically requires 0-2 years of related experience. Works on projects/matters of limited complexity in a support role. Work is closely managed. (Copyright 2024 Salary.com)

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Commercial Claims Examiner II
  • Merchants Bonding Company
  • Des Moines, IA FULL_TIME
  • Job Title: Commercial Claims Examiner II Department: Claims


    Position reports to
    : Senior Claims Attorney – Commercial Claims Manager


    Positions that report to this position
    : None


    DOL Classification
    : Exempt


    Job Purpose:

    The Commercial Claims Examiner II is responsible to investigate and adjust complex commercial claims made on surety and fidelity bonds and E&O policies, seek salvage and indemnity and prepare closing file documentation. The Commercial Claims Examiner II works independently and with oversight from department leaders. This role works closely with outside counsel, engages directly with and is responsive to the needs of key agency partners, coordinates payment of loss and expense checks, sets and revises reserves and pursues salvage and indemnity claims, as appropriate. The Commercial Claims Examiner II also mentors new commercial claims examiner hires, assists other departments within the organization, and works with management to prepare and give presentations on relevant commercial claims topics.

    Job Responsibilities:

    Claim Investigation and Loss Analysis

    • Reviews and analyzes correspondence and documents primarily submitted by claimants and principals, interviews involved persons and requests additional documentation in order to determine loss and exposure.
    • Documents investigation efforts in claim file and maintains relevant file documentation within SIMS claim file.
    • If necessary, retains consultants or outside counsel to assist with claim investigation, defense, or salvage and indemnity aspects of claim.
    • Evaluates potential sources of salvage, reimbursement and indemnification for any loss or expense that may be paid. Pursues recovery of loss, expenses and costs in accordance with the terms of the indemnity agreement or the surety’s statutory or common law equitable rights or rights of equitable subrogation as appropriate.
    • Negotiates directly with stakeholders to resolve claims, including creating secured re-payment plans, referrals to collection agencies or pursuing indemnity actions.
    • Drafts reasoned determination letters and reviews recommendations with Senior Claims Attorney – Commercial Claims Manager, as appropriate. Prepares documentation for payments.
    • Makes decisions regarding collateral or other indemnity or subrogation rights with assistance of Senior Claims Attorney – Commercial Claims Manager as appropriate. Coordinates with accounting on large losses or to establish cash collateral accounts. Obtains reimbursement pursuant to agreements such as collateral trust agreements.
    • Audits journal entries periodically for accuracy.
    • Makes reserve recommendations and posts reserves.
    • Conducts review of entire principal account, including open bonds, principal file and involves underwriters and agents as appropriate.
    • Prepares correspondence and documents for claimants, principals or third parties along with underwriters and agents, if necessary.
    • Attend meetings and legal proceedings independently or in collaboration with Senior Claims Attorney – Commercial Claims Manager as appropriate in connection with claims handling process.
    • Prepares and delivers presentations within the organization and participates in learning opportunities with underwriters and other internal staff.

    Research and Consultation

    • Seeks legal counsel or retains consultants as appropriate based on the merits of the claims. Audits outcomes and performance to assure competence. Reviews bills for accuracy and reasonableness. Authorizes payment.
    • Stays abreast of commercial claims handling requirements in corresponding jurisdictions and attends required claim and anti-fraud training.
    • Reviews and analyzes bond language, contracts, codes, statutes and case law, as applicable to specific claims.
    • Stays abreast of statutory changes or other developments potentially impacting bond liability.
    • Coordinates with the compliance department to obtain new licenses, if appropriate.
    • Assists claims department with projects as required from time to time.
    • Provides support to key agency partners.
    • Participates in mentorship and training of commercial claims examiners.

    Reporting

    • Prepares year end reports, as required, for files by reviewing: status of open claims, principal’s financial condition and evaluating accounts for necessary reserve changes.
    • Prepares closing memorandums summarizing the claim issues and resolution as well as losses incurred and salvage recovered.
    • Prepare claim summaries or other reports for compliance department as necessary.
    • Attends industry conferences and events as appropriate.
    • Assists management with monthly reporting to key agency partners as requested.
    • Prepare reserve summaries with assistance of management for internal and external reporting purposes.

    Qualifications:

    Education and Experience

    Bachelor’s degree in Finance, Accounting, Business or Economics or equivalent work experience plus 10 years of experience investigating and adjudicating commercial claims in the surety industry.

    Per the claims adjuster licensing policy, must be able to acquire within the first 30 days of employment and maintain an adjuster’s license in every state that requires a license.

    Skills and Knowledge

    Organization, ability to work independently, attention to detail, above average written and oral communications, problem-solving, tact, diplomacy, understands how to handle sensitive and confidential information and materials, ability to meet strict deadlines, research, accuracy, ability to communicate effectively with a variety of personalities. Able to communicate effectively via e-mail, fax, written correspondence and/or telephone, as necessary.

    Proficient with Microsoft Word and Excel. Familiarity with other Microsoft Office Suite applications. Proficient with PC hardware and peripherals. Ability to operate a variety of office equipment including copiers and telephones.

    Essential Functions:

    This person needs to have critical thinking skills to investigate and adjudicate claim situations. They need to be able to physically examine construction sites and claims locations. They require a high degree of detail orientation and accuracy in their work and able to communicate complex concepts in an understandable way.

    Physical Demands:

    The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential functions.

    While performing the duties of this job, the associate is regularly required to talk or hear. The associate frequently is required to sit; walk; use hands to finger, handle or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch or crawl. The associate is infrequently required to stand. The associate may infrequently be asked to lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and ability to adjust focus.

    The associate may travel up to 15% of the time by air or car to other office or business locations.

    Working Conditions:

    The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the associate is exposed to normal office working conditions that are climate controlled. The associate would not be exposed to extreme heat or cold or other workplace hazards. The noise level in the work environment is usually low. If required to physically visit sites to investigate and adjust claims, the incumbent could be exposed to outdoor conditions and the noise level present on construction sites.

    This job description is not intended to be an exhaustive list of skills, efforts, duties, responsibilities or working conditions associated with this position. The Commercial Claims Examiner II assumes other responsibilities as assigned by the VP – Claims.

  • 15 Days Ago

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Claims Examiner - In-Office
  • Auxiant
  • Rapids, IA FULL_TIME
  • Auxiant’s Mission Statement and Core ValuesMission:An Independent TPA investing in People and Innovation to deliver expert-driven experiences with REAL Results.Core Values: Independent Solutions. REAL...
  • 29 Days Ago

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Dentist - 1099 Contractor - Veteran VA Dental Disability Examiner
  • Veterans Evaluation Services
  • Le Claire, IA PART_TIME,FULL_TIME,CONTRACTOR
  • Introduction Veterans Evaluation Services - a Veterans Affairs contractor - is seeking qualified Dentists to join our nationwide provider network as a 1099 independent contractor to perform dental dis...
  • 18 Days Ago

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IA - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Des Moines, IA FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 1 Month Ago

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Director of Operations - Developmental Disability Services
  • RENEWED VISION COUNSELING AND DEVELOPMENTAL DISABILITY CENTER PC
  • Waterloo, IA FULL_TIME
  • Director of Operations - Waterloo, IAGeneral Summary: The Director of Operations assumes significant responsibilities foradministrative, budgetary and program activities. This position is responsible ...
  • 6 Days Ago

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Hardware Engineer I IC (eInfochips)
  • Disability Solutions
  • Terril, IA FULL_TIME
  • Position:Hardware Engineer I IC (eInfochips)Job Description:2 years of engineering or technical experience leading projects for product developmentWillingness to learn CREO schematic and parametric ca...
  • 1 Month Ago

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Staff Counsel -Workers Compensation
  • AmTrust Financial Services, Inc.
  • Irvine, CA
  • Summary Responsible for competent, ethical and diligent representation of AmTrust North America and its carriers in all ...
  • 4/23/2024 12:00:00 AM

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Licensed Clinical Psychologist
  • Loyal Source Government Services
  • Anchorage, AK
  • Give Back to Those that Gave to Us We offer part-time and full-time positions with excellent benefits – opportunities fo...
  • 4/23/2024 12:00:00 AM

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Psychologist
  • Loyal Source Government Services
  • Spokane, WA
  • Give Back to Those that Gave to Us We offer part-time and full-time positions with excellent benefits – opportunities fo...
  • 4/23/2024 12:00:00 AM

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Audiologist
  • Veterans Evaluation Services
  • As an Audiology examiner you will conducting audiology exams and completing applicable disability benefits questionnaire...
  • 4/23/2024 12:00:00 AM

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Workers Compensation Claims Analyst
  • World Insurance Associates LLC
  • Syosset, NY
  • Summary World Insurance Associates is a unique insurance organization offering top products and services from major prov...
  • 4/23/2024 12:00:00 AM

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Audiologist
  • Veterans Evaluation Services
  • As an Audiology examiner you will conducting audiology exams and completing applicable disability benefits questionnaire...
  • 4/23/2024 12:00:00 AM

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Audiologist
  • Loyal Source Government Services
  • Boise, ID
  • Give Back to Those that Gave to Us We offer full- and part-time positions with excellent benefits – opportunities for gr...
  • 4/23/2024 12:00:00 AM

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Short Term Disability Claims Examiner I, II or Sr - Remote
  • USAble Life
  • Little Rock, AR
  • * Short Term Disability Claims Experience Required* When it comes to making a meaningful difference in the lives of our ...
  • 4/22/2024 12:00:00 AM

Iowa (/ˈaɪəwə/ (listen)) is a state in the Midwestern United States, bordered by the Mississippi River to the east and the Missouri River and Big Sioux River to the west. It is bordered by six states; Wisconsin to the northeast, Illinois to the east, Missouri to the south, Nebraska to the west, South Dakota to the northwest and Minnesota to the north. In colonial times, Iowa was a part of French Louisiana and Spanish Louisiana; its state flag is patterned after the flag of France. After the Louisiana Purchase, people laid the foundation for an agriculture-based economy in the heart of the Corn...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Disability Claims Examiner jobs
$47,844 to $59,404