Job Market Guide: Claims Examiner jobs - Nationwide

Competition
Avg
0.605911
Based on job seekers per open jobs
Desired Skills
Years of Experience
Years of Experience distribution graph for Claims Examiners in Nationwide. Claims Examiners in Nationwide have between ${} and ${} years of experience, averaging $${} years of experience.

109 Claims Examiner jobs - Nationwide

Howell, MI
In this role, you will be responsible for maintaining current file documentation, which coincides with the progression of the file; must be able to communicate effectively orally and in writing in order to direct and monitor the medical treatment
industry
Business Services
experience
Less than 5 years

Hunt Valley, MD
In this role, you will analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
industry
Insurance
experience
5 - 7 years

Hoffman Estates, IL
In this role, you will analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation.
industry
Insurance
experience
5 - 7 years

Pompano Beach, FL
In this role, you will analyzes and manages complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
industry
Insurance
experience
5 - 7 years

Lewisville, TX
In this role, you will calculate and assign timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
industry
Insurance
experience
5 - 7 years

$68K - Chicago, IL
In this role, the selected candidate will analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
industry
Insurance
experience
Less than 5 years

Rochester, NY
In this position, you will analyze and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
industry
Insurance
experience
5 - 7 years

Sarasota, FL
In this role, you will provide consultative guidance for complex, high exposure claims. In addition, responsibilities include large loss oversight and tracking, reinsurance reporting & communication, training, systems and workflow development improvement.
industry
Financial Services
experience
11 - 15 years

Omaha, NE
In this position, you will analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
industry
Insurance
experience
Less than 5 years

$54K - Omaha, NE
In this role, the selected candidate will analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations,industry best practices and specific client service requirements.
industry
Insurance
experience
Less than 5 years

$90K - $120K - Portsmouth, NH
In this role, the selected candidate will assist with the design and implementation of indemnity and defense contracts; investigate and interpret complex policy coverages.
industry
Business Services
experience
5 - 7 years

El Dorado Hills, CA
In this role, you will establish appropriate reserve levels based on financial exposure and updates reserves upon receipt of new information.
industry
Business Services
experience
5 - 7 years

Rochester, NY
In this role, you will analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
industry
Insurance
experience
5 - 7 years

Claims Examiner

Horsham, PA
In this role, the selected candidate will be responsible for accurate/timely daily review of Long Term Care claims and policy provisions to determine appropriate claim eligibility assessments for payment or denial up to authority limit of $5,000.
industry
Insurance
experience
Not Specified

Irvine, CA
In this role, you will assess insurance coverage based on the policy and claims report to determine if claim can be accepted as being within coverage.
industry
Financial Services
experience
5 - 7 years

$64K - Sun Prairie, WI
In this role, the selected candidate analyze and manage complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
industry
Insurance
experience
Less than 5 years

Claims Examiner

Minneapolis, MN
In this role, the selected candidate manages claim recoveries, including be not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
industry
Insurance
experience
Less than 5 years

$40K - $70K - Aurora, IL
In this role, the selected candidate calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
industry
Insurance
experience
Less than 5 years

Claims Examiner

$70K - $90K - Brea, CA
In this role, the selected candidate will analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
industry
Insurance
experience
Less than 5 years

$85K - Brea, CA
In this role, the selected candidate will analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
industry
Insurance
experience
Less than 5 years

Atlanta, GA
This position is responsible for providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients.
industry
Insurance
experience
5 - 7 years

Long Beach, CA
In this position, you will calculate and assign timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
industry
Insurance
experience
Less than 5 years

$90K - $115K - Nashua, NH
In this role, the selected candidate will identify suspicious claims and recovery opportunities; evaluate policies and define coverage limits.
industry
Business Services
experience
5 - 7 years

$58K - Seattle, WA
In this role, the selected candidate will analyze complex or technically difficult claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
industry
Insurance
experience
Less than 5 years

Claims Examiner

Horsham, PA
In this role, the selected candidate will be responsible for accurate/timely daily review of Long Term Care claims and policy provisions to determine appropriate claim eligibility assessments for payment or denial up to authority limit of $5,000.
industry
Healthcare IT
experience
Not Specified