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Academy
Katy, TX | Full Time
$61k-78k (estimate)
2 Months Ago
Claims Examiner
Academy Katy, TX
$61k-78k (estimate)
Full Time | Elementary & Secondary Education 2 Months Ago
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Academy is Hiring a Claims Examiner Near Katy, TX

Come work at a place where we take pride in creating a workplace environment that values hard work, commitment, and growth. Job Description: Education: High School diploma or equivalent required Associate’s degree in Business Administration or relevant field of study preferred Insurance adjuster license required Work Experiences: 4 years’ claims experience working with workers’ compensation, general liability, and property insurance preferably in an insurance related industry. We encourage candidates with prior examiner, adjuster, paralegal and/or other relevant claims handling experience to apply. Multi-jurisdictional knowledge, advanced degrees and/or JD are a plus. Texas non-subscription claims experience preferred Active Texas All Lines Adjuster license or able to obtain the specified license within ninety days of hire date Skills: Ability to consistently apply sound judgment, and operate professionally, effectively and ethically as an individual contributor and member of a team Ability to establish rapport and maintain harmonious working relationships Superior interpersonal, written, and verbal communication skills, with the ability to create thorough documentation and interface effectively with individuals at various levels Excellent time management skills, ability to support multiple projects, and effectively prioritize and manage a large volume of work Ability to remain organized, pay strict attention to detail, and meet critical deadlines within a high volume, fast-paced environment Analytical with strong problem-solving abilities and creative resolution skills Maintain professional and technical knowledge by attending educational workshops and reviewing technical publications Proficient use of Microsoft Office programs, including Word and Excel Responsibilities: Understands and performs domestic claim programs, policies, and procedures for: reporting, investigation, and analysis; resolution/outcome management; and the delivery of claim information. Manage mostly non-complex claims, but may handle moderately complex claims with limited reserve and/or settlement authority including workers’ compensation, Texas non-subscription claims, general liability and property claims Maintain claims and insurance files Secure evidence related to claims (merchandise, statements, photos and video footage) Partner with external TPA and insurance carriers as needed Monitor claim files to ensure that external TPA is managing files appropriately and in accordance with Claims Service Handling Instructions, establishing appropriate reserves, and issuing benefit payments timely. Process service invoices occasionally Coordinate substance abuse testing for post-accident, reasonable suspicion, and property damage to include communication of results to appropriate business partners Partner with management on the status of injured team members and estimated return to work date Coordinate return-to-work efforts Facilitate superior service experience for the injured team members and customers Notify HR and Payroll of team members who have been placed on leave due to a work-related injury Generate various loss analysis reports as required Maintain current on changes in workers’ compensation laws and other claims-related laws, regulations, and information by attending educational workshops and seminars Develop a thorough understanding of Academy policies, procedures, and safety rules Duties may change; Team Members may be required to perform other duties as assigned Properly maintain applicable state license Physical Requirements & Attendance: Acceptable level of hearing and vision to perform job duties Adhere to company work hours, policies, procedures and rules governing professional staff behavior Full time Equal Employment Opportunity Academy is an Equal Opportunity Employer and does not discriminate with regard to employment opportunities or practices on the basis of race, religion, national origin, sex, age, disability, gender identity, sexual orientation, or any other category protected by law. Academy® Sports Outdoors is one of the nation’s largest sporting goods and outdoor retailers. It’s no surprise that we not only know how to create experiences for our customers, but for our team members as well. Understanding our people and the things that matter to them the most has been at the core of the Academy® culture for over 80 years. With more than 22,000 team members, we take pride in creating a workplace environment that values hard work, commitment, and growth.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Elementary & Secondary Education

SALARY

$61k-78k (estimate)

POST DATE

04/06/2024

EXPIRATION DATE

06/01/2024

WEBSITE

jumpstartrevolution.com

HEADQUARTERS

TEMECULA, CA

SIZE

25 - 50

FOUNDED

2010

TYPE

Private

REVENUE

<$5M

INDUSTRY

Elementary & Secondary Education

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The job skills required for Claims Examiner include Problem Solving, Microsoft Office, Claim Handling, Analysis, Verbal Communication, Commitment, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims Examiner. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims Examiner. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Claims Examiner positions, which can be used as a reference in future career path planning. As a Claims Examiner, it can be promoted into senior positions as a Claims Examiner III that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims Examiner. You can explore the career advancement for a Claims Examiner below and select your interested title to get hiring information.

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If you are interested in becoming a Claims Examiner, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Claims Examiner for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Claims Examiner job description and responsibilities

Most medical claims examiners deal with paperwork on a daily basis and they are expected to work on multiple claims per day.

04/03/2022: Springfield, MA

Each claim often comes with supporting documents such as medical records and hospital bills and examiners need to look over each file carefully.

03/08/2022: Manchester, NH

Claims examiners are responsible for approving or rejecting claims or arranging settlements.

01/25/2022: Santa Fe, NM

Examiners may review medical bills or accident reports and they may consult specialists.

01/30/2022: Santa Barbara, CA

The Claims Examiner maintains a full case load of professional liability claims.

01/24/2022: Monroe, LA

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Claims Examiner jobs

Keep reading to learn more about a claims examiner role.

03/28/2022: Oklahoma City, OK

Candidates should know that having a critical thinking and outstanding decision-making give examiners the logic and reasoning to evaluate and resolve claims.

04/05/2022: Tulsa, OK

Most employers require or strongly prefer medical claims examiners that have some medical background such as a postsecondary diploma.

03/11/2022: San Antonio, TX

To determine whether a claim should be rewarded, an examiner must be aware of the red flags associated with fraudulent claims and possess detailed analysis skills.

01/30/2022: Bellingham, WA

To begin a career as a medical claims examiner, one must first learn certain knowledge and skills that will help them execute the duties of the job.

02/17/2022: Lawton, OK

Step 3: View the best colleges and universities for Claims Examiner.

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