Recent Searches

You haven't searched anything yet.

8 Claims Examiner Jobs in Philadelphia, PA

SET JOB ALERT
Details...
Pennsylvania Lumbermens Mutual Insurance Company
Philadelphia, PA | Full Time
$78k-98k (estimate)
2 Months Ago
Matrix Absence Management
Philadelphia, PA | Full Time
$64k-82k (estimate)
1 Week Ago
Veterans Benefits Administration
Philadelphia, PA | Full Time
$59k-76k (estimate)
1 Week Ago
Veterans Benefits Administration
Philadelphia, PA | Full Time
$59k-76k (estimate)
7 Days Ago
Arch Capital Group
Philadelphia, PA | Full Time
$66k-84k (estimate)
2 Months Ago
Reliance Matrix
Philadelphia, PA | Full Time
$54k-69k (estimate)
2 Months Ago
TRISTAR RISK MANAGEMENT
Philadelphia, PA | Full Time
$75k-95k (estimate)
2 Months Ago
Tristar Insurance
Philadelphia, PA | Other
$67k-85k (estimate)
1 Month Ago
Claims Examiner
$78k-98k (estimate)
Full Time | Insurance 2 Months Ago
Save

sadSorry! This job is no longer available. Please explore similar jobs listed on the left.

Pennsylvania Lumbermens Mutual Insurance Company is Hiring a Claims Examiner Near Philadelphia, PA

Pennsylvania Lumbermens Mutual Insurance Company

Position: Claims Examiner Department: Claims

Reports To: Casualty Claims Manager

Position Summary: The purpose of this position is to facilitate, coordinate and expedite the immediate handling of all casualty claims, to control and critique large exposure cases and to resolve claims in a prompt, fair and equitable manner.

Essential Functions and Responsibilities:

Establish accurate reserves.

Determine verification of coverage.

Delegate settlement authority to adjustors.

Handle all complicated litigation and critique trial preparation with attorneys.

Attend mediation and settlement conferences.

Analyze insurance contracts.

Communicate with the public.

Maintain an appropriate diary date on files under direct supervision.

Ensure that a file is proceeding towards a prompt, fair and equitable claim settlement.

Direct responsibility for supervision of all subrogation and arbitration handling.

Knowledge and Skills:

10 years experience in casualty claims.

Knowledge of MSOffice.

Prior supervisory experience.

Basic knowledge of various applicable state law systems.

Strong litigation skills.

Above average reading comprehension and math skills.

Ability to deal with a variety of personalities.

Ability to handle difficult situations, including upset policyholders in a courteous and professional manner.

Experience controlling expenses.

Proficient negotiation skills.

Strong oral and written communication skills.

Strong analytic skills and ability to pay close attention to detail.

Strong customer service skills.

Ongoing training through the Insurance Institute of America.

College degree preferred.

Physical Requirements:

Ability to hear.

Ability to speak clearly.

Ability to sit for extended periods of time.

Job Type: Full-time

Pay: $70,000.00 - $90,000.00 per year

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible schedule
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Parental leave
  • Professional development assistance
  • Referral program
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

Schedule:

  • Monday to Friday

Work setting:

  • Hybrid work

Experience:

  • Property & Casualty: 5 years (Preferred)
  • Casualty Claims: 5 years (Preferred)
  • commercial claims: 3 years (Preferred)

Work Location: Hybrid remote in Philadelphia, PA 19103

Job Summary

JOB TYPE

Full Time

INDUSTRY

Insurance

SALARY

$78k-98k (estimate)

POST DATE

03/01/2024

EXPIRATION DATE

04/29/2024

WEBSITE

plmins.com

HEADQUARTERS

PHILADELPHIA, PA

SIZE

100 - 200

FOUNDED

1895

CEO

JOHN K SMITH

REVENUE

$50M - $200M

INDUSTRY

Insurance

Show more

The job skills required for Claims Examiner include Customer Service, Subrogation, Written Communication, Health Insurance, Life Insurance, Mediation, 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.

For the skill of  Customer Service
VIP Delivery Solutions
Full Time
$44k-59k (estimate)
Just Posted
For the skill of  Subrogation
Erie Insurance
Full Time
$53k-67k (estimate)
2 Months Ago
For the skill of  Written Communication
Wendy
Full Time
$64k-95k (estimate)
Just Posted
Show more

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.

Arch Capital Group
Full Time
$66k-84k (estimate)
2 Months Ago
Reliance Matrix
Full Time
$54k-69k (estimate)
2 Months Ago

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.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College
Show more