Top 75 Claims examiner Jobs in Remote

Senior Claims Examiner - MSI
The Baldwin Group —Remote
- Full-time
- Remote
- Residential
- Bachelor's degree
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Claims - Claims Examiner
Wellcove —Remote
- Full-time
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- Microsoft Excel
- Microsoft Outlook
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Claims - Examiner, Claims
Wellcove —Remote
- Full-time
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- Background check
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Claims Examiner - Remote
ImagenetLLC —Remote
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- Paid training
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8d
Claims Examiner (Reinsurance)
One80 Intermediaries —Remote
- $100,000 a year
- Full-time
- Office
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Surety Claims Examiner
Guardian Group —Remote
- Background check
- No experience needed
- Research
- Travel reimbursement
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TPA Commercial Claims Examiner
Schifrin, Gagnon, & Dickey, Inc. —Remote
- $72,000 - $85,000 a year
- Remote
- 5 years
- Writing skills
- Senior level
- Dental insurance
- Flexible spending account
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Claims Examiner Remote
NTT Ltd —Plano, TX
- Overtime
- Remote
- Computer literacy
- Basic math
- English
13d
Claims Examiner I
Berkley —Scottsdale, AZ
- Full-time
- Remote
- Microsoft Word
- 5 years
- Computer literacy
- Profit sharing
- Paid parental leave
Property Claims Examiner II - Wind/Hail
Mercury Insurance Services, LLC —Remote
- $62,860 - $142,213 a year
- Overtime
- Remote
- Bilingual
- Military
- Writing skills
- Paid holidays
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Disability Claims Examiner - LTD
Prudential —Newark, NJ
- $53,300 - $88,000 a year
- Full-time
- Remote
- Spanish
- Microsoft Excel
- Computer literacy
- Employee stock purchase plan
- Disability insurance
Workers Compensation Claims Examiner (TEXAS Jurisdiction)
Elite —Remote
- Urgently hiring
- Remote
- Management
- Bachelor of Science
- Basic math
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Quick Apply
Workers Compensation Claims Examiner (California Jurisdiction)
Elite —Remote
- Urgently hiring
- Remote
- Management
- Bachelor of Science
- Basic math
- On-the-job training
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Healthcare Claims Examiner, Remote
NTT DATA —Tampa, FL
- $18 an hour
- Temporary
- Remote
- Microsoft Outlook
- Computer literacy
- HIPAA
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Claims Adjuster/Examiner
Jones Jones LLC —New York, NY
- $50,000 - $85,000 a year
- Full-time
- Remote
- Mid-level
- 3 years
- Analysis skills
Quick Apply
Sr Death Claims Examiner I
Penn Mutual —Remote
- $55,000 - $63,000 a year
- Full-time
- 3 years
- Analysis skills
- Math
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PET INSURANCE CLAIMS EXAMINER/ADJUSTER 1099 INDEPENDENT CONTRACTOR
Administrative Strategies —Remote
- Weekends as needed
- Background check
- Spanish
- Anatomy knowledge
- Pet insurance
Quick Apply
Workers Compensation Claims Examiner
Association County Commissioners of GA —Atlanta, GA
- From $75,000 a year
- Full-time
- Remote
- Basic math
- English
- Mid-level
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Claims Consultant (Desk) - Examiner
Guardian Group —Torrance, CA
- Remote
- 5 years
- Mid-level
- Finance
- Travel reimbursement
- Profit sharing
Inland Marine & Cargo Claims Examiner
Raphael and Associates —Remote
- Full-time
- Customer service
- Analysis skills
- Senior level
- Health insurance
- Dental insurance
Quick Apply
14d

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Senior Claims Examiner - MSI

The Baldwin Group -
Remote

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Job Details

Full-time

Qualifications

Homeowners insurance claims
Commercial insurance knowledge
Commercial property insurance claims

Full Job Description

Why MSI? We thrive on solving challenges. As a leading MGA, MSI combines deep underwriting expertise with insurer risk capacity to create specialized insurance solutions that empower distribution partners to meet customers’ unique needs. We have a passion for crafting solutions for the important risks facing individuals and businesses. We offer an expanding suite of products – from fully-digital embedded renters coverage to high-value homeowners insurance to sophisticated commercial coverages, such as cyber liability and habitational property – delivered through agents, brokers, wholesalers and other brand partners.

Our partners and customers count on us to deliver exceptional service through a dedicated team that makes rapid resolutions a priority. We simplify the insurance experience through our advanced technology platform that supports every phase of the policy lifecycle. Bring on your challenges and let us show you how we build insurance better.

The Sr Claims Examiner is considered an expert in managing insurance claims for our policyholders, handling claims with high severity and complexity. The Sr Claims Examiner must have technical knowledge in insurance claims handling and the skills needed to provide superior service for our customers. The ability to develop relationships and effectively communicate with a diverse range of clients, carriers and colleagues is a key success factor in this role. Strategic vision coupled with tactical execution to achieve results in accordance with goals and objectives is also critical to the overall success of this position. The Sr Claims Examiner must be able to work with little to minimal supervision.

Analyzes insurance policies and other documents to determine insurance coverage.
Investigates and analyzes claim information to determine extent of liability.
Handles claims 1st Party Property Claims with complex to major severity.
Assist in suits, mediations and arbitrations. Works with Counsel in the defense of litigation.
Sets timely, adequate reserves in compliance with the company’s reserving philosophy.
Engages experts to assist in the evaluation of the claim.
Monitors vendor performance and controls expense costs.
Evaluates, negotiates and determines settlement values.
Communicates with all interested parties throughout the life of the claim. Proactively discusses coverage decisions, the need for additional information, and settlement amounts with interested parties.
Handles all claims in accordance with Best Practices.
Responsible for monitoring and completing assigned claims inventory.
Acquire and maintain a state adjuster’s license and meet state continuing education requirements.
Provides Best-In-Class customer service for insureds and agents.
Develops and maintains relationships with external and internal stakeholders.
Acts as a mentor for less experienced Claims Examiners.
Updates and maintains the claim file.
Identifies opportunities for subrogation and ensures recovery interests are protected.
Identifies fraud indicators and refers files to SIU for further investigation.
Participates in claims audits, internal and external.
Provides oversight of TPAs
Assists with special projects
SME for a developing Claims Department

Education & Experience:

Bachelor’s degree or equivalent work experience
10+ years of claims adjusting experience, including at least 5 years handling both commercial and residential property claims
Emphasis on Florida claims to include the involvement of Assignment of Benefits, Public Adjusters, and Attorneys
Florida resident preferred
Insurance designations preferred
State adjuster licenses preferred

#LI-JW2

#LI-REMOTE

The Baldwin Group will not accept unsolicited resumes from any source other than directly from a candidate who applies on our career site. Any unsolicited resumes sent to The Baldwin Group, including unsolicited resumes sent via any source from an Agency, will not be considered and are not subject to any fees for any placement resulting from the receipt of an unsolicited resume.

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Refine Your Search

claims examiner jobs in remote

Senior Claims Examiner - MSI

Claims - Claims Examiner

Claims - Examiner, Claims

Claims Examiner - Remote

Claims Examiner (Reinsurance)

Surety Claims Examiner

TPA Commercial Claims Examiner

Claims Examiner Remote

Claims Examiner I

Property Claims Examiner II - Wind/Hail

Disability Claims Examiner - LTD

Workers Compensation Claims Examiner (TEXAS Jurisdiction)

Workers Compensation Claims Examiner (California Jurisdiction)

Healthcare Claims Examiner, Remote

Claims Adjuster/Examiner

Sr Death Claims Examiner I

PET INSURANCE CLAIMS EXAMINER/ADJUSTER 1099 INDEPENDENT CONTRACTOR

Workers Compensation Claims Examiner

Claims Consultant (Desk) - Examiner

Inland Marine & Cargo Claims Examiner

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