Top 36 Medical claims examiner Jobs in Phoenix, Az

Injury Examiner
USAA —Phoenix, AZ
- $85,040 - $162,550 a year
- Hybrid work
- Anatomy knowledge
- Military
- Office
- Paid holidays
- Health insurance
Claims Examiner I
Berkley —Scottsdale, AZ
- Full-time
- Remote
- Microsoft Word
- 5 years
- Computer literacy
- Profit sharing
- Paid parental leave
Associate Claims Examiner, Cyber Claims
Markel Service Inc. —Scottsdale, AZ
- $27.84 - $38.27 an hour
- Email
- Microsoft Excel
- Customer service
- Mid-level
- AD&D insurance
- Employee stock purchase plan
Quick Apply
11d
Claims Examiner
Advanced Medical Pricing Solutions —Phoenix, AZ
- Writing skills
- HIPAA
- Research
- Dental insurance
Quick Apply
Senior Claims Examiner, Medical & Healthcare Claims
Markel Service Inc. —Scottsdale, AZ
- $73,600 - $107,250 a year
- Email
- 7 years
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Claims Examiner II
Berkley —Scottsdale, AZ
- Full-time
- Microsoft Word
- 5 years
- Computer literacy
- Profit sharing
- Paid parental leave
Claim Examiner
IFG Companies —Scottsdale, AZ
- $80,000 - $110,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid parental leave
- Disability insurance
Quick Apply
2d
Claims Examiner
Arizona Priority Care —Chandler, AZ
- $21 - $23 an hour
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
Senior Claims Examiner
AmTrust Financial Services, Inc. —Scottsdale, AZ
- $87,600 - $112,000 a year
- Full-time
- Hybrid work
- Microsoft Outlook
- 5 years
- Research
- Health insurance
- Dental insurance
Casualty Claim Examiner
Chubb —Phoenix, AZ
- $53,000 - $77,000 a year
- Mid-level
- Office
- Bachelor's degree
- Employee stock purchase plan
- Paid holidays
Claims Support Specialist, Medical Stop Loss - Hybrid
Crum & Forster —Scottsdale, AZ
- $34,800 - $51,000 a year
- Mid-level
- Office
- High school diploma or GED
- Employee stock purchase plan
- Health insurance
Auto Claim Examiner
Chubb —Phoenix, AZ
- Customer service
- Mid-level
- Office
- Employee stock purchase plan
- Paid holidays
Executive Claims Examiner, Miscellaneous Professional E&O
Markel Service Inc. —Scottsdale, AZ
- $97,520 - $134,090 a year
- Email
- Writing skills
- Mid-level
- Travel
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Auto Claims Examiner
Atlantic Casualty Insurance Company —Scottsdale, AZ
- $84,520.80 - $112,039.20 a year
- Full-time
- 7 years
- Office
- Analysis skills
- Paid parental leave
- Health savings account
Quick Apply
Workers Compensation Lead Claim Examiner I
AmTrust Financial Services, Inc. —Scottsdale, AZ
- $75,000 - $93,000 a year
- Full-time
- Microsoft Outlook
- Customer service
- Research
- Health insurance
- Dental insurance
Claims Examiner 4
Swift Transportation —Phoenix, AZ
- $81,800 - $117,400 a year
- Full-time
- 5 years
- Bachelor's degree
- Senior level
- Paid training
- Employee stock purchase plan
Quick Apply
2d
Sr. Manager of Claims
Personify Health —Tempe, AZ
- $107,000 - $140,000 a year
- Email
- 5 years
- HIPAA
- Office
- Health insurance
- Dental insurance
11d
Claims Examiner 5
Swift Transportation —Phoenix, AZ
- Full-time
- Analysis skills
- Bachelor's degree
- Mentoring
- Paid training
- Employee stock purchase plan
Quick Apply
2d
Senior Claims Specialist, Cyber
Markel Service Inc. —Scottsdale, AZ
- $78,000 - $107,000 a year
- Email
- Writing skills
- Mid-level
- Travel
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Senior Auto Claim Examiner
Chubb —Phoenix, AZ
- Full-time
- Customer service
- 5 years
- Bachelor's degree
- Health savings account
- Paid holidays

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medical claims examiner jobs near phoenix, az

Injury Examiner

USAA -
Phoenix, AZ

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Job Details

$85,040 - $162,550 a year

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Adoption assistance
Vision insurance
Life insurance

Qualifications

Anatomy knowledge
Homeowners insurance claims
Motor vehicle insurance law
Homeowners insurance knowledge
Regulatory compliance in claims processing
Claims negotiation
High school diploma or GED
Insurance investigations
Bodily injury claims
Insurance claims reserve management
Medical terminology

Full Job Description

Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

We are proud to support active-duty military spouses. USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with applicable policy and business needs.

The Opportunity
As a dedicated Injury Examiner , you will be responsible to adjust complex auto and homeowner bodily injury claims, UM/UIM , and small business claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy.

This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site three days per week.

What you'll do:
Adjusts complex auto bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality) and UM/UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex claims.
Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates.
Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.
Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
Serves as a resource for team members on complex claims.
Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication.
Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have:
High School Diploma or General Equivalency Diploma.
4 years auto claims and injury adjusting experience.
Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.
Advanced negotiation, investigation, communication, and conflict resolution skills.
Demonstrated strong time-management and decision-making skills.
Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims.
Ability to exercise sound financial judgment and discretion in handling insurance claims.
Advanced knowledge of coverage evaluation, loss assessment, and loss reserving.
Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

What sets you apart:
2 or more years of high-value catastrophic injury experience (e.g. traumatic brain injury, disfigurement, fatality) to include UM/UIM coverage
College Degree (Bachelor’s or higher)
Insurance Designation
US military experience through military service or a military spouse/domestic partner
Compensation range: The salary range for this position is: $85,040 - $162,550 .

USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).

Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com

Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Apply Now

Refine Your Search

medical claims examiner jobs in phoenix, az

Injury Examiner

Claims Examiner I

Associate Claims Examiner, Cyber Claims

Claims Examiner

Senior Claims Examiner, Medical & Healthcare Claims

Claims Examiner II

Claim Examiner

Claims Examiner

Senior Claims Examiner

Casualty Claim Examiner

Claims Support Specialist, Medical Stop Loss - Hybrid

Auto Claim Examiner

Executive Claims Examiner, Miscellaneous Professional E&O

Auto Claims Examiner

Workers Compensation Lead Claim Examiner I

Claims Examiner 4

Sr. Manager of Claims

Claims Examiner 5

Senior Claims Specialist, Cyber

Senior Auto Claim Examiner

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