Top 13 Claim examiner Jobs in Wayne, Pa

Claim Examiner
A-G Specialty Insurance, LLC —Berwyn, PA
- $50,000 a year
- Weekends as needed
- Remote
- Mid-level
- Bachelor's degree
- Travel
Senior Claims Examiner (9133)
SEPTA —Philadelphia, PA
- $82,342 - $102,908 a year
- Microsoft Word
- Microsoft Excel
- Microsoft Outlook
- Paid parental leave
- Paid holidays
7d
Integrated Disability Claims Examiner
Prudential —Fort Washington, PA
- $53,300 - $88,000 a year
- Full-time
- Mid-level
- Windows
- Organizational skills
- Employee stock purchase plan
- Disability insurance
7d
Senior Claim Examiner
Chubb —Philadelphia, PA
- Full-time
- Bachelor of Science
- Mid-level
- 3 years
- On-the-job training
Workers Compensation Claims Examiner (PA & NJ Jurisdictions)
Elite —Philadelphia, PA
- $85,000 - $95,000 a year
- Microsoft Word
- Mid-level
- Office
Quick Apply
Driver License Examiner Dublin
Commonwealth of PA —Dublin, PA
- $49,948 - $75,298 a year
- Overtime
- Office
- 21 years or older
- Fingerprint clearance
- Paid parental leave
- Health insurance
13d
Liability Claims Examiner
Vanguard Claims Administration —Woodbury, NJ
- Full-time
- Mid-level
Quick Apply
Claims Examiner (Casualty)
LIO Insurance —Conshohocken, PA
- $68,420 - $123,310 a year
- Full-time
- 3 years
- Bachelor's degree
- Travel
- Paid parental leave
- Health savings account
Quick Apply
Workers’ Compensation Claims Examiner III – NJ/PA
TEEMA GROUP —Philadelphia, PA
- $85,000 - $95,000 a year
- Email
- Hybrid work
- Microsoft Word
- Microsoft Excel
- 5 years
Quick Apply
8d
Senior Litigations Claims Examiner
Penn Lumbermens Mut Ins Co —Philadelphia, PA
- Management
- Writing skills
- Basic math
Commercial Auto No Fault / PIP Claims Examiner III _ Temp
TRISTAR RISK MANAGEMENT —Philadelphia, PA
- $85,000 - $95,000 a year
- Temporary
- Remote
- Computer literacy
- Basic math
- Mid-level
Quick Apply
Senior Workers' Compensation Claims Examiner - Federal Claims
AIG Claims, Inc. —Philadelphia, PA
- $73,000 - $96,000 a year
- Email
- Customer service
- Writing skills
- Office
- Health insurance
Quick Apply

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Provider Relations Advocate - Remote
Optum —Horsham, PA
Contribute to design and implementation of programs that build/nurture positive relationships between the health plan, providers and practice managers.
$60,200 - $107,400 a year
9d
Patient Services Specialist
Cencora —Conshohocken, PA
They may also coordinate refill calls, perform documented adherence activities,. Pharmacy Technician Certification Board (PTCB) certification is required.
$34,000 - $62,370 a year

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Workers Compensation Claims Examiner | MI, KY, IN & OH Jurisdictions | MI, IN & KY Licensing Preferred
Sedgwick —Dublin, OH
Professional certification as applicable to line of business preferred. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting,…
2d

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claim examiner jobs near wayne, pa

Claim Examiner

A-G Specialty Insurance, LLC
Berwyn, PA

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Job Details

Full-time
$50,000 a year

Qualifications

Customer communication

Full Job Description

Job Summary

The Claim Examiner is responsible for managing, investigating, and processing Accident & Health insurance claims. The ideal candidate should be highly detail-oriented, precise, and able to follow and interpret guidelines and requirements.

Essential Duties & Functions

Reasonable accommodations may be made to enable individuals to perform the essential functions.

Demonstrate fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage and processing of claims
Timely and appropriately communicate with the claimant and client, as well as internally
Establish proof of loss by reviewing medical documentation; assembling additional information as required from outside sources; including claimant, client, provider, and other insurance companies
Calculates and pays benefits due; approves and makes timely claim payments and adjustments
Ensure legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients
Recognize and properly address coverage issues, potential fraud, and subrogation
Ensure claim files are properly documented through internal notes and correspondence logs, and claim coding is correct
Refers cases as appropriate to Manager

Job Skills

Team Player
Excellent verbal and written communication
Prioritize tasks appropriately and maintain organization
Advanced critical thinking and problem-solving skills
Strong decision-making ability and sound judgement
Build client relationships
Self-starter and self-disciplined in accomplishing tasks
Ability to work unsupervised
Willingness to obtain Insurance Adjuster License

Job Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Required/Preferred Education and Experience

Required Education: Bachelor’s Degree or Equivalent Experience

Preferred Experience: 1-3 years insurance experience, medical billing or coding experience

Preferred Licensure: Accident & Health Adjuster License

Position Type and Expected Hours of Work

This is a full-time position. The role is open to candidates who are in a fully remote, hybrid, or on-site role. One full week of on-site training is required at the start of employment. Days and hours of work are Monday through Friday, 8:30 a.m. to 5 p.m. The schedule for this role can be contingent upon Supervisor and Human Resources approval. Some evening and weekend work may be required.

Travel

Limited travel would be encouraged for trainings or team meetings. This would be discussed ahead of time and agreed upon between both Supervisor and employee.

EEO Statement

A-G is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment that is free of harassment, discrimination, or retaliation based on the following protected classes: age (40 and older), race, color, national origin, ancestry, religion, sex, sexual orientation (including transgender status, gender identity or expression), pregnancy (including childbirth, lactation, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status, or any other status protected by federal, state, or local laws. A-G is dedicated to the fulfillment of this policy in regard to all aspects of employment, including, but not limited to, recruiting, hiring, placement, transfer, training, promotion, rates of pay, other compensation, termination, and all other terms, conditions, and privileges of employment. A-G will conduct a prompt and thorough investigation of all allegations of discrimination, harassment, or retaliation, or any violation of the Equal Employment Opportunity Policy in a confidential manner. A-G will take appropriate corrective action, if and where warranted. A-G prohibits retaliation against team members who provide information about, complain about, or assist in the investigation of any complaint of discrimination or violation of the Equal Employment Opportunity Policy.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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Refine Your Search

claim examiner jobs in wayne, pa

Claim Examiner

Senior Claims Examiner (9133)

Integrated Disability Claims Examiner

Senior Claim Examiner

Workers Compensation Claims Examiner (PA & NJ Jurisdictions)

Driver License Examiner Dublin

Liability Claims Examiner

Claims Examiner (Casualty)

Workers’ Compensation Claims Examiner III – NJ/PA

Senior Litigations Claims Examiner

Commercial Auto No Fault / PIP Claims Examiner III _ Temp

Senior Workers' Compensation Claims Examiner - Federal Claims

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