Top 10 Claims examiner Jobs in West Chester Pa

Claim Examiner
A-G Specialty Insurance, LLC —Berwyn, PA
- $50,000 a year
- Weekends as needed
- Remote
- Mid-level
- Bachelor's degree
- Travel
Claims Examiner - Jefferson Health Plan
Thomas Jefferson University and Hospitals —Philadelphia, PA
- Full-time
- Computer literacy
- Mid-level
- Office
- AD&D insurance
- Disability insurance
10d
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
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
Workers Compensation Claims Examiner (PA & NJ Jurisdictions)
Elite —Philadelphia, PA
- $85,000 - $95,000 a year
- Microsoft Word
- Mid-level
- Office
Quick Apply
10d
Senior Litigations Claims Examiner
Penn Lumbermens Mut Ins Co —Philadelphia, PA
- Management
- Writing skills
- Basic math
Senior Claim Examiner
Chubb —Philadelphia, PA
- Full-time
- Bachelor of Science
- Mid-level
- 3 years
- On-the-job training
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
Driver License Examiner w/CDL Norristown (Bilingual)
Commonwealth of PA —Norristown, PA
- $48,968 - $73,817 a year
- Overtime
- Spanish
- English
- CDL A
- Paid parental leave
- Health insurance
Commercial Auto, PIP, &GL Claims Examiner III-REMOTE (40406)
IOS Staffing Services —United States
- $85,000 - $95,000 a year
- Full-time
- Remote
- Background check
- Mid-level
- Commercial
- Health insurance
- Dental insurance
Quick Apply

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Claims Examiner - Jefferson Health Plan
Thomas Jefferson University and Hospitals —Philadelphia, PA
Able to work in a constant state of alertness and safe manner. Accurately adjudicates claims in compliance with data entry rules, On Line Processing Rules and…
10d
Claim Examiner
A-G Specialty Insurance, LLC —Berwyn, PA
Ensure legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations. This is a full-time position.
$50,000 a year

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Auto Claims Examiner
Atlantic Casualty Insurance Company —Columbus, OH
A valid resident adjuster license for the license state of the applicant. A non-resident adjuster’s license where required in the states where we do business.
$84,520.80 - $112,039.20 a year
Quick Apply
Commercial Auto, PIP, &GL Claims Examiner III-REMOTE (40406)
IOS Staffing Services —United States
Must have an active/current NY Adjuster’s license. This role requires an active New York Adjuster's license. Knowledge of claims handling concepts, practices,…
$85,000 - $95,000 a year
Quick Apply

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claims examiner jobs near west chester 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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claims examiner jobs in west chester pa

Claim Examiner

Claims Examiner - Jefferson Health Plan

Claims Examiner (Casualty)

Commercial Auto No Fault / PIP Claims Examiner III _ Temp

Workers Compensation Claims Examiner (PA & NJ Jurisdictions)

Senior Litigations Claims Examiner

Senior Claim Examiner

Senior Workers' Compensation Claims Examiner - Federal Claims

Driver License Examiner w/CDL Norristown (Bilingual)

Commercial Auto, PIP, &GL Claims Examiner III-REMOTE (40406)

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