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The Insurance Claims Adjuster corresponds with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested insurance claims. Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Being an Insurance Claims Adjuster prepares reports of investigation findings. Makes recommendations for settlement of routine property/casualty claims based on coverage, appraisal, and verifiable damage. In addition, Insurance Claims Adjuster may conduct field evaluations to inspect and document da more...
The Patient Claims Representative reviews claims to make sure that payer specific billing requirements are met, follows-up on billing, determines and applies appropriate adjustments, answers inquiries, and updates accounts as necessary. Organizes inpatient and outpatient claims for electronic or hard copy mail and forwards to appropriate third party payers. Being a Patient Claims Representative typically reports to a supervisor or manager. Requires a high school diploma or its equivalent. Working as a Patient Claims Representative typically requires 1-3 years of related experience. May be entr more...
The Insurance Claims Examiner I examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being an Insurance Claims Examiner I communicates with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Insurance Claims Examiner I determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a su more...
The Insurance Claims Examiner II examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being a Insurance Claims Examiner II communicates with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Insurance Claims Examiner II determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a more...
The Insurance Claims Examiner III examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being an Insurance Claims Examiner III communicates with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Insurance Claims Examiner III determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports t more...
The Insurance Claims Examiner IV examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being an Insurance Claims Examiner IV communicates with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Insurance Claims Examiner IV determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a more...
The Insurance Claims Examiner V examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being an Insurance Claims Examiner V communicates with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Insurance Claims Examiner V determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a su more...
The Insurance Claims Adjuster, Entry corresponds with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested insurance claims. Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Being an Insurance Claims Adjuster, Entry prepares reports of investigation findings. Makes recommendations for settlement of routine property/casualty claims based on coverage, appraisal, and verifiable damage. In addition, Insurance Claims Adjuster, Entry may conduct field evaluations to in more...
The Insurance Claims Adjuster, Experienced is responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested claims. Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Being an Insurance Claims Adjuster, Experienced may conduct field evaluations to inspect and document damage or loss. Prepares reports of investigation findings. In addition, Insurance Claims Adjuster, Experienced typically requires an associate's degree. Typically reports to more...
The Insurance Claims Adjuster, Senior examines claim forms and other records to determine coverage. Denies, settles, or authorizes payments to more complex property/casualty claims based on coverage, appraisal, and verifiable damage. Being an Insurance Claims Adjuster, Senior conducts field investigations to inspect and document damage or loss. Responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested. In addition, Insurance Claims Adjuster, Senior prepares report of findings of an investigation. May require a b more...
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