Claims Examiners, Property and Casualty Insurance
: Job Details :

Property and Casualty Insurance Claims ExaminerWhat Do Property and Casualty Insurance Claims Examiners Do?Example of Insurance Claims Examiner Job: Review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures. Report overpayments, underpayments, and other irregularities. Confer with legal counsel on claims requiring litigation.Daily Life Of an Insurance Claims ExaminerConfer with legal counsel on claims requiring litigation.Report overpayments, underpayments, and other irregularities.Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.Supervise claims adjusters to ensure that adjusters have followed proper methods.Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.Investigate, evaluate, and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.Skills Needed to be an Insurance Claims ExaminerThese are the skills Property and Casualty Insurance Claims Examiners say are the most useful in their careers:Writing: Communicating effectively in writing as appropriate for the needs of the audience.Reading Comprehension: Understanding written sentences and paragraphs in work-related documents.Active Listening: Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.Speaking: Talking to others to convey information effectively.Critical Thinking: Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.Negotiation: Bringing others together and trying to reconcile differences.Is There Job Demand for Property and Casualty Insurance Claims Examiners?There were about 311,100 jobs for Property and Casualty Insurance Claims Examiners in 2016 (in the United States). There is little to no growth in job opportunities for Property and Casualty Insurance Claims Examiners. The BLS estimates 24,500 yearly job openings in this field.The states with the most job growth for Insurance Claims Examiners are Utah, Arizona, and Colorado. Watch out if you plan on working in Maine, District of Columbia, or Mississippi. These states have the worst job growth for this type of profession.Insurance Claims Examiner SalaryThe average yearly salary of an Insurance Claims Examiner ranges between $39,620 and $98,660.Property and Casualty Insurance Claims Examiners who work in Connecticut, Massachusetts, or New Jersey make the highest salaries.What Tools do Property and Casualty Insurance Claims Examiners Use?Below is a list of the types of tools and technologies that Property and Casualty Insurance Claims Examiners may use on a daily basis:Microsoft ExcelMicrosoft WordMicrosoft OfficeMicrosoft PowerPointMicrosoft PublisherMedical procedure coding softwareMedical condition coding softwareDocument management system softwareHyland OnBase Enterprise Content ManagementAxonwave Fraud and Abuse Management SystemStrataCare StrataWare eReviewLexisNexis RiskWiseCCC Pathways Appraisal Quality SolutionISO NetMap for ClaimsISO ClaimSearchIBM Fraud and Abuse Management SystemHummingbird Legal Bill ReviewAgency Management Systems AMS 360AutoClaims Direct DirectLinkBecoming an Insurance Claims ExaminerIndividuals working as a Property and Casualty Insurance Claims Examiner have obtained the following education levels:Who Employs Property and Casualty Insurance Claims Examiners?The table below shows some of the most common industries where those employed in this career field work.#J-18808-Ljbffr