Claims Examiner Career Research and Resources

State-Wide Insurance Co./ MAPFRE Group

Insurance - Claims Examiner - Garden City, NY

Managed day to day activites of a full service office consisting of 60 employees including House Counsel. Worked with underwriting and Sales to grow the business. Developed a professional, efficent claims team.

Avg. Salary: $90,000   ·    Company Rank: Not Available

Avis Rent a Car System Inc

Insurance - Claims Examiner - Garden City, NY

Responsible for a claim staff of 40 technicians, support and NY House Counsel. Assigned Administrative and technical duties including large loss cases.

Avg. Salary: $90,000   ·    Company Rank: Not Available

AIM Healthcare Services, Inc.

Insurance - Claims Examiner - Washington, DC

Promoted to the position after being recognized by management as “The best of the best”. Travel to healthcare providers to learn the functionality of onsite systems and claims adjudication processes. Build and maintain relationships with healthcare providers management and staff. Research credit balance reports for insurance payment error trends. Analyze data and provide recommendations to initiate corrective measures to i...

Avg. Salary: $70,000   ·    Company Rank: 3.0 out of 5

AIM Healthcare Services, Inc.

Insurance - Claims Examiner - Hartford, CT

Responsible for investigating and recovering all types of insurance claims for commercial health plans and government entities based on hospital contracts with insurance payers. Identified, monitored and evaluated claim data to determine third-party liability and reimbursement amounts. Managed six medium-to-large hospitals with individual monthly budgets of $100,000 to $250,000. Developed business relationships with health...

Avg. Salary: $70,000   ·    Company Rank: Not Available

Filene's Department Store

Insurance - Claims Examiner - Burlington, MA

Managed daily operations of cash office and customer service department. Supervised 13 associates in a highly competitive and fast paced retail environment. Created department schedules to ensure proper coverage of customer service desk for a 7-day work week. Interacted with customers to resolve billing issues. Reconciled daily cash reports and reported discrepancies to the corporate office. Trained all stores associates on...

Avg. Salary: $70,000   ·    Company Rank: Not Available

Conversent Communications, LLC

Insurance - Claims Examiner - Stamford, CT

Managed retention of high-profile business communication clients for regional sales office. Maintained and grew business relationships with clients by coordinating with repair, customer service and sales departments. Performed inside sales duties to help client business grow. Scheduled weekly visits to client offices to review billing and account profile.

Avg. Salary: $70,000   ·    Company Rank: Not Available

Professional Resources Management of Rabun dba Mountain Lakes Medical Center

Insurance - Claims Examiner - Clayon, GA

Full accountability and management of a Federal Grant Program

Avg. Salary: $52,000   ·    Company Rank: Not Available

Broadspire Services

Insurance - Claims Examiner - Sunrise, FL

Managed over 200 complex Bodily Injury claims from inception to conclusion for large self-insured entities such as The Sports Authority, Genuine Parts, JELD-WEN, FedEx, Schindler Elevator, Cal-Maine Foods and Perdue. Administered statements, was responsible for report and diagram preparation, liability assessment, contract and medical report interpretation, and the negotiation of settlements. Provided guidance to outsi...

Avg. Salary: $61,000   ·    Company Rank: Not Available

Aequicap Insurance

Insurance - Claims Examiner - Ft. Lauderdale, FL

Managed large pending of complex third party BI claims involving coverage, liability and damages from inception until final resolution. Investigated and adjusted complex trucking, commercial auto and taxicab claims, from standpoint of both liability and damages. Confirmed coverage, identified potential coverage issues and resolved complicated coverage issues. Resolved claims within level of assigned settlement authorit...

Avg. Salary: $61,000   ·    Company Rank: Not Available

Mapfre of Florida Insurance Company

Insurance - Claims Examiner - Miami, FL

Investigated primarily Garage Keepers Legal Liability Claims. Handled Premises Liability Claims. Handled complex claims involved in litigation, including personal auto. Attended mediation. Successfully maintained a pending of 200 files. Responsible for defense counsel management and also, litigation expenditures. Settled and negotiated claims involving bodily injury with non-represented claimants, or their counse...

Avg. Salary: $61,000   ·    Company Rank: Not Available