Claims Examiner Career Research and Resources
Nationwide Insurance
Started Career in Corp. Security, moved into Claims as a fraud investigator for (SIU). Analyzed first reports of loss and underlying file material to determine if covered claim was suspect of fraud. If applicable investigated and recommended resolution to include prosecution, settlement and underwriting recommendations. Developed connections with local fraud bureaus, district attorney's offices and professional associations.
Avg. Salary: $70,000 · Company Rank: Not Available
Directors Guild of America-Producer Pension & health Plan
Day to day operations of the claims and participant services department. Managing a staff of 20 in all areas of claim administration, vendor relation management, contracts, benefit analysis, appeals, subrogation and eligibility
Avg. Salary: $80,000 · Company Rank: Not Available
Wilson Elser
handle and supervise complex coverage disputes and author coverage opinions across multiple lines of types of policies
Avg. Salary: $112,500 · Company Rank: Not Available
Acension Health Ministry Service Center
• Led a team of what started as 14 leave of absence case managers, leave coordinators and RN case managers through a period of tremendous growth and transition to a empowered group of 28. Handled daily attendance and human resource issues. • Provided day to day oversight for four hospitals in different geographic regions and unique benefit plans including short and long term disability, FMLA, workers compensation, personal ...
Avg. Salary: $67,500 · Company Rank: Not Available
Sedgwick Claims Management Services
• Led a team of senior claims examiners to analyze General Motors disability and workers compensation claims for both hourly and salaried employees in five states. Also functioned in a claims examiner lll role as a telecommuter after spouses relocation to Roanoke Virginia. • Recognized for meeting quality standards in numerous audit areas and thereby successfully balanced the often conflicting goals of client expectations, ...
Avg. Salary: $67,500 · Company Rank: Not Available
Melife Insurance Company
• Managed a very similar list of responsibilities as outlined above but for MET when they held the contract to manage General Motors claims.
Avg. Salary: $67,500 · Company Rank: Not Available
John Mullen and Associates
Field Investigation and personal contact with agents and insured's. Negotiate and resolve third and first party claims
Avg. Salary: $76,000 · Company Rank: Not Available
Philadelphia Insurance
Investigate, negotiate and resolve liability claims. Resolved and handled heavy litigation claims
Avg. Salary: $76,000 · Company Rank: Not Available
AIG Insurance
Avg. Salary: $76,000 · Company Rank: Not Available
State Farm Insurance
Avg. Salary: $76,000 · Company Rank: Not Available
