Claims Examiners, Property and Casualty Insurance

Property and Casualty Insurance Claims Examiner

• Present cases and participate in claim committee meetings.
• Report over payments, underpayments, and other irregularities.
• Contact or interview claimants, doctors, medical specialists, or employers to obtain additional information.
• 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.
• Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
• Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis.

• 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.

• Liability Claims Manager
• Claims Analyst
• Claims Director

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.

Property and Casualty Insurance Claims Examiners make between $39,620 and $98,660 a year.

Property and Casualty Insurance Claims Examiners who work in Connecticut, Massachusetts, or New Jersey
, make the highest salaries.

Although they’re not necessarily needed for all jobs, the following technologies are used by many Property and Casualty Insurance Claims Examiners:

• Microsoft Excel
• Microsoft Word
• Microsoft Office
• Microsoft Power Point
• Microsoft Publisher
• Medical procedure coding software
• Medical condition coding software
• Document management system software
• Hyland OnBase Enterprise Content Management
• Axonwave Fraud and Abuse Management System
• Strata Care Strata Ware eReview
• Lexis Nexis Risk Wise
• CCC Pathways Appraisal Quality Solution
• ISO Net Map for Claims
• ISO Claim Search
• IBM Fraud and Abuse Management System
• Hummingbird Legal Bill Review
• Agency Management Systems AMS 360
• Auto Claims Direct Direct Link