Claims Examiner Job Description

Claims Examiner Duties and Responsibilities

Claims Examiner job description should contain a variety of functions and roles including:

• Diligently review reports to ensure that no errors have been made in the appraisal process.
• Determine whether payouts are reasonable.
• Approve, reject or refer a claim to a specialist.
• Meet with claimants and settle disputes.
• Ensure compliance with regulatory standards, company policy and guidelines.
• Provide assistance to Claims Adjusters to manage the volume of cases.
• Consult with specialists such as lawyers, engineers, architects and physicians.
• Assist attorneys and other specialists when defending the company against contestation.

Claims Examiner Requirements / Skills / Qualifications

Claims Examiner job description should include these common skills and qualifications:

• Bachelor's degree in finance or related field preferred.
• A minimum of X years prior work experience in claims operations management
• Hands-on working knowledge and background in claim processing
• Sound administrative and organizational skills.
• Great attention to detail.
• Good interpersonal skills.
• Excellent verbal and written communication.
• Proficiency with mathematics and spreadsheet software.
• Demonstrated decision-making ability.
• Excellent ability to produce accurate and precise work in a fast-paced environment

As a hiring manager, recruiting an ideal Claims Examiner starts with crafting a good job description. Use this Claims Examiner job description template to save yourself time and help you attract the most qualified candidates. Feel free to revise it to meet your specific needs.

Job seekers interviewing for the role of a Claims Examiner may also reference it in preparation for the interview.