Claims Examiner jobs in United States

Explore 2 matching jobs.

Brown & Brown Insurance

Travel Claims Examiner, Customer Service Representative

Brown & Brown Insurance

Posted: 10/21/2026
Health Care Service Corporation

Claims Recovery Examiner

Health Care Service Corporation

Posted: 10/14/2026
All Care To You

Claims Recovery Examiner

All Care To You

Posted: 10/7/2026
Brown & Brown Insurance

Travel Claims Examiner, Customer Service Representative

Brown & Brown Insurance
Posted 10/21/2026full-timeRemote • Florida • United StatesMid-LevelSenior💰 $16 - $21 per hourWebsite
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Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in analyzing and processing claims while adhering to policy provisions and industry standards. Proficient in managing documentation and communication effectively to ensure accurate claim outcomes.

Highest-signal resume keywords
Claims AnalysisPolicy Provisions ApplicationBenefit Payment ProcessingMicrosoft Office ProficiencyInterpersonal Communication

About the role

Key responsibilities & impact
  • Analyze and research claim issues of moderate to complex difficulty
  • Review and apply policy provisions in processing claims received
  • Request and obtain necessary documents for claim processing and consideration, including scheduling follow-ups for documentation
  • Release accurate benefit payments in accordance with CBP policy, industry standards, and applicable TPA or SLA agreements
  • Properly document required information in the claim system, including follow-up information
  • Receive inbound calls within assigned queues and/or as overflow for the CSR team
  • Ensure claims are processed accurately and in accordance with policy provisions
  • Approve or deny claims based on established guidelines

Requirements

What you’ll need
  • High School Diploma or equivalent
  • Ability to function independently within established guidelines
  • Excellent interpersonal, oral and written communication skills
  • Intermediate skill level in Microsoft Office programs
  • Ability to comprehend complicated workflows, policy certificates, and policy provisions

Benefits

Comp & perks
  • Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
  • Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
  • Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
  • Paid Time Off
  • Holidays
  • Preferred Partner Discounts

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Claims ProcessingDocument ManagementWorkflow ComprehensionPolicy Certificate UnderstandingBenefit Payment Accuracy
Soft Skills
Excellent Communication SkillsIndependent FunctioningInterpersonal Skills
Certifications & Qualifications
High School Diploma
Industry Keywords
Claims ManagementTPA AgreementsSLA AgreementsIndustry Standards