
Claims Examiner
Are you an experienced Claims Examiner looking for an opportunity to make a difference? Nationwide Mutual Insurance is looking for an individual with excellent attention to detail and strong problem solving skills to join our team. In this role, you will be responsible for examining claims and making determinations. The ideal candidate will have a strong understanding of insurance regulations and be able to work effectively in a fast-paced environment. If you think you are a good fit, please apply!Required Qualifications: • Bachelor's degree in Business Administration, Finance or a related field• 2-3 years of experience as a Claims Examiner• Knowledge of insurance regulations and policies• Working knowledge of Microsoft Office applications• Strong attention to detail and problem solving skills• Ability to work in a fast-paced environment and make sound decisions
Responsibilities: • Review claims and evaluate accuracy and validity of information • Determine coverage and eligibility according to policy provisions • Negotiate settlements with claimants and insured parties • Document findings and decisions in the claims system • Identify and investigate potentially fraudulent claims • Work with other departments to ensure claim accuracy • Ensure compliance with applicable state and federal regulations • Update job knowledge by participating in educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations • Maintain effective communication with other departments and internal teams
Ability To Work Independently
Excellent Communication Skills
Strong Attention To Detail
Knowledge Of Insurance Regulations
Ability To Multitask
Excellent Problem-Solving Skills
Knowledge Of Insurance Claims Processing
Ability To Accurately Interpret Policy Language
Documenting
Researching
Interpreting
organizing
Processing
Problem-Solving
communicating
Negotiating
Analyzing
Assessing
Evaluating
Reconstructing
Investigating
Reconciling
Comparing
Communication
Leadership
Problem Solving
Time management
Interpersonal Skills
creativity
Organization
flexibility
Teamwork
Adaptability
According to JobzMall, the average salary range for a Claims Examiner in Portland, OR, USA is between $47,543 and $68,931. The exact salary range will depend on the individual's experience, qualifications, and other factors.
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Nationwide Mutual Insurance Company and affiliated companies, commonly shortened to Nationwide, is a group of large U.S. insurance and financial services companies based in Columbus, Ohio. The company also operates regional headquarters in Scottsdale, Arizona; Des Moines, Iowa and San Antonio, Texas.

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