4 claims examiner jobs found in Jacksonville, FL

Primarily responsible for providing exceptional customer service to our clients. Take incoming calls using our Web Warranty/Web Claim program. Review claims for approvals, distribution of authorizations or sending of denial letters. Helps to enforce contractual requirements impartially and expeditiously. Adjudicate, investigate and/or deny claims by verifying submitted information, coverage issued, and other pertinent information. Identify claims of a potentially fraudulent nature and refer to management for review. Monitor and process claims to meet the demands of a production environment and to adhere to established service standards. Process claims via our phone and portal systems using Web Warranty/Web Claims program. Handle customer service questions or transfer call to appropriate numbers. Adjudicate claims based off the terms and conditions of the service contract. Follow-up with Service Providers and Technicians for required claims information. Complete Claim...

Primarily responsible for providing exceptional customer service to our clients. Take incoming calls using our Web Warranty/Web Claim program. Review claims for approvals, distribution of authorizations or sending of denial letters. Helps to enforce contractual requirements impartially and expeditiously. Adjudicate, investigate and/or deny claims by verifying submitted information, coverage issued, and other pertinent information. Identify claims of a potentially fraudulent nature and refer to management for review. Monitor and process claims to meet the demands of a production environment and to adhere to established service standards. Process claims via our phone and portal systems using Web Warranty/Web Claims program. Handle customer service questions or transfer call to appropriate numbers. Adjudicate claims based off the terms and conditions of the service contract. Follow-up with Service Providers and Technicians for required claims information. Complete Claim...

Primarily responsible for providing exceptional customer service to our clients. Take incoming calls using our Web Warranty/Web Claim program. Review claims for approvals, distribution of authorizations or sending of denial letters. Helps to enforce contractual requirements impartially and expeditiously. Adjudicate, investigate and/or deny claims by verifying submitted information, coverage issued, and other pertinent information. Identify claims of a potentially fraudulent nature and refer to management for review. Monitor and process claims to meet the demands of a production environment and to adhere to established service standards. Process claims via our phone and portal systems using Web Warranty/Web Claims program. Handle customer service questions or transfer call to appropriate numbers. Adjudicate claims based off the terms and conditions of the service contract. Follow-up with Service Providers and Technicians for required claims information. Complete Claim...

Job Description Engle Martin is a leading national independent loss adjusting and claims management provider. We provide a comprehensive line of service offerings including commercial property, casualty, inland marine/cargo, heavy equipment and large loss adjusting, as well as TPA/claims management and subrogation.  We are an Equal Opportunity Employer offering competitive pay and benefits and an environment where teamwork, ongoing professional development, continuous improvement, and exceptional service are valued and rewarded.    Responsibilities: Investigates commercial insurance claims in any of a variety of settings. Uses knowledge of property and construction, and/or knowledge of the specific industry or business affected, personally conduct property inspections and photograph claim sites as necessary to depict and substantiate losses or damage, or the lack thereof. Obtains necessary information from the claimant and from experts such as architects, engineers,...