What You Need to Know About Property and Casualty Insurance Claims Examiners

Insurance Claims Examiner Job Description Review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures. Report overpayments, underpayments, and other irregularities. Confer with legal counsel on claims requiring litigation.

Life As an Insurance Claims Examiner

• Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.
• Conduct detailed bill reviews to implement sound litigation management and expense control.
• Present cases and participate in their discussion at claim committee meetings.
• 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.
• Communicate with reinsurance brokers to obtain information necessary for processing claims.
• Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.

What an Insurance Claims Examiner Should Know

Below is a list of the skills most Property and Casualty Insurance Claims Examiners say are important on the job.

Reading Comprehension: Understanding written sentences and paragraphs in work related documents.

Writing: Communicating effectively in writing as appropriate for the needs of the audience.

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.

Types of Insurance Claims Examiner Jobs

• Claims Account Manager
• Executive Relations Specialist
• Insurance Auditor
• Property Damage Claims Adjustor
• Workers Compensation Claims Examiner

Insurance Claims Examiner Job Outlook

There were about 311,100 jobs for Claims Adjusters, Examiners, and Investigators in 2016 (in the United States).

Property and Casualty Insurance Claims Examiner jobs are decreasing by a rate of -1.4%. This means the total job opportunities are shrinking. The Bureau of Labor Statistics predicts a loss of -4,500 jobs for Property and Casualty Insurance Claims Examiners by 2026. There will be an estimated 24,500 positions for Insurance Claims Examiner per year.

The states with the most job growth for Claims Adjusters, Examiners, and Investigators are Florida, Arizona, and Texas.

Watch out if you plan on working in California, New York, or Pennsylvania. These states have the worst job growth for this type of profession.

Salary for Property and Casualty Insurance Claims Examiners

The salary for Claims Adjusters, Examiners, and Investigators ranges between about $39,620 and $98,660 a year. A Property and Casualty Insurance Claims Examiner median salary is $65,900.

How much do Claims Adjusters, Examiners, and Investigators make in each U.S. state?

Annual Mean Salary by State

State	Annual Mean Salary
Connecticut	$78,590
Massachusetts	$76,150
New Jersey	$74,260
District of Columbia	$74,210
Alaska	$73,370
Colorado	$72,460
Washington	$72,340
Maryland	$72,050
New York	$71,950
Rhode Island	$71,950
California	$71,720
New Hampshire	$71,190
Texas	$69,560
Michigan	$67,860
Oregon	$67,750
Pennsylvania	$67,730
Kansas	$67,570
Arizona	$67,340
Louisiana	$66,440
Missouri	$66,340
Vermont	$66,240
Illinois	$65,980
Ohio	$65,890
Minnesota	$65,760
Nevada	$65,510
Georgia	$65,430
Wyoming	$65,300
Alabama	$65,060
New Mexico	$63,890
Virginia	$63,640
Indiana	$63,480
Delaware	$63,440
Wisconsin	$63,420
Idaho	$63,020
South Carolina	$62,950
Hawaii	$62,860
Florida	$62,840
Iowa	$62,750
Mississippi	$62,700
North Carolina	$62,580
Arkansas	$61,930
Oklahoma	$61,670
South Dakota	$61,490
Nebraska	$61,050
Maine	$60,980
Tennessee	$60,550
Utah	$59,330
North Dakota	$58,580
West Virginia	$57,030
Montana	$55,970
Kentucky	$55,820

What Tools & Technology do Property and Casualty Insurance Claims Examiners Use?

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

• Microsoft Word
• Microsoft Office
• Medical procedure coding software
• Healthcare common procedure coding system HCPCS
• Microsoft Excel
• CCC Pathways Appraisal Quality Solution
• Medical condition coding software
• Microsoft PowerPoint

How to Become an Insurance Claims Examiner

What kind of Property and Casualty Insurance Claims Examiner requirements are there?

What work experience do I need to become an Insurance Claims Examiner?

Where Property and Casualty Insurance Claims Examiners Work

Related Careers

Those thinking about becoming Property and Casualty Insurance Claims Examiners might also be interested in the following careers:

• Title Examiners, Abstractors, and Searchers
• Cost Estimators
• Loan Counselors

Are you already one of the many Property and Casualty Insurance Claims Examiners in the United States? If you’re thinking about changing careers, these fields are worth exploring:

• Insurance Underwriters

References

Bureau of Labor Statistics

College Factual

O*NET Online

Image Credit: Via Wikimedia Commons