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Claim examiner Jobs in Tampa, FL

Last updated: 9 hours ago
  • Promoted
Injury Examiner

Injury Examiner

USAA CareersTAMPA, Florida, US
$85,040.00–$153,080.00 yearly
Full-time +1
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military...Show moreLast updated: 8 days ago
  • Promoted
Injury Examiner

Injury Examiner

USAATampa, FL, US
$50,000.00–$60,000.00 yearly
Full-time
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military...Show moreLast updated: 9 days ago
Subrogation Examiner

Subrogation Examiner

Elevance HealthTH AND TH FL,ONE PENN PLAZA,NEW YORK,NY
$41,142.00–$64,372.00 yearly
Full-time
Location : Virtual but the ideal candidate will live within 50 miles of our Indianapolis, IN, Waukesha, WI, or Louisville, KY Elevance Health PulsePoint locations. A proud member of the Elevance Heal...Show moreLast updated: 30+ days ago
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Senior Claims Examiner

Senior Claims Examiner

Howden Group HoldingsTampa, FL, United States
$85,000.00–$100,000.00 yearly
Full-time
At DUAL North America, our core values dictate how we live and work.We are a group with independence and people at its heart and we are a home for talent with a unique culture : the biggest small co...Show moreLast updated: 10 days ago
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  • New!
Buidling Plans Reviewer / Examiner

Buidling Plans Reviewer / Examiner

The WorkForce GroupTampa, FL, United States
Full-time
Workforce Group (WFG) is seeking experienced Building Plan Examiners to review building plans associated with Hurricane Helene's and Milton's rebuilding activity. Requires Certification as a Buildin...Show moreLast updated: 12 hours ago
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Claims Examiner - Workers Compensation

Claims Examiner - Workers Compensation

SedgwickTampa, FL, United States
Full-time
Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague.A career at Sedgwick means experiencing our culture of caring.It means having fle...Show moreLast updated: 4 days ago
Claim Representative, Specialty

Claim Representative, Specialty

TravelersTampa,FL
$63.00–$105.00 hourly
Full-time
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 16...Show moreLast updated: 30+ days ago
  • Promoted
Property CAT Resolution Claim Representative

Property CAT Resolution Claim Representative

Travelers InsuranceTampa, FL, United States
$65,300.00–$107,600.00 yearly
Full-time
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 16...Show moreLast updated: 3 days ago
  • Promoted
Remote Plans Examiner

Remote Plans Examiner

TEW & TAYLORTampa, FL, US
Remote
Full-time
Tew & Taylor has been a trusted name in building code inspections and plan review services since 2008.Our mission is to provide expert services with a strong emphasis on accuracy, timeliness, a...Show moreLast updated: 17 days ago
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  • New!
GENERAL LIABILITY CLAIM ADJUSTER

GENERAL LIABILITY CLAIM ADJUSTER

Westgate ResortsFL, United States
Full-time
Westgate Resorts provides a diverse range of vacation experiences.From sandy beaches on the Atlantic Ocean to snow-covered Utah mountains, families can affordably experience the country's most desi...Show moreLast updated: 9 hours ago
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Legal claim Intake Coordinator

Legal claim Intake Coordinator

Feldman Legal GroupTampa, FL, US
Full-time +1
AV- Preeminent rated, busy Plaintiffs civil litigation law firm seeks dedicated legal intake employee on on full time or part time basis. We will consider part time, but minimum is 25 hours per week...Show moreLast updated: 17 days ago
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Commercial Claims Examiner

Commercial Claims Examiner

Heritage MGA LLCTampa, FL, United States
Full-time
Investigates, evaluates, reserves, negotiates and settles assigned commercial claims in accordance with Best Practices.Provides quality claim handling and superior customer service on assigned clai...Show moreLast updated: 3 days ago
  • Promoted
Pre-Suit Examiner

Pre-Suit Examiner

Safepoint MGA, LLCTampa, FL, United States
Full-time
Manages a case load of pre-suit homeowner claims in a team environment.Ensures prompt, effective and courteous handling of all claims to policy holders and claimants with special emphasis on comply...Show moreLast updated: 17 days ago
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Medical Claim Review Nurse (RN)

Medical Claim Review Nurse (RN)

Molina HealthcareTampa, FL, US
$26.41–$61.79 hourly
Full-time
Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG / InterQual, state / federal guidelines, bil...Show moreLast updated: 1 day ago
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Flood Claim Attorney

Flood Claim Attorney

Kuhn Raslavich, P.A.Tampa, FL, US
$150,000.00 yearly
Full-time
Tampa, Orlando, and Boca Raton, Florida, seeks a mid to senior-level attorney experienced in handling and litigating flood insurance claims. The attorney will handle cases where the firm represents ...Show moreLast updated: 30+ days ago
  • Promoted
Building Plan Examiner

Building Plan Examiner

Expert Modular Consultants LLCTampa, FL, United States
Full-time
Expert Modular Consultants, LLC seeks a building plan reviewer to join our growing staff.Responsibilities include coordinating the review and submittal of building plans and supporting documents to...Show moreLast updated: 5 days ago
  • Promoted
AUTO EXPRESS CLAIM REPRESENTATIVE TRAINEE

AUTO EXPRESS CLAIM REPRESENTATIVE TRAINEE

The Travelers Indemnity CompanyFL, United States
$40,100.00–$66,100.00 yearly
Full-time
Taking care of our customers, our communities and each other.By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 16...Show moreLast updated: 5 days ago
Claim Director

Claim Director

CHUBBTampa, FL, United States
This is a role focused on technical claim handling for Chubb’s Commercial Direct Handle Claims Team.In this role you will manage auto and general liability claims, both litigated and non-litigated,...Show moreLast updated: 30+ days ago
Medical Claim Analyst

Medical Claim Analyst

CVS HealthFlorida, Work At Home, US
$18.50–$37.02 hourly
Remote
Full-time
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
Injury Examiner

Injury Examiner

USAA CareersTAMPA, Florida, US
8 days ago
Salary
$85,040.00–$153,080.00 yearly
Job type
  • Full-time
  • Permanent
Job description

Why USAA?

At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.

Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.

The Opportunity

As a dedicated Injury Examiner , you will adjust complex bodily injury claims and UIM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. You are accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and empathy.

This hybrid role requires an individual to be in the office 3 days per week . This position can be based in one of the following locations : T ampa, FL, San Antonio, TX, or Chesapeake, VA.

Work Hours : You would support members in the Eastern or Central time zones. You need to be available to work core business hours for those locations.

Relocation assistance is not available for this position.

What you'll do :

  • Adjusts complex auto and homeowner bodily injury claims with significant injuries (e.g. traumatic brain injury, disfigurement, fatality) and UM / UIM, and small business claims, as well as some auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on complex claims.
  • Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
  • Prioritizes and manages assigned claims workload to keep members and other involved parties informed and provides timely claims status updates.
  • Collaborates and supports team members to resolve issues and identifies appropriate matters for escalation.
  • Partners and / or directs vendors and internal business partners to facilitate timely claims resolution.
  • Serves as a resource for team members on complex claims.
  • Delivers a best-in-class member service experience by setting appropriate expectations and providing proactive communication.
  • Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and / or holiday work outside normal work hours.
  • May be assigned CAT deployment travel with minimal notice during designated CATs.
  • Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
  • Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

What you have :

  • High School Diploma or General Equivalency Diploma.
  • Advanced knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.
  • Advanced negotiation, investigation, communication, and conflict resolution skills.
  • Demonstrated strong time-management and decision-making skills.
  • Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
  • Advanced knowledge of human anatomy and medical terminology associated with bodily injury claims.
  • Ability to exercise sound financial judgment and discretion in handling insurance claims.
  • Advanced knowledge of coverage evaluation, loss assessment, and loss reserving.
  • Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.
  • What sets you apart :

  • Experience handling UM / UIM injury claims.
  • 2+ years of catastrophic injury experience.
  • College Degree (Bachelor’s or higher).
  • Insurance Designation.
  • Compensation range : The salary range for this position is : $85,040 - $153,080 .

    Compensation : USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

    Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

    The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

    Benefits : At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

    For more details on our outstanding benefits, visit our benefits page on USAAjobs.com

    Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.

    USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.