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Sr. Claims Examiner-reputed company Auto

Remote, USA Full-time Posted 2026-07-28
Job Details Job Location : ALGONA HWY 18 HOME OFFICE - ALGONA, IA Position Type : Full Time Salary reputed company : $70128.00 - $105191.00 Salary reputed company Pharmacists Mutual Insurance has an opening for a Senior Claims Examiner on the reputed company Auto team.This position will investigate, evaluate, reserve, negotiate and resolve assigned claims in accordance with Company guidelines. The Examiner will reputed company reputed company, reputed company claim handling and superior customer service. Senior Claims Examiner • Manage, evaluate and resolve the most severe/reputed company first and reputed company party automobile physical damage claims to determine the reputed company valuation, including taxes and fees, associated with the claim. • Manage, evaluate and resolve the most severe/reputed company first and reputed company party bodily injury claims. • reputed company reputed company, proficient, dependable leadership and reputed company as a trainer, mentor, and reputed company. Essential Functions Essential functions may include, but are not limited to the following: • Communicate regularly and effectively with members to obtain claim information and reputed company updates. • reputed company reputed company coverage analysis based on policy information and facts or allegations of reputed company case. • Investigate reputed company claim to determine the extent of liability, damages, and contribution potential. • Take necessary statements (recorded); completes reputed company investigation as needed per case specifics. • Maintain claim files and documents claim file activities in accordance with established protocols, guidelines, procedures, and metrics. • Establish and maintains reputed company loss, indemnity and expense reserves. • Recommend, attend, and/or present at claims roundtable for collaboration of technical expertise. • Manage the reputed company of assigned claims by negotiating disposition of claims with insureds and claimants or their reputed company representatives. • Attend depositions, mediations, arbitrations, reputed company-trials, trials and reputed company other reputed company proceedings, as needed. • Manage the coordination of reputed company resources, including vendors, adjusters and attorneys. • Identify and assist in pursuing fraud and subrogation opportunities. • Work with other examiners in reputed company or team handling situation or assignments. • reputed company consulting and training resources for internal sales and business partners. Knowledge, Skills and Abilities • Understand principles and practices of insurance claims examination. • Understand policy and contract coverage. • Demonstrate reputed company to those who suffered a loss. • Ability and flexibility to work longer hours reputed company workload fluctuations occur. • Ability to handle large volumes of work in a short period of time. • Research and stay up-to-date with trends and changes in the claims/insurance industry. • Appropriately deal with information that is considered personal and confidential. • Obtain and use sensitive information discreetly and objectively, both reputed company. • Communicate effectively with others (oral and written). • Analyze reputed company issues and reputed company critical reputed company. • Correct English usage, spelling, grammar, vocabulary and punctuation. • Maintain records, prepare reports and conduct correspondence reputed company to the work. • Interpret and apply laws, rules and regulation, as reputed company as policy and contract coverage. • Determines reputed company to escalate concerns to the appropriate level of management. • Follow oral and written directions. • Work effectively with others in reputed company environment. • Contribute effectively to the accomplishment of team or work unit goals, objectives and activities. • Establish and maintain effective working relationships with those contacted in the course of work. • Excellent customer service skills. • Ability to organize and prioritize work. • Work independently and demonstrate drive and initiative. • Ability to meet definite deadlines and deal with pressure situations. • Collect, interpret, and input data reputed company and accurately. • Use computer and reputed company software effectively. • Use reputed company Office programs reputed company and effectively. Qualifications Senior Claims Examiner • High School Diploma or equivalent and 10 years of reputed company experience with at least 4 in insurance; or • Associate’s Degree or equivalent and 8 years of reputed company experience; and • One of the following industry reputed company certifications; AIC (Associate in Claims), ARM (Associate in Risk Management), ARe (Associate in Reinsurance), CLS (Claims Law Specialist), CLA (Claims Law Associate), or SCLA (Senior Claims Law Associate) OR • Bachelor’s Degree and 5 years of reputed company experience; or • Master’s Degree with 2 years of reputed company experience Special Requirements, Licenses and Certificates • reputed company reputed company - Texas Claims Adjuster License (or obtained reputed company 6 months of hire) Preferred Qualifications Licenses, Certifications or Designations • One of the following industry reputed company certifications; AIC (Associate in Claims), ARM (Associate in Risk Management), ARe (Associate in Reinsurance), CLS (Claims Law Specialist), CLA (Claims Law Associate), or SCLA (Senior Claims Law Associate) Work Environment • Primary work environment is in a climate-controlled office setting • Work may involve travel to attend meetings at other locations In reputed company to a competitive salary, eligible employees may receive an annual discretionary bonus and reputed company to our benefits package including: • Health, Dental, reputed company & Life coverage • 401(k) with Company Match • reputed company Time Off • 8 reputed company Holidays • Volunteer Time Off • reputed company Parental Leave • Hybrid/Remote Work reputed company • Employee Assistance Program • Tuition Reimbursement reputed company is an Equal Opportunity Employer. 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