How much does a Claims Adjuster / Examiner / Investigator make in the United States?

Claims Investigator investigates assigned claims to determine validity, detect potential fraud, and gather facts to support claim decisions. Conducts interviews, surveillance, record reviews, and field investigations to obtain relevant evidence. Being a Claims Investigator analyzes statements, documentation, and data to identify inconsistencies and indicators of fraud. Documents investigative findings, evidence, and conclusions in clear and accurate reports. Additionally, Claims Investigator ensures compliance with applicable laws, regulations, and investigative standards. Requires a bachelor's degree. Typically reports to a manager. The Claims Investigator occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Investigator typically requires 2-4 years of related experience. View Claims Investigator Salary

Inside Claims Adjuster II investigates, evaluates, and resolves insurance claims from an office-based setting to determine coverage, liability, and appropriate settlement. Reviews claim details, policy provisions, and supporting documentation to assess validity and exposure. Being an Inside Claims Adjuster II negotiates and settles claims with claimants, policyholders, and third parties within established authority limits. Communicates by phone and in writing to gather information, explain decisions, and manage expectations. Additionally, Inside Claims Adjuster II documents investigation findings, reserves, and settlement actions accurately in the claims system. Ensures compliance with policy terms, regulatory requirements, and company service standards. Requires a bachelor's degree. Typically reports to a manager. The Inside Claims Adjuster II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be an Inside Claims Adjuster II typically requires 2-4 years of related experience. View Inside Claims Adjuster II Salary

Inside Claims Adjuster III investigates, evaluates, and resolves insurance claims from an office-based setting to determine coverage, liability, and appropriate settlement. Reviews claim details, policy provisions, and supporting documentation to assess validity and exposure. Being an Inside Claims Adjuster III negotiates and settles claims with claimants, policyholders, and third parties within established authority limits. Communicates by phone and in writing to gather information, explain decisions, and manage expectations. Additionally, Inside Claims Adjuster III documents investigation findings, reserves, and settlement actions accurately in the claims system. Ensures compliance with policy terms, regulatory requirements, and company service standards. Requires a bachelor's degree. Typically reports to a manager. The Inside Claims Adjuster III work is generally independent and collaborative in nature. Contributes to moderately complex aspects of a project. To be an Inside Claims Adjuster III typically requires 4-7 years of related experience. View Inside Claims Adjuster III Salary

Claims Examiner II examines and adjudicates insurance claims to determine coverage, validity, and appropriate payment in accordance with policy terms and regulations. Reviews claim documentation, policy provisions, and supporting evidence to assess liability and exposure. Being a Claims Examiner II authorizes claim payments within established authority limits. Investigates questionable or complex claims and coordinates with adjusters, providers, or external parties as needed. Additionally, Claims Examiner II documents findings, decisions, and rationale clearly within the claims system. Ensures compliance with company guidelines, regulatory requirements, and service standards. Requires a bachelor's degree. Typically reports to a manager. The Claims Examiner II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner II typically requires 2-4 years of related experience. View Claims Examiner II Salary

Disability Claims Examiner II examines and adjudicates short- and long-term disability claims to determine eligibility, benefits, and ongoing entitlement under plan provisions. Reviews medical documentation, occupational information, and financial records to evaluate the validity of claims. Being a Disability Claims Examiner II assesses plan definitions, regulatory guidelines, and clinical guidance to make accurate benefit determinations. Coordinates with claimants, physicians, and vocational or clinical resources to obtain and assess relevant information. Additionally, Disability Claims Examiner II calculates benefit amounts, manages offsets, and documents decisions and rationale within the claims system. Ensures compliance with ERISA, state regulations, and company service standards. Requires a bachelor's degree. Typically reports to a manager. The Disability Claims Examiner II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Disability Claims Examiner II typically requires 2-4 years of related experience. View Disability Claims Examiner II Salary