Claims Examiners review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and
procedures. They also report overpayments, underpayments, and other irregularities, and confer with legal counsel on claims requiring litigation.
Sample Companies:
Prudential
AIG
GEICO
US Department of Veterans Affairs
Illinois Municipal Retirement Fund
Salary:
The median annual wage for claims adjusters, examiners, and investigators was $66,790 in 2019.
How to get there:
Training and entry requirements vary widely for Claims Examiners. Although this occupation does not require a college degree, most companies prefer to hire college graduates. No specific college major is recommended, but a variety of backgrounds can be an asset. Because they often work closely with claimants, witnesses, and other insurance professionals, claims examiners must be able to communicate effectively with others. Knowledge of computer applications is also extremely helpful. Licensing requirements for these workers vary by state. Some states have very few requirements, while others require either the completion of pre-licensing education or a satisfactory score on a licensing exam.
Important Qualities:
Excellent reading comprehension
Good writing skills
Critical thinking and decision-making skills
Good logic and reasoning skills
Great negotiating skills
Understand medical terms
Paralegal or investigative experience
Relevant Classes:
- Composition I and Advanced Composition/Writing
- CMN 101- Public Speaking
- CMN 211- Business and Professional Communication
- CMN 220- Communicating Public Policy
- CHLH 100- Contemporary Health
- LER 290- Introduction to Employment Law
- ECON 418- Health Economics
- ECON 437- Game Theory
- *Actuarial Courses (MATH & FIN)
Relevant Clubs & Organizations:
- Africa Business Club at Illinois (ABCI)
- ASCEND Student Chapter
- Beta Alpha Psi Professional Business Society
- Business Professionals of America (BPA)
- Finance Club
- Illini Association for Securities and Investment (IASI)
- Accounting Club
Sources:
http://job-descriptions.careerplanner.com/Claims-Examiners-Property-and-Casualty-Insurance.cfm
http://work.chron.com/role-claims-examiner-12470.html
http://www.collegegrad.com/careers/manag29.shtml#sthash.irKRodor.dpuf
http://www.glassdoor.com/Salaries/claims-examiner-salary-SRCH_KO0,15.htm
https://illinois.collegiatelink.net/Organizations
www.bls.gov/ooh/business-and-financial/claims-adjusters-appraisers-examiners-andinvestigators.htm
https://www.onetonline.org/link/summary/13-1031.00#:~:text=Summary%20Report%20for%3A,counsel%20on%20claims%20requiring%20litigation