Marg Career Library - Claims Adjusters Examiners and Investigators

Overview:

Examine settled claims to ensure that payments and settlements are handled in conformity with corporate policies. Consult with a lawyer if you have a claim that needs to be litigated. It's also possible to resolve insurance claims.

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Career Path:

A student after completing a high school diploma education, can move forward in the path of becoming a career examiner. Additionally, some companies also prefer candidates with a bachelor's degree. BBA in Banking and Insurance, and BBA in Risk Management are the popular courses

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Top Colleges:

Keshav Mahavidyalay, Delhi University
Shaheed Sukhdev College of Business Studies, Delhi University
Indian Institute of Management (IIM), Indore
Symbiosis Centre for Management Studies, Pune
Institute of Management, Nirma University, Ahmedabad
Christ University, Bangalore

Job Opportunities:

Medical Claims Examiner,
Health Care Claims Examiner,
International Claims Examiner,
Liability Claims Examiner,
Senior Claims Examiner

Job Responsibilities:

Gather evidence to back up disputed statements in court.
Examine claims that have been evaluated by insurance adjusters, and research any doubtful claims further to determine whether or not to authorise payments.
At claim committee meetings, present instances and participate in discussion.
To obtain further information, contact or interview claimants, doctors, medical professionals, or employers.
Questionsable claims should be sent to an investigator or claims adjuster for further inquiry or settlement.
Consult with a lawyer if you have a claim that needs to be litigated.
Verify and analyse data utilised in claims settlements to ensure that claims are genuine and payments are made in accordance with corporate policies and procedures.