Examiner

• Review and evaluate disability and leave claims to determine eligibility and benefit entitlement.
• Analyze medical documentation and gather required information from claimants and providers.
• Communicate claim decisions and updates clearly and professionally.
• Maintain accurate records and ensure timely processing of claims.
• Collaborate with internal partners to coordinate disability and leave outcomes.

Leave and Disability Examiner reviewing and managing disability claims.

Leave and Disability Examiner

Leave and Disability Examiner at The Standard reviewing and managing disability and leave claims. Ensuring eligibility, communicating decisions, and maintaining detailed records.

• Coverage assessment and verification
• Investigate, evaluate, and resolve first and third-party Auto Property Damage claims as well as certain Bodily Injury, Med Pay and No-Fault claims
• Assure the proper reserving of all losses
• Participate in recognized safety/marketing programs
• Assign and manage the activities of independent adjusters and other vendors
• Work effectively with clients, brokers, attorneys and other departments
• Identify subrogation potential
• Manage the subrogation process
• Preparing comprehensive claim correspondence, including denials and RORs
• Attend training classes and/or secure professional designations
• Prepare substantive Claim Reports
• Make recommendations to reserve and disposition of claims.

Auto Examiner handling Property Damage and related claims for an insurance brokerage.

Auto Examiner

Auto Examiner handling Property Damage claims at Brown & Brown. Investigating and resolving claims while collaborating with clients, vendors, and legal teams.

• Represents the company at client and prospective client locations to physically review client records and assets to verify collateral position and confirm accuracy of financial information and reporting.
• Reviews and analyzes performance of client's collateral.
• Verifies the accuracy of the client's recordkeeping.
• Verifies the accuracy and analyzes the client's reporting to the Bank and, if requested, reconcile to the Bank's records.
• Verifies facility is managed in adherence with approved client narrative.
• Performs survey exams at prospective borrower locations.
• Performs exams and work out transactions, and recommend exit strategies to senior management.
• Spreads and analyzes client's financial statements to assess financial performance and cash flow.
• Communicates regularly with the Credit Department before, during, and after the field exam.
• Prepares clear and concise written reports summarizing results and recommendations.
• Schedules audits with clients.
• Tracks time spent at client locations to ensure proper billing to client.
• Other duties as assigned.

Field Examiner controlling risk and disseminating examination information at Pathward.

Senior Field Examiner

Field Examiner focusing on risk control and vetting financial information from clients for Pathward. Collaborating closely with client locations and the Credit Department on examination processes.

Field Examiner II controlling risk and disseminating financial examination information

Field Examiner II

Field Examiner II at Pathward verifying client records and collateral for financial empowerment. Collaborating with clients and Credit Department for informed financial assessments.

• Responsible for managing RLI Transportation claims.
• Investigate, analyze, and handle new and reassigned Bodily Injury claims for coverage, liability, damages, litigation and reserves.
• Handle risk transfer and arbitration.
• Manage appraisers, investigators, adjusters, attorneys and experts as needed.
• Maintain claim files and ensure claims are properly documented, evaluated, and resolved.
• May work on special projects.

Claim Examiner managing commercial auto and trucking bodily injury claims

Claim Examiner – Commercial Auto/Trucking Bodily Injury

Claim Examiner managing commercial auto and trucking bodily injury claims for RLI, requiring investigation and resolution. Strong emphasis on communication and claims documentation for success.

• Review, audit, and adjudicate complex medical bills for accuracy, medical necessity, and compliance.
• Analyze CPT, HCPCS, ICD codes and supporting documentation to identify discrepancies.
• Apply state‑specific guidelines, provider contracts, and internal policies for reimbursement.
• Document billing determinations clearly and thoroughly for audit readiness.
• Communicate billing outcomes and requests for additional documentation to partners.
• Resolve billing disputes and escalated issues using sound judgment.

Medical Bill Examiner III reviewing and adjudicating complex medical bills.

Med Bill Examiner, III

Medical Bill Examiner III reviewing and adjudicating complex medical bills for an insurance company. Applying advanced billing practices and serving as a resource for lower-level examiners.

• Evaluate first and third-party property claims to determine coverage and damages
• Manage the claim process, including coverage verification, investigation, evaluation and disposition of the claim
• Assess and ensure the customer’s needs and expectations of the claim process are met
• Compile reports for management review
• Issue settlement payments within the scope of coverage and authority
• Effectively communicate and establish connections with the customers during the claim process
• Professional handling of incoming and outgoing customer phone calls
• Guide customers, including claimants, through the claim process
• Manage customer concerns/complaints and develop and execute a plan to remedy the situation
• Review each claim to determine coverage
• Investigate each claim to determine the cause, loss exposure and set appropriate reserves
• Identify the need for outside experts and vendors
• Manage a working diary of assigned claims in a timely fashion to conclusion
• Manage cycle times and experience through file review and timely disposition
• Present decisions to customers, including claimants, clearly outlining coverage, damages and claim disposition
• Identify Fraud Indicators and submit referrals as needed
• Identify subrogation opportunities and manage subrogation files
• Desk adjust property claims and negotiate with professionalism
• Work on special projects and perform other duties as assigned by supervisor
• Travel as needed for claims and agency visits

Property Examiner evaluating insurance claims for damages and coverage compliance

Property Examiner – Inhouse, Hybrid

Property Examiner evaluating first and third-party property claims for damages and coverage compliance. Managing the claims process, ensuring customer needs are met according to best practices.

• Evaluate the soundness of an organization's financial condition, including capital, asset quality, earnings, liquidity and exposure to interest rate risk.
• Assess the effectiveness of risk management, including board and management oversight, policies & procedures, internal controls and management information systems.
• Ensure compliance with banking laws and regulations.

Bank Examiner evaluating financial conditions and risk management

Safety & Soundness Bank Examiner

Bank Examiner conducting evaluations of banks' financial soundness and risk management practices at the Federal Reserve Bank of St. Louis. Working onsite and requiring overnight travel for inspections.

• Evaluate the full range of civil engineering plans, calculations, and supporting documents for compliance with local, state, and federal regulations
• Assess site development plans, including grading, drainage, stormwater management, utilities, roadway improvements, and erosion control measures
• Review floodplain development proposals for compliance with FEMA standards, the National Flood Insurance Program (NFIP), and local floodplain ordinances
• Evaluate elevation certificates, no-rise certifications, hydrologic and hydraulic (H&H) studies, and floodplain development permit applications
• Verify that plans comply with adopted codes, municipal standards, and accepted engineering practices
• Prepare clear, accurate review comments and required corrections through the VertexPlans platform
• Coordinate with engineers, developers, contractors, and municipal staff (including floodplain administrators) to resolve review comments
• Utilize VertexPlans for project tracking, documentation, communication, and report submission
• Consistently meet established turnaround times while maintaining high standards of accuracy and quality

Civil Engineering professional ensuring compliance for infrastructure projects

Civil Plans Examiner

Civil Engineering professional ensuring civil engineering plans meet safety and regulatory requirements. Working part-time on an as-needed basis remotely from anywhere in Texas.

• Reviews, analyzes, and evaluates energy conservation codes and standards plans for residential, commercial, and institutional buildings for approval;
• Provides inspectors with technical support for code decisions, conducts inspections of commercial construction projects, determines compliance with VUSBC and other building regulations, and enforces codes;
• Documents deficiencies in written narratives, including specific code citations, to clearly communicate compliance requirements to engineers, contractors, architects, and developers, facilitating permit issuance and the start of construction;
• Inspects projects to ensure compliance with approved construction documents;
• Collaborates and coordinates with the other Plans Examiners and inspectors;
• Maintains knowledge of changes to state adopted codes, local codes and ordinances;
• Participates in code development process at State and National levels; and
• Performs other job-related duties as assigned.

Energy Construction Plans Examiner I/II reviewing energy plans and inspecting compliance.

Energy Construction Plans Examiner I/II

Energy Construction Plans Examiner I/II reviewing and inspecting energy-related construction projects for compliance with codes in Arlington County. Engaging with citizens, professionals, and contractors.

• Responsible for end‑to‑end management of complex general liability claims, from investigation through resolution, ensuring accurate liability assessment and timely outcomes.
• Oversees reserve strategy, settlement negotiations, payments, and statutory filings while maintaining compliance with authority levels and regulatory requirements.
• Manages litigation, vendor partnerships, excess carrier reporting, and recovery efforts to drive cost‑effective claim resolution.
• Serves as a primary point of contact for claimants and clients, maintaining clear communication, strong relationships, and well‑documented claim files.
• Collaborates with leadership to escalate complex matters appropriately and support strategic claim handling decisions.

Claim Examiner managing general liability claims for a global leader

Claim Examiner – General Liability and Product Liability

Claim Examiner managing complex general liability claims with Sedgwick, leveraging industry expertise. Collaborating across teams to ensure timely and accurate claim resolutions in a hybrid work environment.

• Conduct on-site and/or in-office reviews to ensure compliance
• Prepare workpapers or spreadsheets to document work
• Contact taxpayers to request records of information or to explain process and requirements
• Respond to taxpayer requests for information and explanations
• Document relevant facts, information, results, and recommendation through reports and databases
• Discuss findings with Revenue professionals to resolve issues or make recommendations

Examiner conducting taxpayer documentation reviews for compliance

Discovery Examiner

Examiner with the Nebraska Department of Revenue conducting compliance reviews of taxpayer documentation. Balancing education and tax administration responsibilities for taxpayers' obligations.

• Perform Workers Compensation, subrogation and recovery tasks within the claims handling guidelines and in accordance with established Best Practices.
• Identify subrogation opportunities through review of loss information and FNOL data.
• Place carriers on notice of subrogation.
• Perfect the lien and manage contact with claimants and their legal representatives.
• Obtain documents supporting subrogation from clients.
• Submit demands for subrogation.
• Affect subrogation recovery.
• Set reserves, post recoveries, track financial elements.
• Mentor team members pursuant to subrogation best practices to enhance technical knowledge and efficiency.
• Collaborate with leadership and legal counsel on litigation, arbitration, and mediation strategies.

Workers' Compensation Subrogation Examiner conducting recovery tasks for insurance claims

Workers' Compensation Subrogation Examiner

Workers' Compensation Subrogation Examiner conducting recovery tasks for insurance claims. Identifying subrogation opportunities and mentoring team members on best practices.

• Manage claims involving all types of auto physical damage, including total loss, repairable, glass, towing/roadside assistance, and rental
• Manage cycle times and experience through thorough file review and timely disposition
• Establish scope of coverage, determine loss exposure, and set appropriate reserves
• Conduct thorough file investigations, gathering all necessary information needed to bring the claim to a resolution
• Issue settlement payments within the scope of coverage and authority
• Evaluate and establish liability against the NYCM policyholder in accordance with state negligence laws
• Negotiate with customers on partial settlements
• Identify opportunities for subrogation and refer files for recovery
• Evaluate double insured files for negligence and transfer financial responsibility to the appropriate policyholder
• Evaluate, negotiate, and settle incoming subrogation claims
• Identify fraud indicators, submit appropriate SIU referrals, and direct any necessary investigation
• Work with assigned vendors to ensure they are meeting our expectations on each claim
• Testify in court hearings on behalf of NYCM and our customers
• Serve as a panelist with Arbitration Forums, hearing cases and rendering decisions on intercompany disputes for other carriers
• Effectively communicate and establish connections with the customers during the claim process
• Professional handling of incoming and outgoing customer phone calls
• Professional written communications such as emails, texts, requests for information or coverage letters
• Guide customers through the claim process, ensuring that they are informed at all stages
• Manage customer concerns/complaints, developing solutions to remedy the experience and meet the customer’s needs
• Other duties as assigned

Auto Physical Damage Examiner managing auto claims for clients

Auto Physical Damage Examiner

Auto Physical Damage Examiner managing auto claims process including investigation and disposition. Ensuring compliance with insurance regulations and providing excellent customer experience.

• Provide therapy services to clients in a remote setting.
• Handle administrative paperwork and documentation for each session.
• Maintain a strong caseload by building relationships with clients using insurance.
• Participate in a therapist community for support and professional growth.

Therapist providing remote mental health services to clients for BetterHelp

Senior Psychological Examiner

Therapist providing remote mental health services for BetterHelp. Delivering care without overhead or administration hassles while focusing on client relationships.

• Conducts forensic collections of digital evidence using best practices and approved software and hardware.
• Acquires electronic data from cloud sources, computers, mobile devices, and other digital media in a forensically sound manner.
• Consults with customers to conduct forensic collections, perform exports and reporting, and conduct investigations.
• Creates summary reports, forensic artifact reports, and formal forensic expert reports when requested by the client.
• Maintains contemporaneous forensic examination notes.
• Provides expert testimony regarding investigative forensic findings.
• Serves as a technical consultant on data management and digital forensic methodology and concepts.
• Provides technical guidance and assistance to staff involved in the investigation and litigation process to prevent evidence spoliation.
• Ensures all hardware and software are verified and validated according to established guidelines and the Federal Rules of Evidence.
• Drafts affidavits, declarations, expert reports, and provides oral testimony in defense of forensic findings or processes.

Senior Digital Forensics Examiner performing forensic investigations at DISCO

Senior Digital Forensics Examiner

Senior Digital Forensics Examiner conducting forensic collections and consultations at DISCO. Providing expertise in digital evidence collection and analysis for legal processes.

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