Claims Examiner Interview Questions

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This claims examiner job interview questions and answers example will help you to prepare your answer for common expected career questions. View our simple interview questions example for claims examiner.

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Listed below expected questions that most HR interviewers ask their applicants about, you'll find our recommended answer for each based on 'claims examiner' career.

Interview Question #1:

What are the main job duties and responsibilities of "claims examiner" employee?

Answer:

Claims examiner responsibilities are to investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio; adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies; confer with legal counsel on claims requiring litigation; resolve complex, severe exposure claims, using high service oriented file handling; pay and process claims within designated authority level; enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation; present cases and participate in their discussion at claim committee meetings; verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures; contact or interview claimants, doctors, medical specialists, or employers to get additional information; examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments; maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis; conduct detailed bill reviews to implement sound litigation management and expense control; report overpayments, underpayments, and other irregularities; communicate with reinsurance brokers to obtain information necessary for processing claims; prepare reports to be submitted to company's data processing department; supervise claims adjusters to ensure that adjusters have followed proper methods.

Interview Question #2:

What are the skills required from claims examiner employee in order to success in his work?

Answer:

Understanding written sentences and paragraphs in work related documents, Communicating effectively in writing as appropriate for the needs of the audience, Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times, Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems, Talking to others to convey information effectively.

Interview Question #3:

Describe the abilities you have in order to work with us as claims examiner?

Answer:

I have the ability to listen to and understand information and ideas presented through spoken words and sentences, read and understand information and ideas presented in writing, apply general rules to specific problems to produce answers that make sense, communicate information and ideas in speaking so others will understand, tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

Interview Question #4:

What are the knowledge elements you obtained from your education, training and work experience would support your claims examiner career?

Answer:

The knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction, the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar, laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process, business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources, administrative and clerical procedures and systems such as word processing, managing files and records, stenography and transcription, designing forms, and other office procedures and terminology.

Interview Question #5:

How would you describe (claims examiner or your) needed work style?

Answer:

My work style matching exactlty what cashier job requires by: being honest and ethical, being reliable, responsible, and dependable, and fulfilling obligations, being careful about detail and thorough in completing work tasks, accepting criticism and dealing calmly and effectively with high stress situations, maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.

Other claims examiner interview questions to expect:

Tell about yourself and why you think you are successful claims examiner?

Why do you like to work as claims examiner?

What could you do not like to work as claims examiner?

What are your future steps after experience you'll gain from your claims examiner job?

As claims examiner, what training courses or extra education that you think will improve your work performance?

What salary do you expect you'll get from being claims examiner employee?

See also

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