Professional Claims Examiner

Key Responsibilities

• Coverage review: Verify coverage by reviewing the first notice of loss and policy information; prepare disclaimers and reservation of rights letters as needed.
• Claims investigation: Conduct thorough investigations including liability and damages assessments, witness interviews, scene inspections, and evidence collection.
• Independent adjuster oversight: Retain, direct, and manage independent adjusters throughout the investigation lifecycle.
• Liability analysis: Apply statutory and case law to evaluate liability exposure and ensure joint tortfeasors contribute appropriately.
• Reserve management: Establish and maintain accurate reserves as liability and damages evolve.
• File management: Proactively manage claim files, negotiate settlements with claimants or attorneys, oversee defense counsel, and ensure effective litigation management.
• Reporting: Prepare detailed reserve authority requests, reinsurance reports, serious loss reports, and coverage position letters.
• Cross-functional collaboration: Share updates and collaborate with underwriting, compliance, and actuarial teams to support strong and profitable products.

What You'll Bring

• Problem-solving ability: Strong analytical and creative thinking with a focus on liability and damages evaluation.
• Communication skills: Excellent verbal and written communication for effective stakeholder interaction.
• Negotiation expertise: Confident decision-making supported by effective negotiation and conflict-resolution skills.
• Organization: Strong time management and organizational skills to balance multiple priorities.
• Technical knowledge: Understanding of insurance coverage, negligence law, and claims evaluation processes.

Qualifications

• Experience:
• Associate Claims Examiner: 2+ years of relevant experience
• Claims Examiner: 7+ years of relevant experience
• Background in roles such as examiner, adjuster, paralegal, attorney, or similar
• Specialized experience: Directors & Officers, Errors & Omissions, Cyber Liability, and/or other professional claims involving claims-made policies is a plus
• Additional strengths: Multi-jurisdictional experience, advanced degrees, and/or a JD are a plus

Passion and drive are just as important as experience—if this opportunity excites you, we encourage you to apply

Expected hours: 35 per week

Benefits:

• 401(k)
• Dental insurance
• Flexible spending