Associate Claims Examiner
Job Description:
- Investigate and analyze basic claim information under supervision to support coverage and liability determinations
- Handle low-complexity First Party Property and/or Renters Claims according to established guidelines
- Support higher-level examiners with suits, mediations, arbitrations, and litigation-related tasks
- Assist with setting initial reserves subject to senior staff review and approval
- Engage experts or vendors when directed and help monitor vendor performance and control expenses
- Learn to evaluate, negotiate, and recommend settlement values for simple claims under supervision
- Communicate with policyholders, agents, and other parties throughout the claim lifecycle
- Identify and escalate requests for additional information, coverage questions, and settlement discussions
- Process claims according to company Best Practices and established procedures
- Monitor and complete assigned low-complexity claims inventory with guidance
- Deliver customer service to insureds and agents through phone, email, and written correspondence
- Update and maintain accurate claim files and documentation
- Identify potential subrogation opportunities or fraud indicators and escalate them
- Participate in claims training, audits, and quality reviews
- Support oversight of TPAs and other vendors on basic matters
Requirements:
- High school diploma or equivalent required
- No prior claims handling experience required
- Related experience in customer service, insurance, claims, or administrative roles is a plus
- Must obtain a Property & Casualty Insurance Adjuster License within the first 90 days of hire and maintain a license going forward
- Acquire and maintain a state adjuster’s license and meet state continuing education requirements
- Clear and professional communication skills over the phone and in written correspondence
- Organizational and time management skills
- Solid writing skills
- Basic analytical and investigative abilities
- Developing negotiation skills
- Proficient with Microsoft Office, including Teams, Word, and Excel
- Willingness to learn and adapt to new computer systems, technologies, and claims software
Benefits:
- Company support provided where applicable for obtaining the Property & Casualty Insurance Adjuster License
- Remote work arrangement