Senior Claims Examiner
Quick Summary
Bachelor’s degree required; a Juris Doctor (JD) is preferred but not required. 2–4 years of experience handling claims of comparable complexity or working in a legal position.
This role offers the opportunity to specialize in Employment Practices Liability and manage complex workplace-related insurance claims. You will investigate coverage, liability, and damages while developing strategies that support timely and cost-effective claim resolution. The position combines analytical work with relationship management, requiring close collaboration with insureds, defense counsel, underwriters, agents, and other stakeholders. You will work in a paperless environment supported by technology and structured claims-handling practices. The role also provides exposure to evolving employment law and workplace issues, supported by comprehensive classroom and on-the-job training. As you develop expertise, you will also contribute to the growth of newer claims professionals through coaching and guidance.
- Investigate and evaluate complex Employment Practices Liability claims, including coverage, liability, and damages, ensuring accurate and timely assessments.
- Establish, document, and execute appropriate claim strategies designed to achieve early, equitable, and cost-effective resolutions.
- Analyze initial claim reports, insurance contracts, legal information, and other technical materials to determine appropriate coverage and claim-handling approaches.
- Represent the organization in meetings with management and business partners and participate virtually in mediations.
- Build and maintain productive relationships with clients, insureds, underwriters, agents, defense counsel, and other internal and external stakeholders.
- Use claims technology and systems effectively to monitor, document, and manage caseloads.
- Maintain compliance with established claims-handling standards relating to investigation, coverage, loss assessment, documentation, and case management.
- Apply sound judgment and creative problem-solving to address complex claims and customer needs.
- Contribute to a collaborative team environment by sharing ideas, demonstrating initiative, and supporting collective goals.
- Assist with training new claims examiners and provide coaching and guidance as they develop their claims-handling capabilities.
- Participate in structured classroom and on-the-job training covering employment law, insurance products, coverage analysis, investigation techniques, legal processes, and settlement negotiation.
- Obtain and maintain applicable resident, designated home state, and potentially additional state adjuster licenses as required.
Requirements
~1 min read- Bachelor’s degree required; a Juris Doctor (JD) is preferred but not required.
- 2–4 years of experience handling claims of comparable complexity or working in a legal position.
- Previous Employment Practices Liability (EPL) or Financial Lines experience is preferred.
- Strong verbal and written communication skills, with the ability to clearly explain complex information.
- Strong interpersonal skills and the ability to establish productive relationships with stakeholders at all organizational levels.
- Strong aptitude for evaluating, analyzing, and interpreting technical and financial information.
- Sound decision-making skills and the ability to exercise appropriate judgment when handling complex claims.
- Proven ability to work independently while also contributing effectively within a collaborative team.
- Demonstrated initiative, leadership potential, and commitment to high-quality performance.
- Excellent time management, organizational, and problem-solving skills.
- Ability to adapt quickly to new ideas, situations, technologies, and processes.
- Creative and practical approach to overcoming obstacles and developing solutions to customer and claim-related challenges.
- Willingness to learn and apply employment law, insurance contracts, claims practices, and negotiation techniques.
- Ability to obtain required adjuster licensing if not already licensed.
What We Offer
~2 min readLocation & Eligibility
Listing Details
- Posted
- October 1, 2026
- First seen
- October 1, 2026
- Last seen
- October 4, 2026
Posting Health
- Days active
- 2
- Repost count
- 0
- Trust Level
- 68%
- Scored at
- October 4, 2026
Signal breakdown
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