Claims Examiner (Property & Casualty Insurance)

The Church Insurance Companies (CIC) have provided The Episcopal Church with broad, cost-effective property and casualty coverage, unique risk management strategies, and tools for over 90 years. This team employs a disciplined, financially sustainable, and hands-on approach.

About the role

The Casualty Claims Examiner is responsible for examining coverage, investigating claims, evaluating damages and liability, and negotiating and settling third-party claims. Initially, this position focuses on medical payment claims, with potential progression to handling bodily injury claims and litigated bodily injury claims over time.

Responsibilities

• Medical Payment File Handling
  • Review coverage forms and claim records to determine insurance coverage for all claims; draft timely coverage position letters when necessary.
  • Interview client representatives and third parties; gather photos, statements, reports, medical records, and other materials to analyze the extent of the insured’s liability and overall exposure.
  • Establish timely reserves, reviewing for appropriateness and accuracy as claims develop, and adjust when appropriate.
  • Update claim file notes routinely to address claim status and each time relevant claim information is received. Notes should include assessments of information and a clear outline of strategy and plan.
  • Ensure all relevant documents are maintained in the claim file document folder.
  • Maintain frequent communication with policyholders and third parties.
  • Issue timely payments when appropriate, securing W9 forms when necessary.
  • Actively participate in 1:1 meetings, roundtables, and team discussions.
• Bodily Injury File Handling (includes the above duties and responsibilities, plus the following)
  • Engage in direct settlement discussions with third parties or their representatives once a case has been evaluated for settlement.
  • Retain and work collaboratively with defense firms on litigated claims, focusing on resolution throughout the litigation process.
  • Lead the strategic course throughout litigation; independently review all legal documents, including legal briefs/pleadings, deposition transcripts, medical records, expert reports, and other evidentiary materials.
  • Proactively handle all assigned claims to completion, including attendance at mediations and trial.
  • Draft comprehensive large loss and other loss reports for senior leadership and reinsurers as required or requested.
  • Generate and distribute advisory reports when reserve changes exceed $100,000.

Requirements

• 5+ years of relevant experience; P&C insurance background strongly preferred.
• Bachelor’s degree preferred; combination of work and experience considered.
• Strong verbal and written communication skills, with strengths in professionalism, trustworthiness, compassion, listening, and empathy.
• Superior analytical skills—ability to pinpoint relevant detail to evaluate exposure accurately.
• Proficient in Excel, Word, and Outlook.
• Strong time management and organizational skills.
• Ability to remain focused during high-volume/high-intensity periods.
• Attention to detail when entering critical data into the claims system.

Work Environment

• Hybrid schedule: two days working from home, three days in the Vermont office.
• Extensive use of a computer keyboard to perform essential functions.
• Employees must maintain a professional, compassionate, and trustworthy work environment.

Pay

Salary range: $67,000 - $84,000.

Benefits

• Core Benefits (Automatically Provided to Eligible Employees)
  • Employer-funded defined benefit pension plan (five-year vesting).
  • Employee Life Insurance.
  • Spouse and Dependent Life Insurance.
  • Accidental Death and Dismemberment (AD&D) Insurance.
  • Short-Term Disability (STD) coverage.
  • Long-Term Disability (LTD) coverage (elected as either pre-tax or after-tax).
  • Business Travel Accident Insurance.
  • Worker’s Compensation.
  • Employee Assistance Program.
  • Retiree health insurance (eligible after 10 years).
  • Retiree life insurance.
• Elective Benefits (Available to Eligible Employees)
  • Medical (including Vision) and Dental coverage.
  • 401(k) with matching contributions (immediate vesting).
  • Flexible Spending Accounts (FSAs).
  • Educational Assistance Program.
  • Parental Leave.
  • Time Off: Vacation, Sick, Personal, and Holidays.
• Eligibility to participate in a discretionary annual incentive program, subject to program rules and individual/organizational performance.