Senior Claims Examiner I

About Our Client:The organization operates within the insurance industry as a member of a larger group of insurance companies. It addresses the need for reliable and financially stable insurance services, providing property and bodily injury claims coverage under various insurance contracts. The company emphasizes strong financial strength and stability, supporting a professional work environment with a balance of large company benefits and a smaller company atmosphere. About the Opportunity:The SENIOR CLAIMS EXAMINER I is responsible for investigating, evaluating, negotiating, and resolving assigned property damage and bodily injury claims under insurance contracts. The role ensures claims are handled in accordance with contractual terms and applicable laws, contributing to the effective management and resolution of claims to support the organization's insurance operations. Responsibilities:Investigate assigned claims and collect necessary information and documentationCoordinate with independent adjusters and review relevant recordsCommunicate with insured parties, claimants, and related contactsComply with claims handling laws and regulationsAnalyze insurance coverage and determine rights and obligations under contractsCollaborate with legal departments on coverage and compliance issuesAssess liability and estimate losses for assigned claimsIdentify and report potential fraud to the Special Investigation UnitEstablish and adjust case reserves in a timely mannerReview and approve invoices related to loss adjustment expensesMaintain organized claim files and documentationObtain and maintain required licenses and certificationsStay informed on insurance and claims management practices Requirements:Bachelor’s degree in a related field or equivalent work experienceAt least three years of relevant work experienceKnowledge of insurance contract interpretation and applicationFamiliarity with insurance claim procedures, loss evaluation, and resolution optionsCompletion of insurance-related courses such as AIC or CPCUStrong verbal and written communication skillsAnalytical skills to assess data and make informed decisions Pay Range and Compensation Package:The salary range for this position is $85,000 to $95,000 annually based on location and candidate qualifications Benefits & Perks:Medical insuranceDental insuranceVision insurance401(k) plan with 100% employer match up to 5% Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.