Claims Examiner

About This Role

The Claims Examiner reviews property claims to ensure compliance with internal and statutory requirements for timely and accurate review, best practices, documentation, adjustment, and indemnity approval. For liability claims, the position coordinates with the carrier and assigned adjusting firms.

Responsibilities

• Review documents, estimates, and policy forms to determine coverage applicability for submitted claims
• Authorize payment within scope of authority, effectively resolving claims in a cost-effective manner and ensuring timely issuance of disbursements
• Make referrals to carriers as needed
• Write coverage letters detailing coverage positions
• Interact professionally with insurance carriers, internal and external customers, and departmental staff
• Prioritize and plan work activities and use time efficiently
• Maintain confidentiality, remain open to ideas, and exhibit willingness to try new things
• Speak clearly and persuasively in positive and negative situations and demonstrate group presentation skills
• Edit work for spelling and grammar, present numerical data effectively, and read and interpret written information
• Identify and resolve problems in a timely manner, gather and analyze information skillfully, and maintain confidentiality
• Demonstrate accuracy and monitor own work to ensure quality
• Adapt to changes in the work environment, manage competing demands, and deal with frequent change, delays, or unexpected events
• Observe safety and security procedures and use equipment and materials properly

Requirements

• High School Diploma/GED
• 2-4 years of experience in the field or property insurance/adjusting experience
• Must hold active Adjuster license(s)
• Proficient with MS Office – specifically Word, Excel, and Outlook
• Estimating software experience
• Strong customer service skills
• Strong attention to detail
• Excellent written & verbal communication skills
• Ability to maintain an acceptable volume of work production
• Excel in a team environment- internal and external
• Exceptional telephone demeanor
• Ability to maintain a high level of confidentiality

Nice to have:

• Associate’s or Bachelors’ degree in a business or financial related discipline
• Inside Adjuster Experience/Background
• Adjuster license in home state

Benefits

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
• Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
• Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
• Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more

About the Company

Proctor Loan Protector provides comprehensive insurance products and service solutions for financial institutions. It operates as an extension of its clients, weaving compliance throughout all applications and technologies, where partnership meets innovation.