Claims Examiner

About This Role

This high-visibility position involves reviewing existing claim files for closure with current carrier partners and assisting with onboarding triage and review of new claim programs. The role is ideal for professionals who thrive on complex claims, strategic problem-solving, and driving resolution, working in a fast-paced environment to identify resolution opportunities and provide actionable feedback to leadership.

Responsibilities

• Analyze coverage by reviewing policies, claim forms, and supporting documentation
• Handle complex commercial and bodily injury claims, including in-depth file reviews, damage evaluation, settlement negotiation, and driving claims to resolution
• Communicate and collaborate with carriers, attorneys, claimants, and internal stakeholders throughout the claims lifecycle
• Prepare management and client reports, identifying claim trends and opportunities for improvement
• Ensure compliance with regulatory requirements and industry best practices

Requirements

• 3+ years of commercial bodily injury claims handling experience, including litigation
• Strong working knowledge of case law, statutes, and claims procedures
• Excellent analytical, evaluation, negotiation, and strategic decision-making skills
• Ability to manage multiple priorities in a fast-paced, high-volume environment
• Confident communicator with polished written and verbal communication skills
• College or technical degree, or equivalent relevant business experience
• Active Texas or Florida P&C Adjusting License (or ability to obtain within 90 days); ability to obtain New York P&C Adjusting License within 90 days
• Proficiency in MS Office and standard business software

Nice to have:

• Bilingual proficiency

Benefits

• Training, development, and career growth opportunities
• 401(k) with company match and retirement planning
• Paid time off and company-paid holidays
• Comprehensive medical, dental, and vision insurance
• Flexible Spending Account (FSA)
• Company-paid life insurance and long-term disability
• Supplemental life insurance and optional short-term disability
• Strong work/family and employee assistance programs
• Employee referral program

About the Company

Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, the company brings together the best elements of third-party claims administration and independent adjusting services. From its primary offices in New York and Denver, to its national network of experts, its superior experience and ongoing training are keys to successfully managing client claims and handling specialized insurance needs. All Claim Directors have extensive backgrounds working with major insurance carriers, giving the company a thorough understanding of factors critical to claims handling.