Claims Examiner

Network Adjusters is seeking experienced Claims Examiners to join our third-party administrative insurance handling team in a file review role. This is a high-visibility position reporting directly to executive management, ideal for professionals who thrive on complex claims, strategic problem-solving, and driving resolution. This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities. About the Role Claims Examiners support two key initiatives: Assisting with onboarding triage and review of new claim programs Reviewing existing claim files for closure with current carrier partners You’ll work in a fast-paced environment reviewing high-exposure, complex claims, identifying resolution opportunities, and providing actionable feedback to leadership – all while ensuring compliance and service standards are met. Claims may include Commercial General Liability, Auto, Property Damage, Construction Bodily Injury, Construction Defect, D&O, Cyber, and Builder’s Risk. Experience across all lines is not required; adaptability and a willingness to learn are essential. This is a desk-based role. 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 Qualifications 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 Bilingual proficiency preferred but not required Salary: $85,000–$125,000+ annually (based on licensure, certifications, and experience) 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 Location This role is on-site only ; remote or hybrid arrangements are not available. #J-18808-Ljbffr