Senior Claims Examiner
Jobgether
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Senior Claims Examiner based in United States. This role offers the opportunity to specialize in Employment Practices Liability and manage complex workplace-related insurance claims. You will investigate coverage, liability, and damages while developing strategies that support timely and cost-effective claim resolution. The position combines analytical work with relationship management, requiring close collaboration with insureds, defense counsel, underwriters, agents, and other stakeholders. You will work in a paperless environment supported by technology and structured claims-handling practices. The role also provides exposure to evolving employment law and workplace issues, supported by comprehensive classroom and on-the-job training. As you develop expertise, you will also contribute to the growth of newer claims professionals through coaching and guidance. Accountabilities: - Investigate and evaluate complex Employment Practices Liability claims, including coverage, liability, and damages, ensuring accurate and timely assessments. - Establish, document, and execute appropriate claim strategies designed to achieve early, equitable, and cost-effective resolutions. - Analyze initial claim reports, insurance contracts, legal information, and other technical materials to determine appropriate coverage and claim-handling approaches. - Represent the organization in meetings with management and business partners and participate virtually in mediations. - Build and maintain productive relationships with clients, insureds, underwriters, agents, defense counsel, and other internal and external stakeholders. - Use claims technology and systems effectively to monitor, document, and manage caseloads. - Maintain compliance with established claims-handling standards relating to investigation, coverage, loss assessment, documentation, and case management. - Apply sound judgment and creative problem-solving to address complex claims and customer needs.
- Contribute to a collaborative team environment by sharing ideas, demonstrating initiative, and supporting collective goals. - Assist with training new claims examiners and provide coaching and guidance as they develop their claims-handling capabilities. - Participate in structured classroom and on-the-job training covering employment law, insurance products, coverage analysis, investigation techniques, legal processes, and settlement negotiation. - Obtain and maintain applicable resident, designated home state, and potentially additional state adjuster licenses as required. Requirements: - Bachelor’s degree required; a Juris Doctor (JD) is preferred but not required. - 2–4 years of experience handling claims of comparable complexity or working in a legal position. - Previous Employment Practices Liability (EPL) or Financial Lines experience is preferred. - Strong verbal and written communication skills, with the ability to clearly explain complex information. - Strong interpersonal skills and the ability to establish productive relationships with stakeholders at all organizational levels. - Strong aptitude for evaluating, analyzing, and interpreting technical and financial information. - Sound decision-making skills and the ability to exercise appropriate judgment when handling complex claims. - Proven ability to work independently while also contributing effectively within a collaborative team. - Demonstrated initiative, leadership potential, and commitment to high-quality performance. - Excellent time management, organizational, and problem-solving skills. - Ability to adapt quickly to new ideas, situations, technologies, and processes. - Creative and practical approach to overcoming obstacles and developing solutions to customer and claim-related challenges.
- ...Evaluating and analyzing documentation for claim payments or denials, the full-time Senior Claims Examiner will manage claims reviews, correspond with various stakeholders, and ensure compliance with regulations while working remotely. Key responsibilities Analyze information...SeniorFull timeRemote work
$98.4k - $141.6k
...Senior Claim ExaminerChubb is seeking a Senior Claim Examiner to handle PEO claims in the Employment Practices Liability group. The Senior Claim Examiner, under appropriate direction from the manager, investigates and settles employment claims promptly, equitably and within...SeniorWork experience placementWork at officeRemote work- ...workers' compensation professional for a home-based role in the Midwest. You will manage litigated, loss-time, and complex medical claims and collaborate with clients to limit costs and exposure while helping injured workers return to work. The ideal candidate has at least...SeniorRemote workWork from home
$115k - $188k
...Summary Analyzes coverage for increasingly complex claims submitted under the applicable policy form. Accurately examines and processes claims for the business unit... ...strong oral/written communication skills. As a Senior Claims Examiner, provides guidance and first-level...SeniorWork experience placementWork at officeLocal areaRemote workWorldwide- ...Schedule:Hybrid — 2 Days In-Office Per Week Employment:Full-Time Level:Experienced (3+ Years WC Claims) ABOUT THE ROLE We are seeking an experienced Workers' Compensation Claims Examiner to join our growing team in Phoenix, Arizona. In this key role, you will independently...SeniorFull timeWork at officeRemote work2 days per week
$250k
...results here at Swift. Job Responsibilities: What you will do The management and resolution of complex and litigated transportation claims throughout the United States. This role requires an advanced expertise in liability and damage analysis coupled with a...SeniorContract workWork at officeLocal areaRemote workFlexible hours$78k - $134.09k
...something special!This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims which can be subject to disputes that must be resolved in mediation or litigation. The primary purpose of this job is to handle...SeniorFull timeWork at officeLocal areaWork from home- ...process. Austin, TX, US 15 days ago Requisition ID: 1500 Join a team where your expertise truly makes a difference. As a Senior Claims Examiner , you'll lead the investigation and resolution of complex commercial property claims, guiding customers through critical...SeniorFor contractorsWork experience placementRemote workRelocationFlexible hoursNight shift
$100k - $115k
..., Arbol brings scale, transparency, and efficiency to parametric coverage. Arbol is looking for a seasoned Senior Litigation & Liability Claims Examiner to join our growing property casualty claims team at Lilypad Insurance Managers. The ideal candidate brings deep...SeniorFull timeWork at officeRemote workFlexible hours$105k - $120k
...Job Description Job Description Our client, an A-rated Insurance Carrier, is seeking to add a Senior Commercial General Liability Claims Specialist to their team. This person would be responsible for directly handling moderate to complex non-litigated Commercial General...SeniorRemote work$40 - $50 per hour
...Job Description Job Description Our client is seeking a highly experienced Senior Workers’ Compensation Claims Examiner for a contract-to-hire assignment supporting their New England office. This position requires a seasoned claims professional with extensive knowledge...SeniorPermanent employmentContract workWork at officeRemote workFlexible hours$80k - $110k
...Job Description Job Description Our client, an A-rated Insurance Carrier, is seeking to add a Senior Workers' Compensation Claims Examiner to their Midwest team. This would be a fully remote position. Duties will consist of handling mid to complex Workers' Compensation...SeniorRemote workFlexible hours$75k - $140k
...Time Salary Range: USD $75000.00 - $140000.00 Job Category: Claims Description If you're looking for a claims role where you... ...Country, the work is challenging, fast-moving, and meaningful. The Senior Claims Specialist works within a Claims Team navigating some of...SeniorFull timeContract workFor contractorsFor subcontractorWork at officeLocal areaRemote work$90k - $110k
...collaboration, we equip our teams to work at the highest levels possible. Job Summary Acrisure is seeking a Senior Workers' Compensation Claims Examiner to independently manage complex California workers' compensation claims from assignment through resolution. This...SeniorFull timeWork at officeImmediate startRemote workFlexible hours- ...Job Information Job Title S enior Claims Representative Analyst Home Department... ...Insurance is seeking an experienced Senior Claims Representative Analyst to join our... ...Role Determines insurance coverage by examining claim forms, policies, and other records;...SeniorFull timeWork at officeLocal areaRemote workHome officeFlexible hours
- ...Managing a portfolio of complex Bodily Injury and General Liability claims, the full-time Senior General Liability Claims Adjuster will analyze claims exposure, interact with various parties for effective resolution, and provide exceptional customer service, all while...SeniorFull timeRemote work
- ...empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with...SeniorLocal areaRemote work
- ...Independently managing complex legacy and long-latency claims, the fully remote Senior Claims Consultant - Mass Tort & Environmental will focus on sophisticated claims involving asbestos, environmental contamination, and other mass tort exposures while applying advanced...SeniorRemote work
- ...insurance solutions that address your business’s unique risks. Summary / Job Purpose This position is responsible to adjust assigned claims within delegated limits of authority, conduct timely and thorough investigations, handle subrogation claims, and complete fair and...SeniorLocal areaRemote work
- ...Active Adjusters’ License required: California, SIP optional Location: This role is fully remote work. How you'll make an impact Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately...SeniorWork at officeLocal areaRemote workFlexible hours
- ...Senior Property Claims Representative To assure the consistent application of company procedures and practices in commercial, residential, farm property and property damage liability claim handling, so as to have a significant and positive overall effect on the...SeniorLive inWork at officeWork from home
$84.82k - $116.37k
...has an immediate opportunity for experienced Workers Compensation Claims Professionals. This position requires a self-starter who can... ...results, and willing to accept ownership for their work product. The Senior Claims Professional is responsible for the management of a...SeniorWork at officeImmediate startWork from home- ...Sr Claim Examiner- WC04-month contract with possible extension or conversionRemoteMust have multiple years' experience handling CA.The examiner can work remotely.Duties:Interprets and makes decisions using independent judgment on more complex and unusual policy coverages...SeniorContract workRemote work
- ...Sr Claim Examiner- WC Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. Manages all aspects of investigative activity on complex claims. Directs the discovery...SeniorPart timeRemote work
$61.05k - $98.33k
...The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best...SeniorMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- ...rewards self-starters and those who are committed to doing what is best for our customers. One80 Intermediaries is seeking a Senior Claims Analyst to join our growing team. As we continue to scale, we are seeking a talented Claims Analyst to join our team. A career...SeniorHourly payFor contractorsWork experience placementRemote workWorldwide
- ...growth? Liberty Mutual offers an exciting opening for a Senior Workers Compensation Claims Specialist within the West Region! The Senior Claims Specialist... ..., cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special...SeniorWork experience placementLocal areaRemote work
$49.05k - $92k
...Sr. Claim Examiner – WC (REMOTE)Ready to take on high?stakes claims and make a real impact? We're seeking an experienced Claims Adjuster who excels at handling advanced, large?loss, and complex cases—with the independence to make sound decisions and the expertise to deliver...SeniorRemote work- ...Senior Claims Specialist To handle single and multi-party personal or commercial line claims of moderate to high exposure and complexity within specific authority limits, to ensure that claims are handled in the most efficient, effective way while delivering a customer...SeniorApprenticeshipWork at officeRemote work
- ...The Senior Liability Claims Specialist manages mid to complex Auto and/or General Liability claims, including bodily injury and property damage.This role aims to achieve optimal outcomes for both CorVel and our clients. The Senior Liability Claims Specialist handles litigated...SeniorMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours
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