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Senior Claims Examiner

Full-time

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.

Vacancy posted 9 hours ago
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