Associate Claims Examiner

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct investigations and analyze fundamental claim information under supervision to assist in determining coverage and liability.

• Manage low-complexity First Party Property and/or Renters Claims in accordance with established guidelines.

• Provide support to senior examiners with lawsuits, mediations, arbitrations, and tasks related to litigation.

• Aid in establishing initial reserves, pending review and approval from senior staff.

• Engage with experts or vendors as directed and assist in monitoring vendor performance while controlling expenses.

• Acquire skills to assess, negotiate, and propose settlement values for straightforward claims under supervision.

• Maintain communication with policyholders, agents, and other stakeholders throughout the claims process.

• Recognize and escalate requests for additional information, inquiries about coverage, and discussions regarding settlements.

• Process claims in alignment with company Best Practices and established procedures.

• Oversee and complete assigned low-complexity claims inventory with guidance.

• Provide customer service to insured individuals and agents via phone, email, and written correspondence.

• Update and preserve accurate claim files and documentation.

• Identify potential subrogation opportunities or indicators of fraud and escalate these issues.

• Engage in claims training, audits, and quality assessments.

• Assist in overseeing third-party administrators (TPAs) and other vendors on basic matters.

⛳️ Requirements

• High school diploma or equivalent is mandatory.

• Previous claims handling experience is not required.

• Experience in customer service, insurance, claims, or administrative roles is advantageous.

• Must secure a Property & Casualty Insurance Adjuster License within the first 90 days of employment and maintain it thereafter.

• Obtain and sustain a state adjuster’s license, fulfilling state continuing education obligations.

• Excellent and professional communication skills, both verbally and in writing.

• Strong organizational and time management abilities.

• Proficient writing skills.

• Basic analytical and investigative skills.

• Developing negotiation capabilities.

• Competent in Microsoft Office, including Teams, Word, and Excel.

• Openness to learning and adapting to new computer systems, technologies, and claims software.

🏝️ Benefits

• Company support available where applicable for obtaining the Property & Casualty Insurance Adjuster License.

• Remote work arrangement.