drjobs Senior Claims Examiner

Senior Claims Examiner

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Job Location drjobs

Woodbury, NY - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Job Description

Job Title: Senior Claims Examiner
Location: Nassau County NY
Company: National Insurance Brokerage

Position Summary:
The Senior Claims Examiner plays a key role in managing general liability claims for self-insured and high-touch clients. This individual exercises independent judgment and discretion in daily responsibilities serving as a dedicated client advocate and strategic liaison between insureds and carriers. The position is essential to maintaining strong client relationships and driving claims toward timely and equitable resolution.

Essential Functions & Responsibilities:

  • Serve as a consistent advocate and point of contact between clients and insurance carriers

  • Manage all aspects of assigned claims from inception through resolution including investigation evaluation and negotiation

  • Review and assess bodily injury and property damage claims

  • Conduct interviews with insureds claimants and witnesses to gather facts and document findings

  • Analyze medical records and identify coverage issues

  • Prepare detailed claims reviews for open files and present findings during client meetings

  • Maintain and monitor active claims diaries to ensure timely updates and resolution

  • Adjust reserves as appropriate and manage claim settlement strategies

  • Review vendor invoices to ensure compliance with billing guidelines

  • Communicate proactively with insureds carriers legal counsel and other stakeholders throughout the claims lifecycle

  • Support internal team members by providing guidance on claim submissions and applicable lines of business

Supervisory Responsibilities:

  • No direct supervisory responsibilities

  • Acts as a resource and mentor to Claims Administrators and junior staff regarding claim processes and best practices

Qualifications & Required Skills:

  • Proven experience handling general liability claims for Commercial Lines Insurance

  • Exceptional knowledge of claims handling practices coverage evaluation and resolution strategy

  • Strong analytical decision-making and problem-solving skills

  • Excellent verbal and written communication abilities

  • Client-focused mindset with the ability to advocate and manage complex claim situations

  • Strong organizational and time management skills

  • Proficiency in Microsoft Outlook Excel and Word

  • Ability to work independently while also collaborating effectively within a team

  • Professional goal-oriented and solutions-driven

Preferred Experience:

  • Prior experience working in a national insurance brokerage or with self-insured programs

  • Experience in multi-jurisdictional claims and large loss management

  • Familiarity with claims systems and analytics tools

Compensation:
Competitive salary commensurate with experience plus benefits.

#LI-JL1


Required Experience:

Senior IC

Employment Type

Full-Time

Company Industry

About Company

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