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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.
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Required Experience:
Senior IC
Full-Time