About the Role
This role involves investigating, analyzing, and settling property claims for residential and commercial policies. The examiner ensures claims are processed accurately and fairly while adhering to regulatory standards and internal procedures.
Responsibilities
- Review incoming claims to determine coverage eligibility
- Conduct investigations by gathering evidence and documentation
- Evaluate property damage using inspection reports and estimates
- Determine liability based on policy terms and applicable laws
- Communicate with claimants to collect necessary information
- Collaborate with adjusters and third-party vendors
- Prepare claim recommendations with supporting documentation
- Resolve disputes related to claim settlements
- Ensure compliance with state and federal regulations
- Maintain accurate records in claims management systems
- Process payments in accordance with approved settlements
- Identify potential fraud indicators and escalate appropriately
- Respond to customer inquiries regarding claim status
- Work within established timeframes to close claims
- Apply underwriting guidelines to claim decisions
- Assess value of damaged or lost property
- Interpret insurance policy language to determine coverage
- Coordinate with legal teams when necessary
- Monitor open claims to prevent delays
- Support internal audits and reviews
- Follow up on incomplete documentation submissions
- Maintain confidentiality of claimant information
- Adhere to internal control procedures
- Participate in training and process improvement initiatives
- Stay current with changes in insurance regulations
Compensation
Competitive salary based on experience
Work Arrangement
Hybrid work model with office and remote options
Team
Collaborative team environment with cross-functional support
Why Join Us
- Opportunities for professional growth in claims management
- Exposure to innovative approaches in property insurance
- Work with a team committed to fair and efficient claims resolution
- Supportive culture that values integrity and accountability
- Engagement in continuous improvement of claims processes
What We Offer
- Comprehensive health and wellness benefits
- Retirement savings plan with company contribution
- Paid time off and holiday schedule
- Professional development resources
- Flexible work scheduling options
Not available