Claims Examiner
$50,000–$70,000 year
Hybrid · New York City, New York, United States
Job Summary
The Claims Examiner role involves managing complex claims, compliance, and ADR operations across various entities. Responsibilities include performing intake and coverage verification, conducting compensability analysis, ensuring timely filings, collaborating with the compliance team on licensing forms, and managing ADR processes. Candidates are expected to have strong analytical skills, exceptional organizational abilities, and proficient communication skills. An active Independent Adjuster License and 2 to 5 years of claims management experience are required.
Required Qualifications
- Bachelor’s degree in business administration or related field
- Active Independent Adjuster License
- 2-5 years of claims management experience
Desired Qualifications
- Strong understanding of workers’ compensation best practices
- Excellent and professional verbal and written communication skills
- Exceptional organizational skills and attention to detail
- Excellent time management skills with a proven ability to meet deadlines
- Strong analytical and problem-solving skills
- Ability to perform well in a fast-paced, dynamic environment
- Ability to maintain confidentiality and exercise discretion and sound judgment
- Proficient with Microsoft Office Suite or related software
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