Claims Examiner

2 weeks ago


Reston, Virginia, United States Network Adjusters, Inc. Full time
Job Title: Claims Examiner/Analyst

We are seeking an experienced Claims Examiner/Analyst to join our team at Network Adjusters, Inc. in Denver, CO. As a Claims Examiner/Analyst, you will play a critical role in our claims department, overseeing multiple claim files in a fast-paced environment to ensure all compliance and service guidelines are met.

Responsibilities:
  • Coverage Analysis: Examine claim forms, policies, and other records to determine insurance coverage.
  • Claims Processing: Deep dive into claim files, including the evaluation of damages, determination of loss, settlement negotiations and resolution, while ensuring all compliance regulations are adhered to.
  • Customer Service: Collaborate with carriers, attorneys, claimants, and internal policyholders to address inquiries, resolve disputes, and ensure a positive claims experience.
  • Negotiation: Communicate with related parties to discuss, negotiate and resolve claims.
  • Reporting: Generate and present regular reports to senior management and clients, highlighting trends and areas for improvement.
  • Compliance: Stay current with industry regulations and best claims practices to ensure that claims processes are compliant with all legal requirements.
Requirements:
  • Minimum of three years handling bodily injury insurance claims; commercial claims handling experience required.
  • Litigation experience.
  • Active or able to obtain Texas OR Florida Property & Casualty Adjusting License within first 90 days of employment.
  • Able to obtain New York Property & Casualty Adjusting License within first 90 days of employment.
  • Superior working knowledge of case law, statutes, and procedures impacting the handling and value of claims.
  • Ability to prioritize workload and handle multiple tasks.
  • Analytical and problem-solving abilities, with a keen attention to detail.
  • Ability to drive conversations with a firm stance.
  • Excellent evaluation and strategic skills required.
  • Strong claim negotiation skills.
  • Proficient in MS Office Suite and other business-related software.
  • Polished and professional written and verbal communication skills.
Benefits:
  • 401(k) with company match / Retirement planning
  • Paid time off / Company paid holidays
  • Comprehensive health plans including dental and vision coverage
  • Flex Spending Account
  • Company paid life insurance
  • Company paid long term disability
  • Supplemental life insurance
  • Opportunity to buy into short term disability
  • Family leave
  • Employee Assistance Program

About Network Adjusters, Inc.

Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.

The starting salary for this position is $70,000 – $90,000 annually; factors such as licensing, certifications, work, and relative experience will be taken into consideration.



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