Senior Claims Examiner
2 days ago
Job Title: Senior Claims Examiner
Location:
Richmond, VA
Start Date:
01/12/2026
End Date:
05/30/2026 (possible extension)
Shift:
Monday – Friday, 8:00 AM – 4:30 PM
Pay:
$39–$40 per hour
Overview
The Senior Claims Examiner manages
Workers' Compensation, general liability, auto liability, and property/casualty claims
, including high-complexity claims. This role investigates, evaluates, and settles claims while ensuring compliance with state laws and effective communication with all stakeholders.
Requirements
- High School Diploma or equivalent (Associate's/Bachelor's preferred)
- 7+ years of Workers' Compensation or claims handling experience
- Microsoft Office proficiency
- Strong negotiation and analytical skills
- Preferred: Lead/supervisory experience and exposure to risk management or legal settings
Responsibilities
- Determine claim compensability and manage claim resolution
- Establish reserves, authorize payments, and negotiate settlements
- Perform medical management and act as Return-To-Work liaison
- Handle high-complexity claims and litigation as needed
- Ensure compliance with applicable state laws
Work Environment
- General office setting
- Physical: Sitting, occasional lifting 0–50 lbs.
- Mental/Emotional: Manage multiple priorities, adapt to change, strong problem-solving
Pride Health offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors
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