Commercial Claims Examiner

Your tasks

• Manage a portfolio of commercial property claims from initial assignment through final resolution, primarily handling claims exceeding $500,000.
• Review claims investigated by independent adjusters to assess coverage, verify claim validity, and determine appropriate resolutions.
• Evaluate and adjust loss reserves, review correspondence and reports, verify policy coverage, and authorize payment requests and recommendations submitted by independent adjusters.
• Investigate, assess, and adjust claims using technical expertise and strong interpersonal skills to support fair and timely settlements.
• Collaborate with internal stakeholders and legal counsel on claims involving litigation.
• Monitor independent adjuster files to ensure compliance with applicable guidelines and claims-handling standards.
• Analyze settlement data and supporting documentation to confirm the accuracy and validity of claims and ensure settlements follow established procedures.
• Maintain compliance with Department of Insurance requirements and internal claims procedures.
• Identify potential indicators of fraud or illegal activity and refer cases through the appropriate internal processes.
• Negotiate settlements promptly, ensuring that payments reflect covered losses while protecting the insurer from invalid claims.

Requirements

• Bachelor’s degree or equivalent.
• At least 5 years of property claims adjusting experience, including preferably 2 or more years in commercial property claims.
• Four years of commercial claims experience, including 2 years handling claims exceeding $500,000.
• Comprehensive understanding of insurance policy contracts, applicable statutes, and claims processes.
• Certification in CEA and Fair Claims Settlement Practices.
• Strong written and verbal communication skills, with the ability to collaborate effectively with adjusters, legal counsel, and internal stakeholders.
• Working knowledge of Microsoft Office, particularly Word and Excel.
• Strong analytical, investigative, negotiation, and decision-making skills, with the ability to evaluate complex claims and recommend appropriate settlements.

What we offer

• Compensation: $46.15–$51.28; the source does not specify the pay period or currency.
• Work arrangement: Remote.
• Employment type: Full-time.

How to apply

How Jobgether works We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether?

Other

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.