Claims Examiner III

Location: Henderson, Nevada, United States; hybrid

Salary: $82,250–$171,450 per year, plus potential eligibility for the annual incentive plan

Company

hirify.global Group is a Fortune 500 holding company operating insurance, reinsurance, specialist advisory, and investment businesses through more than 60 offices in over 20 countries.

What you will do

• Resolve high-complexity and high-exposure workers compensation claims across multiple jurisdictions.
• Review policies and supporting documents, confirm coverage, analyze coverage positions, and communicate decisions.
• Conduct and coordinate investigations into loss facts, damages, compensability, medical management, and insured exposure.
• Direct experts and outside counsel, set reserves within authority, and recommend reserve changes when needed.
• Evaluate, negotiate, and settle claims while supporting injured employees' return to work.
• Prepare reports, attend required training, and travel to mediations, trials, and conferences as needed.

Requirements

• US work authorization is required; visa sponsorship is not available now or in the future.
• California Claims Examiner Certification.
• Bachelor's degree in a business-related field preferred; equivalent insurance industry experience may substitute.
• Strong analytical, problem-solving, organizational, time management, negotiation, and decision-making skills.
• Excellent written and verbal communication skills with the ability to provide outstanding customer service and work effectively in a team.
• Intermediate proficiency in Microsoft Office applications, including Excel, Outlook, and Word.

Nice to have

• Strong understanding of medical terminology.
• Commitment to continuous improvement and professional development.

Culture & Benefits

• Hybrid work environment with support for employees' needs at different stages of life.
• Health, dental, and vision insurance options for full-time employees.
• Optional life, disability, and AD&D insurance.
• 401(k) with employer match, Employee Stock Purchase Plan, paid time off, corporate and floating holidays, and parental leave.
• Annual incentive plan eligibility may apply.

Hiring process

• Complete the short online application through the hirify.global careers process.