Claims Examiner – Partner Programs (Insurance)

TL;DR

Claims Examiner (Insurance): Reviewing and approving claims exceeding TPA authority with an accent on coverage analysis and reserve management. Focus on ensuring regulatory compliance, managing high-exposure matters, and collaborating with internal and external stakeholders.

Location: Must be based in or be able to relocate to Austin, TX; Dallas, TX; or Bedminster, NJ

Salary: $80,000 – $106,000

Company

hirify.global provides tailored insurance coverage and preventative maintenance plans to protect homeowners through a modern, intuitive experience.

What you will do

• Review and authorize claims, reserves, and payments submitted by TPAs that exceed their authority.
• Conduct coverage analysis and provide guidance to TPAs to ensure timely and equitable claim disposition.
• Prepare notifications for underwriters and reinsurers regarding large or contentious claims.
• Perform claim file audits to monitor TPA performance and ensure compliance with internal guidelines.
• Communicate professionally with brokers, program partners, and senior leadership on high-exposure matters.
• Maintain accurate documentation and support data calls, audits, and reporting requests.

Requirements

• 2–5 years of claims handling experience in property, casualty, or specialty lines.
• Strong understanding of insurance coverage principles and policy interpretation.
• Proven experience in investigating claims, exposure analysis, and reserving.
• Proficiency in Microsoft Office applications (Excel, Word, Outlook).
• Must be based in or be able to relocate to one of the hub locations in the United States (TX or NJ).

Nice to have

• Experience working with TPAs or program business.
• Exposure to litigated claims.
• Interest in pursuing professional designations such as AIC, ARM, or CPCU.

Culture & Benefits

• Relocation assistance for qualified candidates moving to hub locations.
• Comprehensive medical, dental, and vision plans with 100% employer-covered dental and vision.
• 401(k) retirement plan, equity compensation, and employer-paid life insurance.
• Flexible Time Off and 12 weeks of parental leave for primary and secondary caregivers.
• Onsite perks including catered lunches, snacks, and drinks.