Claims Examiner (Insurance)

TL;DR

Claims Examiner (Insurance): Resolving insurance claims of average complexity with an accent on investigation, evaluation, and negotiation. Focus on determining coverage, managing reserves, and delivering top-notch customer service.

Location: Richmond, VA or Red Bank, NJ. Hybrid: 3 days office / 2 days remote. US Work Authorization required; no visa sponsorship provided.

Salary: $62,000 - $85,800

Company

Fortune 500 holding company specializing in insurance, reinsurance, specialist advisory, and investment operations globally.

What you will do

• Investigate, evaluate, negotiate, and resolve assigned insurance claims of average complexity and low to mid exposure.
• Analyze coverage and determine the appropriate direction for claim resolution and investigation.
• Manage reserve changes and alert management to potential exposures on claims.
• Ensure strict adherence to Fair Claims Practices Regulations and internal handling guidelines.
• Collaborate with internal stakeholders across Underwriting, Finance, Actuarial, Risk Management, and IT departments.
• Deliver outstanding customer service to maintain strong internal and external relationships.

Requirements

• High school diploma required; Bachelor's degree preferred.
• Must have or be eligible to receive a claims adjuster license.
• Required: US Work Authorization (hirify.global does not provide visa sponsorship).
• Knowledge of insurance claims, policy types, and the legal services landscape.
• Strong analytical, problem-solving, and organizational skills.
• Intermediate proficiency in Microsoft Office (Excel, Outlook, PowerPoint, and Word).

Culture & Benefits

• Hybrid working schedule (3 days in office, 2 days remote).
• Comprehensive health, dental, and vision insurance plan options.
• 401(k) with employer match contributions and Employee Stock Purchase Plan.
• Paid Time Off (PTO), corporate holidays, and floating holidays.
• Parental leave.