Sr. Claims Examiner

TL;DR

Sr. Claims Examiner: Resolving moderate to high complexity and exposure claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis with an accent on coverage determination, reserve setting, and litigation/mediation strategy. Focus on conducting investigations, coordinating experts and outside counsel, and delivering timely, accurate claim outcomes while communicating developments to stakeholders.

Location: Red Bank NJ

Salary: $78,000 - $107,250 + 15% incentive

Company

hirify.global is a Fortune 500 holding company for insurance, reinsurance, specialist advisory, and investment operations.

What you will do

• Confirm coverage by reviewing policies and claim documents; analyze coverage positions and communicate them.
• Prepare coverage position letters (without outside coverage counsel) and refer suspicious losses to SIU while assisting investigations and settlements.
• Conduct, coordinate, and direct investigations into loss facts and extent of damages.
• Evaluate information to determine insured exposure; set reserves within authority or recommend reserve changes to a manager.
• Negotiate and settle claims (typically in litigation) within authority; represent hirify.global at mediations, trials, and conferences.
• Serve as a technical referral point by advising underwriting on coverage and assisting with drafting policy wording; support training and best-practice procedures.

Requirements

• US Work Authorization required; hirify.global does not provide visa sponsorship for this position.
• Minimum 5 years of claims handling experience (or equivalent combination of education and experience).
• Successful completion of 3 years as a Claims Examiner.
• Must have or be eligible to receive a claims adjuster license.
• Knowledge of tort and contract law.
• Excellent written and oral communication, strong analytical/problem-solving skills, and ability to work autonomously in a fast-paced environment.

Culture & Benefits

• Full-time benefits including multiple health, dental, and vision plan options, plus optional life, disability, and AD&D insurance.
• 401(k) with employer match, Employee Stock Purchase Plan, PTO, corporate and floating holidays, and parental leave.
• 401(k) and other benefits designed to support employees at different life stages.