Claims Examiner (Insurance)

TL;DR

Claims Examiner (Insurance): Investigating, evaluating, and resolving insurance claims of average complexity with an accent on coverage analysis and negotiation. Focus on determining appropriate claim direction, managing reserves, and ensuring adherence to Fair Claims Practices Regulations.

Location: Richmond, VA. Hybrid: 3 days in office, 2 days remote. Must have US Work Authorization; no visa sponsorship provided.

Salary: $62,000 - $85,800 (National Average) + 12% incentive

Company

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

What you will do

• Investigate, evaluate, and resolve claims of average complexity and low to mid exposure.
• Analyze coverage and determine the appropriate direction for claim investigation and resolution.
• Make reserve change recommendations and alert management to potential claim exposures.
• Ensure strict adherence to Fair Claims Practices Regulations and internal handling guidelines.
• Collaborate with cross-functional departments including Underwriting, Finance, Actuarial, and Risk Management.
• Deliver high-quality customer service to maintain strong internal and external relationships.

Requirements

• High school diploma required; Bachelor's degree preferred.
• Must possess or be eligible to receive a claims adjuster license.
• Knowledge of insurance claims, policy types, and the legal services landscape.
• Strong analytical, problem-solving, and time management skills.
• Intermediate proficiency in Microsoft Office (Excel, Outlook, PowerPoint, Word).
• Valid US Work Authorization.

Culture & Benefits

• 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 and hybrid working schedules.
• Professional development and mentoring opportunities with senior examiners.