Senior Claims Examiner

TL;DR

Senior Claims Examiner (Insurance): Adjudicating and resolving moderate to complex commercial general liability claims with an accent on litigation management and regulatory compliance. Focus on analyzing claim documentation, drafting coverage letters, and identifying emerging exposures to ensure fair and efficient resolution.

Location: Must be based in Atlanta, Boston, Chicago, Manhattan, Scottsdale, or West Hartford. This is a hybrid role requiring at least two days per week in the office.

Salary: $80,000–$110,000

Company

hirify.global USA is a rapidly growing commercial insurance provider specializing in small and middle-market business coverage across a diverse portfolio of professional and specialty lines.

What you will do

• Adjust and resolve moderate to complex claims, including all phases of litigation.
• Draft coverage letters, including reservation of rights and denial letters, with minimal supervision.
• Analyze claim documentation and legal filings to set timely and accurate reserves.
• Drive litigation best practices to manage defense counsel deployment and utilization.
• Identify emerging exposures, claim trends, and suspected fraudulent activity.
• Maintain accurate claim files in compliance with company policies and regulatory requirements.

Requirements

• 3-5 years of claims handling experience in commercial general liability with an insurance carrier.
• Advanced knowledge of claims analysis, adjusting practices, and legal filing standards.
• Proven ability to actively and effectively negotiate settlements.
• Active insurance adjuster’s license.
• Experience in mentoring and training other claims examiners.
• Strong analytical, verbal, and written communication skills.

Nice to have

• B.A./B.S. degree from an accredited College or University.

Culture & Benefits

• Comprehensive health, dental, and vision insurance with FSA plans.
• 401(k) retirement plan with competitive company matching.
• Generous paid time off, including 24 PTO days, 10 holidays, and a 4-week paid sabbatical every 5 years.
• Paid parental leave and financial adoption assistance.
• Annual $600 reimbursement for health club or fitness programs.
• Modern office environment with a values-driven, creative culture.