Claims Examiner III

Location: Cranston, Rhode Island; US work authorization required

Salary: $82,500–$171,450 annually, with eligibility for the company's annual incentive plan.

Company

hirify.global Group is a Fortune 500 holding company operating insurance, reinsurance, specialist advisory, and investment businesses through more than 60 offices in over 20 countries.

What you will do

• Resolve high-complexity and high-exposure workers compensation claims across multiple jurisdictions.
• Review policies and claim documentation, confirm coverage, and communicate coverage positions.
• Conduct and coordinate investigations into loss facts, damages, compensability, and medical management.
• Direct assignments to experts and outside counsel and monitor their work.
• Evaluate exposure, set reserves within authority, and recommend reserve changes when needed.
• Negotiate and settle claims, prepare reports, and drive injured employees toward return to work while following fair claims practices.

Requirements

• Bachelor's degree in a business-related field preferred; equivalent insurance industry experience may substitute.
• Ability to analyze complex coverage, liability, compensability, and medical management issues and make sound claim decisions.
• Strong negotiation, decision-making, analytical, problem-solving, organizational, and time-management skills.
• Excellent written and verbal communication and the ability to provide strong customer service in a team environment.
• Intermediate proficiency in Microsoft Office, including Excel, Outlook, PowerPoint, and Word.
• US work authorization is required; visa sponsorship is not available now or in the future.

Nice to have

• Insurance designations.
• Strong understanding of medical terminology.

Culture & Benefits

• Full-time employees can choose from multiple health, dental, and vision insurance plans.
• Optional life, disability, and AD&D insurance are available.
• Benefits include a 401(k) with employer matching, an Employee Stock Purchase Plan, PTO, corporate and floating holidays, and parental leave.
• Travel to mediations, trials, and conferences may be required.
• State-specific training and continuous professional development are supported.

Hiring process

• Complete the company's short application through the official application process.