Claims Examiner II

Job Summary

Claims Examiner II, a full-time position responsible for investigating, evaluating, negotiating, and resolving property damage and bodily injury claims under insurance contracts, while ensuring compliance with applicable laws.

Key Responsibilities

• Investigate and evaluate assigned claims, coordinating with independent adjusters and ensuring compliance with claims handling regulations
• Analyze coverage and determine the rights and obligations under insurance contracts, coordinating with the Legal Department as necessary
• Establish and manage case reserves, negotiate settlements, and maintain accurate documentation of claims processes and communications

Required Qualifications

• Bachelor's degree in a related field or equivalent work experience
• One or more years of work experience in claims examination or a related field
• Knowledge of insurance contracts and claim procedures
• Familiarity with loss evaluation methods and claim resolution alternatives
• Ability to obtain and maintain required licenses and certifications