What are the responsibilities and job description for the Claim Examiner position at MAPFRE?
About The Role
As a Claim Examiner, you will provide technical leadership and oversight across all Claims Offices enterprise wide. You will provide strategic oversight and direction to high-exposure, complex cases—including high-value claims, bad faith allegations, discrimination matters, appeals, and class action lawsuits—while granting settlement, reserve, and expense authority on cases exceeding regional office limits.
You will play a critical role in litigation monitoring, analyzing changes in law and regulation, and ensuring consistent, high-quality claim handling. This position also involves developing review processes, identifying improvement opportunities, and collaborating with cross-functional teams to influence underwriting decisions and product strategies.
Key Responsibilities
Customer Service
Why Join Us?
Salary Range $100,900 - $132,200
Thank you for considering MAPFRE Insurance as part of your career journey.
We're proud to be rated "A" (Excellent) by A.M. Best Company. We offer property and casualty insurance, working with over 3,000 independent agents and brokers in 11 states.
If you require an accommodation for a disability so that you may participate in the selection process, you are encouraged to contact the MAPFRE Insurance Talent Acquisition team at talentacquisition@mapfreusa.com.
We are proud to be an equal opportunity employer.
As a Claim Examiner, you will provide technical leadership and oversight across all Claims Offices enterprise wide. You will provide strategic oversight and direction to high-exposure, complex cases—including high-value claims, bad faith allegations, discrimination matters, appeals, and class action lawsuits—while granting settlement, reserve, and expense authority on cases exceeding regional office limits.
You will play a critical role in litigation monitoring, analyzing changes in law and regulation, and ensuring consistent, high-quality claim handling. This position also involves developing review processes, identifying improvement opportunities, and collaborating with cross-functional teams to influence underwriting decisions and product strategies.
Key Responsibilities
Customer Service
- Provide guidance on technical and legal issues, coaching and mentoring regional offices to meet claim handling expectations.
- Assist in resolving customer service concerns when needed.
- Foster teamwork aligned with MAPFRE’s Vision, Mission, and Values.
- Build strong relationships with agents, defense counsel, and vendors.
- Recommend workflow improvements and assist in developing technical training materials.
- Maintain diary systems for monitored losses and conduct file reviews for compliance with quality standards.
- Support severity, frequency, and profitability analysis; track incurred losses.
- Monitor and manage high-risk suits, including bad faith and significant exposure cases.
- Develop procedures to ensure quality outcomes and establish departmental goals.
- Grant settlement authority within assigned limits for claims exceeding regional discretion.
- Report and update claims to reinsurers per treaty requirements.
- Provide quarterly updates on monitored losses and oversee structured settlement programs.
- Analyze court decisions and regulatory changes for impact on claims and underwriting.
- Advise technical units on coverage issues.
- Lead claim roundtables and committees participate in company-sponsored initiatives.
- Serve on committees such as Claims Discussion Meetings, Large Loss Committees, and Underwriting Product/State Strategy Committees.
- Act as a role model for collaboration and technical excellence.
- Flexible schedule to support multiple time zones.
- Travel for training, reviews, and special projects.
- Handle special assignments from senior claim management.
- Adhere to company policies and departmental standards.
- Bachelor’s degree or equivalent professional experience.
- Minimum 10 years of multi-line property and casualty claims and litigation experience, including commercial and personal auto liability, general liability, property (1st and 3rd party), homeowner’s liability, no-fault, SIU, and subrogation.
- At least 6 years of litigation experience required.
- Strong multi-state claim investigation, negotiation, settlement, and litigation expertise.
- Excellent oral and written communication skills.
- Ability to build rapport across all organizational levels and with external partners.
- Adjuster licenses may be required based on state regulations.
- Experience with large loss first-party property coverages preferred.
Why Join Us?
- Opportunity to influence enterprise-wide claims strategy and standards.
- Work on high-impact cases and collaborate with senior leadership.
- Hybrid work schedule
- Be part of a company committed to excellence, innovation, and customer satisfaction.
Salary Range $100,900 - $132,200
Thank you for considering MAPFRE Insurance as part of your career journey.
We're proud to be rated "A" (Excellent) by A.M. Best Company. We offer property and casualty insurance, working with over 3,000 independent agents and brokers in 11 states.
If you require an accommodation for a disability so that you may participate in the selection process, you are encouraged to contact the MAPFRE Insurance Talent Acquisition team at talentacquisition@mapfreusa.com.
We are proud to be an equal opportunity employer.
Salary : $100,900 - $132,200
