Senior Claims Examiner

Job Description

Job Title: Senior Claims Examiner

Location: Nassau County, NY

Company: National Insurance Brokerage

• Must have NY Independent General Adjuster License
  
  

Position Summary

Our client who is a leading top broker is looking for a Senior Claims Examiner! This candidate plays a key role in managing general liability claims for self-insured and high-touch clients. This individual exercises independent judgment and discretion in daily responsibilities, serving as a dedicated client advocate and strategic liaison between insureds and carriers. The position is essential to maintaining strong client relationships and driving claims toward timely and equitable resolution.

Essential Functions & Responsibilities

• Serve as a consistent advocate and point of contact between clients and insurance carriers
• Manage all aspects of assigned claims from inception through resolution, including investigation, evaluation, and negotiation
• Review and assess bodily injury and property damage claims
• Conduct interviews with insureds, claimants, and witnesses to gather facts and document findings
• Analyze medical records and identify coverage issues
• Prepare detailed claims reviews for open files and present findings during client meetings
• Maintain and monitor active claims diaries to ensure timely updates and resolution
• Adjust reserves as appropriate and manage claim settlement strategies
• Review vendor invoices to ensure compliance with billing guidelines
• Communicate proactively with insureds, carriers, legal counsel, and other stakeholders throughout the claims lifecycle
• Support internal team members by providing guidance on claim submissions and applicable lines of business
  
  

Qualifications & Required Skills

• Proven experience handling general liability claims for Commercial Lines Insurance
• Exceptional knowledge of claims handling practices, coverage evaluation, and resolution strategy
• EDUCATION AND WORK EXPERIENCE:
• Bachelor’s Degree
• NY Independent General Adjuster License
• 5 years in insurance industry adjusting claims
  

Compensation

Competitive salary commensurate with experience, plus bonus and benefits