Senior Claims Examiner

Job Description

Job Title: Senior Claims Examiner

Location: Nassau County, NY

Company: National Insurance Brokerage

Position Summary

The Senior Claims Examiner 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
  
  

Supervisory Responsibilities

• No direct supervisory responsibilities
• Acts as a resource and mentor to Claims Administrators and junior staff regarding claim processes and best practices
  
  

Qualifications & Required Skills

• Proven experience handling general liability claims for Commercial Lines Insurance
• Exceptional knowledge of claims handling practices, coverage evaluation, and resolution strategy
• Strong analytical, decision-making, and problem-solving skills
• Excellent verbal and written communication abilities
• Client-focused mindset with the ability to advocate and manage complex claim situations
• Strong organizational and time management skills
• Proficiency in Microsoft Outlook, Excel, and Word
• Ability to work independently while also collaborating effectively within a team
• Professional, goal-oriented, and solutions-driven
  
  

Preferred Experience

• Prior experience working in a national insurance brokerage or with self-insured programs
• Experience in multi-jurisdictional claims and large loss management
• Familiarity with claims systems and analytics tools
  
  

Compensation

Competitive salary commensurate with experience, plus benefits.