Claims Examiner

Network Adjusters, Inc.; Denver (CO); On-site; USD 85,000 - 125,000; Full time

Benefits offered by this job

401(k) with company match

Medical, Dental, and Vision insurance

Paid time off and holidays

Life insurance and long-term disabled

FSA

Training and career growth

Employee referral program

Job summary

Network Adjusters, Inc. is seeking experienced Claims Examiners to join our third-party admin team in a file review role.

This desk-based position reports directly to executive management and is ideal for professionals who thrive on complex claims, strategic problem-solving, and driving resolution. This role offers growth through ongoing training and development within a trusted organization committed to integrity and service excellence.

Qualifications

• 3+ years of commercial bodily injury claims handling experience, including litigation.
• Experience with reviewing high-exposure, complex claims and drafting actionable feedback for leadership.
• Active state adjusting licenses (e.g., TX/FL required; NY licensure could be pursued within 90 days) and strong knowledge of case law and procedures.

Responsibilities

• Analyze coverage by reviewing policies, claim forms, and supporting documentation
• Handle complex commercial and bodily injury claims, including in-depth file reviews and settlement negotiations
• Communicate and collaborate with carriers, attorneys, claimants, and internal stakeholders throughout the claims lifecycle
• Prepare management and client reports, identifying claim trends and opportunities for improvement
• Ensure compliance with regulatory requirements and industry best practices

Skills

Complex claims analysis

Negotiation

Regulatory compliance

Stakeholder communication

Attention to detail

Education

Bachelor's degree or equivalent

Tools

MS Office

Job description

Network Adjusters is seeking experienced Claims Examiners to join our third-party administrative insurance handling team in a file review role. This is a high-visibility position reporting directly to executive management, ideal for professionals who thrive on complex claims, strategic problem-solving, and driving resolution.

This position offers the opportunity to work within a trusted organization committed to integrity, reliability, and professional development through ongoing training and growth opportunities.

About the Role

Claims Examiners support two key initiatives:

• Assisting with onboarding triage and review of new claim programs
• Reviewing existing claim files for closure with current carrier partners

You’ll work in a fast-paced environment reviewing high-exposure, complex claims, identifying resolution opportunities, and providing actionable feedback to leadership – all while ensuring compliance and service standards are met.

Claims may include Commercial General Liability, Auto, Property Damage, Construction Bodily Injury, Construction Defect, D&O, Cyber, and Builder's Risk. Experience across all lines is not required; adaptability and a willingness to learn are essential. This is a desk-based role.

Responsibilities

• Analyze coverage by reviewing policies, claim forms, and supporting documentation
• Handle complex commercial and bodily injury claims, including in-depth file reviews, damage evaluation, settlement negotiation, and driving claims to resolution
• Communicate and collaborate with carriers, attorneys, claimants, and internal stakeholders throughout the claims lifecycle
• Prepare management and client reports, identifying claim trends and opportunities for improvement
• Ensure compliance with regulatory requirements and industry best practices

Qualifications

• 3+ years of commercial bodily injury claims handling experience, including litigation
• Strong working knowledge of case law, statutes, and claims procedures
• Excellent analytical, evaluation, negotiation, and strategic decision-making skills
• Ability to manage multiple priorities in a fast-paced, high-volume environment
• Confident communicator with polished written and verbal communication skills
• College or technical degree, or equivalent relevant business experience
• Active Texas or Florida P&C Adjusting License (or ability to obtain within 90 days); ability to obtain New York P&C Adjusting License within 90 days
• Proficiency in MS Office and standard business software
• Bilingual proficiency preferred but not required
• Salary: $85,000–$125,000+ annually (based on licensure, certifications, and experience)
• Training, development, and career growth opportunities
• 401(k) with company match and retirement planning
• Paid time off and company-paid holidays
• Comprehensive medical, dental, and vision insurance
• Flexible Spending Account (FSA)
• Company-paid life insurance and long-term disability
• Supplemental life insurance and optional short-term disability
• Strong work/family and employee assistance programs
• Employee referral program

Location

This role is on-site only; remote or hybrid arrangements are not available.

About Network Adjusters

Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver, to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.