Claims Examiner – Property

Jobtailor; Arizona; On-site; USD 55,000 - 75,000; Full time

Job summary

Jobtailor is seeking a Claims Examiner to adjudicate assigned 1st Party commercial claims within authorized limits for our Property Team. You will review coverage, conduct investigations, and document files to ensure accurate reserves and compliant handling.

The role emphasizes strong analytical, verbal and written communication, with preference for an active adjuster license and a BS/BA. You will draft letters, support cost controls, and collaborate with the claims group on complex cases.

Qualifications

• 1+ year of 1st Party Commercial claims handling experience.
• Advanced knowledge of claims analysis and adjusting practices.
• In depth knowledge of standards for claims documentation.
• Proven ability to actively and effectively negotiate settlement of moderate to complex claims.
• Strong analytical skills.
• Strong verbal and written communication skills.
• Active insurance adjuster’s license preferred.
• B.A./B.S degree from an accredited College or University preferred.

Responsibilities

• Adjudicate assigned 1st party commercial claims within authority.
• Review and assess coverage for losses.
• Complete in-depth investigations to verify coverage.
• Document claim files with all relevant records and notes.
• Assess reserves for indemnity and expenses.
• Draft reservation of rights and denial letters with minimal supervision.
• Drive best practices to manage expense and exposure.
• Provide high-level customer service.
• Identify suspected fraud and coordinate with SIU.

Skills

Claims analysis

Negotiation

Analytical skills

Communication skills

Education

B.A./B.S degree

Job description

• The Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team.
• Adjusts and resolves moderate claims that includes all phases 1st Party commercial claims for our Property Team.
• Accurately reviews and assesses coverage for all losses.
• Completes full in depth investigations to confirm how coverage is relevant and applies it to the loss.
• Manages smaller business income losses and the period of restoration.
• Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities.
• Accurately assesses reserves for indemnity and expense payments.
• With minimal supervision, drafts coverage letters, including reservation of rights and denial letters.
• Drives 1st Party Best Practices to manage expense and exposure on losses.
• Has a high level of customer service.
• Identifies suspected fraudulent claims and tracks with special investigations unit.
• Participates in Claims projects as needed.

Requirements

• 1+ years of 1st Party Commercial claims handling experience.
• Advanced knowledge of claims analysis and adjusting practices.
• In depth knowledge of standards for claims documentation.
• Proven ability to actively and effectively negotiate settlement of moderate to complex claims.
• Strong analytical skills.
• Strong verbal and written communication skills.
• Active insurance adjuster’s license preferred.
• B.A./B.S degree from an accredited College or University preferred.