Claims Examiner - Remote Availability (5 Days/Month)

USLI; Philadelphia (Philadelphia County); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Performance-based bonuses

Medical benefits 100% for full-time

Profit-sharing program

Free lunch onsite

300+ professional development courses

Job summary

USLI is seeking a Claims Examiner to evaluate coverage, liability, and damages for complex claims. You will collaborate with internal teams and external stakeholders to investigate, negotiate, and resolve matters.

The role requires strong analytical and negotiation skills, attention to detail, and the ability to manage multiple priorities while maintaining accurate reserves and timely reporting. Hybrid remote option available and comprehensive benefits accompany a competitive salary.

Qualifications

• 2+ years of relevant experience for Associate Claims Examiner.
• 7+ years of relevant experience for Claims Examiner.
• Experience as an examiner, adjuster, paralegal, attorney, or in a related role.
• Specialized experience in Employment Practices, D&O, and/or E&O claims is highly preferred.
• Multi-jurisdictional knowledge, advanced degrees, and/or JD are a plus.

Responsibilities

• Coverage review: Confirm coverage by reviewing the first notice of loss and policy details; prepare DISCLAIMERS and reservation of rights letters as necessary
• Thorough investigation: Conduct detailed investigations into claims, including liability and damages assessment, witness interviews, scene inspections, and evidence collection
• Independent adjusters: Retain and provide directions to independent adjusters while managing all aspects of the investigation process
• Liability analysis: Apply statutory and case law to evaluate liability exposure and ensure joint tortfeasors contribute their fair share
• Reserve maintenance: Maintain accurate reserves reflecting liability and damages as claims develop
• File management: Proactively manage claim files, negotiate settlements directly with claimants or attorneys, oversee defense counsel, and ensure effective litigation management
• Reporting: Prepare comprehensive reserve authority requests, reinsurance reports, serious loss reports, and coverage position letters
• Cross-team collaboration: Provide updates and collaborate with underwriting, compliance, and actuarial teams to maintain healthy products

Skills

Problem-solving

Communication

Negotiation

Organization

Claims knowledge

Education

JD or advanced degree

Bachelor's degree or higher

Job description

USLI is seeking a Claims Examiner to evaluate coverage, liability, and damages for complex claims. You will collaborate with internal teams and external stakeholders to investigate, negotiate, and resolve matters.

The role requires strong analytical and negotiation skills, attention to detail, and the ability to manage multiple priorities while maintaining accurate reserves and timely reporting. Hybrid remote option available and comprehensive benefits accompany a competitive salary.