Hybrid Inside Claims Examiner

Boutique Recruiting; Newark (NJ); On-site; USD 84,000 - 90,000; Full time

Benefits offered by this job

Hybrid schedule

Health insurance

Dental insurance

Life insurance

Disability insurance

401(k) match

Paid vacation

10 holidays

Personal days

Tuition reimbursement

Job summary

Boutique Recruiting is seeking a Hybrid Inside Claims Examiner in Newark, NJ. You will manage predominantly residential property claims from initial assignment through final settlement or denial, evaluating coverage, reviewing adjuster reports, and authorizing payments with a focus on accuracy and efficiency.

The role requires 4–6+ years in property claims, a Bachelor’s degree, and proficiency with Xactimate/Simsol, Word, and Excel.

Qualifications

• 4–6+ years of experience in property claims operations, incl. 2+ years with outside adjusters.
• Bachelor’s degree required.
• Strong residential property claims experience with ~40+ pending claims.
• Knowledge of building construction, damage assessment, cost estimating.
• Completion of AIC 35 Property Claim Adjusting and IIA coursework or equivalent training.
• Proficiency with Microsoft Word, Excel, Xactimate and Simsol.
• Strong communication, organization, and customer service skills.

Responsibilities

• Manage property claims from initial notice of loss through final settlement, payment or denial.
• Review policies, loss notices and documentation to verify coverage and determine handling.
• Evaluate adjuster reports, establish reserves and authorize payments within authority.
• Provide technical guidance to independent adjusters to ensure policy adherence.
• Review and approve proofs of loss and maintain file controls and diaries.
• Communicate with claimants, producers, adjusters, and defense counsel on status and questions.
• Support quality initiatives, subrogation and arbitration while guiding less experienced staff.

Skills

Property claims

Xactimate

Simsol

Microsoft Word

Microsoft Excel

Communication

Organization

Customer service

Outside adjuster experience

AIC 35 training

Education

Bachelor’s degree

Tools

Xactimate

Simsol

Job description

Position Title: Hybrid Inside Claims Examiner

Salary Range: $84,000–$90,000 / Year DOE

Join a stable, mission-driven insurance organization as an Inside Claims Examiner, managing predominantly residential property claims from initial assignment through final settlement or denial. You’ll evaluate coverage, review adjuster reports, establish reserves, authorize payments, and work directly with independent adjusters, policyholders, producers, and counsel to keep claims moving accurately and efficiently. This role is built for an experienced property claims professional who combines strong technical judgment with patience, organization and the ability to clearly guide people through the claims process, especially when circumstances are difficult or emotionally charged.

Responsibilities

• Manage property claims from initial notice of loss and assignment through final settlement, payment or denial
• Review policies, loss notices and supporting documentation to verify coverage and determine appropriate claim handling
• Evaluate independent adjuster reports, establish accurate reserves and authorize indemnity, expense and expert payments within defined authority
• Provide technical oversight and guidance to independent adjusters to ensure adherence to established claims policies and practices
• Review and approve proofs of loss and supporting documentation while maintaining accurate file controls and claim diaries
• Communicate clearly with claimants, producers, adjusters, and defense counsel regarding coverage, claim status, and technical questions
• Support quality initiatives, subrogation and arbitration while providing technical guidance to less experienced claims staff

Requirements

• 4–6+ years of experience in property claims operations, including at least 2 years of outside property adjusting experience
• Bachelor’s degree required
• Strong residential property claims experience with the ability to confidently manage approximately 40 or more pending claims
• Knowledge of building construction, property damage assessment, cost estimating practices, and applicable unfair claims practices requirements
• Completion of AIC 35 Property Claim Adjusting and IIA Introduction to Claims coursework or equivalent insurance carrier training
• Proficiency with Microsoft Word, Excel, computerized estimating tools, Xactimate and Simsol
• Strong communication, organization, and customer service skills with the ability to explain complex claims decisions clearly and professionally

Benefits

• Hybrid schedule with 3 remote days per week and in-office work on Tuesdays and Fridays
• Medical insurance, Dental insurance, Company-paid basic life insurance, short-term disability and long-term disability coverage
• 401(k) with a company match
• Paid vacation, 10 paid holidays, 2 personal days and flexible-hour benefits
• Educational assistance including reimbursement for approved tuition, exam fees and textbook costs