Senior Professional Liability Claims Examiner - Remote

Paycom - ATS; Irving (TX); Remote; USD 80,000 - 95,000; Full time

Job summary

Paycom - ATS is seeking an experienced Claims Examiner III to manage professional liability claims from inception to resolution. You will review policy information, determine coverage, and coordinate with clients, counsel, and investigators.

Remote work is supported, with a focus on accurate reserves and timely settlements. The role requires a Bachelor’s degree (preferred) or equivalent, 5+ years in claims, and an active NY Independent Adjuster license.

Qualifications

• Bachelor’s degree or related field preferred; 5+ years related experience, or equivalent.
• Active NY Independent Adjuster license is required.
• Strong written and verbal communication; proficient in Word and Excel.
• Experience handling professional liability claims and litigation support.

Responsibilities

• Review, process and conclude assigned claims including investigation and evaluation of professional liability claims.
• Review and interpret policies, coverage determinations.
• Oversee outside investigative services and coordinate with clients and counsel.
• Maintain an ongoing diary and case documentation.
• Assess exposure and establish reserves and settlement recommendations.
• Prepare loss reports detailing liability and damages.
• Coordinate subrogation and/or risk transfer recovery efforts when applicable.
• Document all communications and actions in the claim file.
• Provide outstanding service to the client.
• Assist Supervisors with tasks and special projects.

Skills

Technical knowledge

Analytical skills

Communication skills

Interaction with stakeholders

Independent claims management

Word & Excel

Education

High School Diploma or GED

Bachelor’s degree preferred

Tools

Active NY Independent Adjuster License

Job description

Paycom - ATS is seeking an experienced Claims Examiner III to manage professional liability claims from inception to resolution. You will review policy information, determine coverage, and coordinate with clients, counsel, and investigators.

Remote work is supported, with a focus on accurate reserves and timely settlements. The role requires a Bachelor’s degree (preferred) or equivalent, 5+ years in claims, and an active NY Independent Adjuster license.