Claims Examiner jobs in United States

Explore 2 matching jobs.

Canopius Group

Senior Claims Examiner

Canopius Group

Posted: 10/21/2026
Health Care Service Corporation

Claims Recovery Examiner

Health Care Service Corporation

Posted: 10/14/2026
All Care To You

Claims Recovery Examiner

All Care To You

Posted: 10/7/2026
Canopius Group

Senior Claims Examiner

Canopius Group
Posted 10/21/2026full-timeUnited StatesSenior💰 $150,000 - $165,500 per yearWebsite
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Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates thorough technical knowledge of cyber policies and procedures, with strong analytical skills and attention to detail. Capable of effectively communicating with adjusters, co-workers, and clients while maintaining a customer service-oriented approach.

Highest-signal resume keywords
Bachelor's DegreeFive Years Of Progressive Technical Claim ExperienceThorough Technical Knowledge Of Cyber PoliciesStrong Analytical SkillsValid Adjusters' License

About the role

Key responsibilities & impact
  • Adjust primary and excess cyber claims within assigned authority and according to Canopius claims philosophy
  • Review and approve delegated claims exceeding TPA authority
  • Conduct coverage analysis
  • Review and approve reservation of rights and coverage denial letters
  • Review claims and ensure appropriate reserve levels and timely changes
  • Refer claims exceeding authority to a supervisor
  • Notify underwriters and reinsurers about large or contentious claims
  • Review and approve TPA funding requests within authority
  • Participate in claim file audits to monitor TPA performance
  • Prepare reports for underwriting, agents, insureds or state agencies
  • Work with underwriting to provide information on claims, coverage and agents
  • Perform occasional travel and other assigned duties

Requirements

What you’ll need
  • Bachelor’s Degree and five or more years of progressive technical claim experience is required
  • Detail-oriented, adaptable and strategic in decision-making
  • Thorough technical knowledge of cyber policies and procedures is required
  • Thorough functional knowledge of Microsoft Office tools, including Word and Excel
  • Willingness to learn and handle other lines of business based on workload and need
  • Self-starter with the desire to work in a collaborative environment and provide insight and feedback to other departments
  • Ability to communicate effectively with adjusters, co-workers and clients
  • Strong analytical skills
  • Strong attention to detail and focused on the delivery of high-quality work
  • Highly motivated, enthusiastic and structured working style
  • Customer service and relationship-oriented
  • Maintain valid adjusters’ license(s) in states assigned or an ability to obtain same

Benefits

Comp & perks
  • Hybrid working
  • Competitive base salary
  • Non-contributory 401k
  • Discretionary bonus
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Other benefits supporting financial, physical, social and psychological health
  • Equal employment opportunities
  • Reasonable adjustments throughout the recruitment process and during employment

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Claims AdjustmentCoverage AnalysisClaims ReviewReserve Level ManagementTPA Funding RequestsClaims Reporting
Soft Skills
Detail-OrientedAdaptableStrategic Decision-MakingCollaborativeCustomer Service Oriented
Tools & Technologies
Microsoft OfficeWordExcel
Certifications & Qualifications
Adjusters' License
Industry Keywords
Cyber ClaimsClaims PhilosophyCoverage DenialTPA PerformanceUnderwriting