Claims Examiner

Mercury Insurance

. Evaluate, negotiate, and settle low to high complexity bodily injury claims .

Posted 10/28/2026full-timeRemote • Texas • United StatesMid-LevelSenior💰 $56,501 - $102,219 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in evaluating, negotiating, and settling complex bodily injury claims while ensuring regulatory compliance across multiple states. Proficient in conducting thorough investigations and collaborating with legal counsel and medical experts to assess claim value and manage workload effectively.

Highest-signal resume keywords

Claims EvaluationNegotiation SkillsRegulatory ComplianceInvestigative AnalysisCommunication Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Claims HandlingBodily Injury AssessmentLegal Risk EvaluationMedical Record AnalysisConflict ResolutionDetailed InvestigationsClaims Compliance KnowledgeAnalytical AssessmentTime ManagementProcess Improvement

Soft Skills

Attention to DetailOrganizational SkillsEmotional IntelligenceSelf-MotivationCollaboration

Tools & Technologies

MS OfficeClaims Related Software

Certifications & Qualifications

Adjuster’s License

Industry Keywords

Bodily Injury ClaimsState Laws and RegulationsMediationArbitrationLitigated CasesCustomer InquiriesWitness InterviewsClaim Value AssessmentLegal Counsel CoordinationMercury Claims Policies

About the role

Key responsibilities & impact

Evaluate, negotiate, and settle low to high complexity bodily injury claims
Prevent unnecessary exposure to the Company and Policyholders
Conduct complete investigations to determine liability, damages, injuries, and applicability of state laws and regulations
Negotiate, settle, and authorize payment for complex injury claims with legal counsel and unrepresented parties
Investigate and analyze medical records, law enforcement reports, and other extensive records
Conduct witness interviews to determine claim value and set or maintain reserves
Evaluate liability, venue, opposing counsel, legal risk, anticipated expenses, and other claim-value factors
Research and respond to customer inquiries and concerns throughout the life of a claim
Work with medical and technical experts and outside counsel to obtain reports and opinions
Coordinate settlement, mediation, and arbitration with attorneys for pre-litigation cases
Handle litigated cases
Potentially support legal counsel at depositions, mediations, arbitrations, and trials as Company Representative
Ensure regulatory compliance across multiple states

Requirements

What you’ll need

High School Diploma or GED
You may be required to obtain a Company sponsored Adjuster’s license to handle claims, to be secured upon hire
Prior experience investigating, evaluating, negotiating, and settling moderately to highly complex claims
Or equivalent combination of education and/or experience
Thorough knowledge and comprehension of Mercury claims handling policies and procedures
Analytical assessment of causation and exposure based on complex fact patterns and extensive bodily injuries and property damage
Excellent written and verbal communication skills
Critical attention to detail and strong organizational skills
Ability to plan and control workload time effectively
Ability to prioritize tasks and switch focus as needed
Sound judgment in dealing with customers, claimants, and legal counsel
Ability to assess risk and make qualified decisions
Conflict resolution and negotiation abilities
Ability to conduct detailed and complicated investigations
Ability to collaborate well with others
Ability to build rapport and demonstrate emotional intelligence
Self-motivation and accountability while working remotely
Demonstrated proficiency with MS Office products (Outlook, Word) and claims related software
Dedicated workspace free from distractions
Preferred: Bachelor’s Degree
Preferred: 3+ years related experience
Preferred: Knowledge of medical and legal terminology, and applicable laws
Preferred: Ability to improve processes through technology
Preferred: Knowledge of claims compliance across multiple states

Benefits

Comp & perks

Competitive compensation
Flexibility to work from anywhere in the United States for most positions
Paid time off (vacation time, sick time, 9 paid Company holidays, volunteer hours)
Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus)
Medical, dental, vision, life, and pet insurance
401 (k) retirement savings plan with company match
Engaging work environment
Promotional opportunities
Education assistance
Professional and personal development opportunities
Company recognition program
Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more
Reasonable accommodations for qualified individuals with disabilities