Claims Examiner jobs in United States
Explore 2 matching jobs.
Liability Claims Examiner – General Liability, Bodily Injury, Property Damage
Sedgwick
Posted: 10/20/2026Claims Recovery Examiner
Health Care Service Corporation
Posted: 10/14/2026Claims Recovery Examiner
All Care To You
Posted: 10/7/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in analyzing and processing liability claims, with a strong focus on negotiation and communication with claimants and clients. Possesses knowledge of nationwide jurisdictions, particularly California, Florida, and New York, ensuring compliance with industry best practices and service expectations.
Highest-signal resume keywords
Claims Management ExperienceNegotiation SkillsLiability Claims AnalysisNationwide Jurisdiction KnowledgeProfessional Certification
About the role
Key responsibilities & impact- Analyze liability claims for a dedicated client with capped caseloads to determine benefits due
- Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
- Analyze and process claims through action plans to timely resolution
- Investigate and gather information to determine claim exposure
- Negotiate settlement of claims within designated authority
- Communicate claim activity and processing with claimants and clients
- Report claims to the excess carrier and respond to requests for directions
- Support nationwide jurisdictions with a strong focus on CA, FL, and NY
Requirements
What you’ll need- 3 years of claims management experience or equivalent combination of education and experience required
- High School Diploma or GED required
- Professional certification as applicable to line of business preferred
- Nationwide jurisdiction knowledge, specifically CA, FL & NY
- License required
- Ability to analyze and process liability claims
- Ability to investigate and gather information to determine claim exposure
- Ability to negotiate claim settlements within designated authority
- Ability to communicate claim activity and processing with claimants and clients
- Ability to report claims to the excess carrier and respond to requests for directions
- Clear and conceptual thinking ability
- Excellent judgment, troubleshooting, problem solving, analysis, and discretion
- Ability to handle work-related stress and multiple priorities simultaneously
- Ability to meet deadlines
- Computer keyboarding
- Hearing, vision and talking
Benefits
Comp & perks- Flexible work schedule
- Referral incentive program
- Opportunity to work in an remote environment
- Career development and promotional growth opportunities
- Medical, dental, vision, 401K and matching
- PTO
- Disability and life insurance
- Employee assistance
- Flexible spending or health savings account
- Other additional voluntary benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisClaims ProcessingSettlement NegotiationInformation GatheringDeadline Management
Soft Skills
Clear ThinkingExcellent JudgmentProblem SolvingDiscretionStress Management
Tools & Technologies
Computer Keyboarding
Certifications & Qualifications
Professional Certification
Industry Keywords
Liability ClaimsExcess Carrier ReportingClient Service RequirementsAdjudicationCalifornia JurisdictionFlorida JurisdictionNew York Jurisdiction
