FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Claims Examiner, Liability
The Baldwin Group. Handle third-party bodily injury and property damage claims involving low to moderate complexity from initial assignment through resolution, including negotiating settlements .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing third-party bodily injury and property damage claims, including negotiation, investigation, and settlement evaluation. Proficient in maintaining compliance with state regulations and managing relationships with stakeholders while mentoring junior claims examiners.
Highest-signal resume keywords
Casualty Claims Adjusting ExperienceState Adjuster LicenseNegotiation SkillsAnalytical SkillsMicrosoft Office Proficiency
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 InvestigationCoverage DeterminationSettlement EvaluationFile ManagementDrafting ReportsRisk IdentificationSubrogation OpportunitiesClaims Inventory ManagementTime ManagementOrganizational Skills
Soft Skills
Clear CommunicationProfessional WritingMentoringRelationship DevelopmentIndependent Work
Tools & Technologies
Microsoft OfficeMicrosoft TeamsClaims Management Systems
Certifications & Qualifications
State Adjuster LicenseInsurance Designations
Industry Keywords
Bodily Injury ClaimsProperty Damage ClaimsUnfair Claims PracticesFraud IndicatorsCoverage Disclaimers
About the role
Key responsibilities & impact- Handle third-party bodily injury and property damage claims involving low to moderate complexity from initial assignment through resolution, including negotiating settlements
- Evaluate insurance policies and make coverage determinations
- Draft Reservation of Rights letters and coverage disclaimers
- Contact policyholders, claimants, and other parties to gather information and conduct investigations
- Investigate claims to determine validity and potential liability
- Evaluate bodily injury and property damage, determine exposures, and set appropriate reserves
- Manage claim loads efficiently and independently
- Maintain timely file reserves and reevaluate pending reserves throughout the claim lifecycle
- Manage defense counsel, including claim strategy, exposure evaluation, invoice review, mediations, and settlement conferences
- Engage and monitor experts and vendors while controlling expenses
- Draft large-loss and leadership reports
- Evaluate, negotiate, and determine settlement values
- Communicate coverage decisions, information needs, and settlement amounts to interested parties
- Maintain an organized diary system and complete assigned claims inventory
- Acquire and maintain multiple state adjuster licenses and continuing education requirements
- Develop relationships with internal and external stakeholders
- Identify questionable risks, red flags, and fraud indicators and alert the Special Investigation Unit
- Identify subrogation opportunities and protect recovery interests
- Mentor less experienced Claims Examiners
- Maintain well-drafted claim file notes and documentation
- Assist with special projects
Requirements
What you’ll need- Bachelor’s degree or equivalent work experience
- 5+ years of casualty claims adjusting experience
- First-Party Property experience is a plus
- Insurance designations preferred
- Must have a State Adjuster License(s); California, Florida, and Texas licenses are desirable
- Willingness to expand licenses as needed
- Ability to communicate clearly and professionally over the phone and through written correspondence
- Strong organizational and time management skills
- Strong writing skills
- Excellent analytical, investigative, and negotiation skills
- Proficiency with Microsoft Office, Teams, Word, Excel, and other computer systems and technologies
- Ability to work with little to minimal supervision in a fast-paced environment
- Ability to manage a caseload from inception to resolution
- Ability to adhere to state/local regulations, including NJ/PA Unfair Claims Practices and Guidelines
Benefits
Comp & perks- Superior customer service-focused work environment
- Remote work arrangement
- Continuing education requirements/maintenance for state adjuster licenses
- Professional development through mentoring less experienced Claims Examiners