Claims Examiner

About the role

The Claims Examiner is responsible for investigating, evaluating, and resolving P&C claims in accordance with policy provisions, New York regulations, and company guidelines.

Tasks

• Investigate and evaluate Property and Casualty claims, including coverage analysis
• Manage claims from first notice of loss through resolution
• Communicate clearly and empathetically with policyholders, agents, attorneys, and vendors
• Resolve conflicts and disputes professionally while maintaining policy compliance
• Negotiate settlements within assigned authority, even in challenging or time-sensitive situations
• Review estimates, reports, medical records, and other supporting documentation
• Ensure compliance with New York State insurance regulations and internal guidelines
• Maintain accurate, timely, and well-documented claim files
• Identify potential fraud or subrogation opportunities

Requirements

• 2+ years of P&C claims handling experience preferred
• Strong knowledge of property and/or casualty coverages
• Familiarity with New York insurance regulations
• Familiarity with URB forms preferred
• Demonstrated patience and the ability to handle emotionally charged conversations
• Strong conflict-resolution and negotiation skills
• Ability to manage a caseload effectively under pressure and deadlines
• Excellent written and verbal communication skills
• Strong organizational and time-management abilities
• Ability to work independently in a small-company environment
• New York Adjuster License preferred or ability to obtain if required

Benefits

• health insurance
• a 401K