Job Title: Senior Claims Examiner
Location: Nassau County, NY
Company: National Insurance Brokerage

Position Summary:
The Senior Claims Examiner plays a key role in managing general liability claims for self-insured and high-touch clients. This individual exercises independent judgment and discretion in daily responsibilities, serving as a dedicated client advocate and strategic liaison between insureds and carriers. The position is essential to maintaining strong client relationships and driving claims toward timely and equitable resolution.

Essential Functions & Responsibilities:

• Serve as a consistent advocate and point of contact between clients and insurance carriers

• Manage all aspects of assigned claims from inception through resolution, including investigation, evaluation, and negotiation

• Review and assess bodily injury and property damage claims

• Conduct interviews with insureds, claimants, and witnesses to gather facts and document findings

• Analyze medical records and identify coverage issues

• Prepare detailed claims reviews for open files and present findings during client meetings

• Maintain and monitor active claims diaries to ensure timely updates and resolution

• Adjust reserves as appropriate and manage claim settlement strategies

• Review vendor invoices to ensure compliance with billing guidelines

• Communicate proactively with insureds, carriers, legal counsel, and other stakeholders throughout the claims lifecycle

• Support internal team members by providing guidance on claim submissions and applicable lines of business

Supervisory Responsibilities:

• No direct supervisory responsibilities

• Acts as a resource and mentor to Claims Administrators and junior staff regarding claim processes and best practices

Qualifications & Required Skills:

• Proven experience handling general liability claims for Commercial Lines Insurance

• Exceptional knowledge of claims handling practices, coverage evaluation, and resolution strategy

• Strong analytical, decision-making, and problem-solving skills

• Excellent verbal and written communication abilities

• Client-focused mindset with the ability to advocate and manage complex claim situations

• Strong organizational and time management skills

• Proficiency in Microsoft Outlook, Excel, and Word

• Ability to work independently while also collaborating effectively within a team

• Professional, goal-oriented, and solutions-driven

Preferred Experience:

• Prior experience working in a national insurance brokerage or with self-insured programs

• Experience in multi-jurisdictional claims and large loss management

• Familiarity with claims systems and analytics tools

Compensation:
Competitive salary commensurate with experience, plus benefits.

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