Claims Examiner

Proctor Financial, Inc. • Daytona Beach, FL

1d

About The Position

The Claims Examiner reviews property claims to ensure compliance with internal and statutory requirements for timely and accurate review, best practices, documentation, adjustment, and indemnity approval. For liability claims, the role coordinates with the carrier and assigned adjusting firms.

The examiner reviews claim documents, estimates, and policy forms to determine whether and how coverage applies; authorizes payments within the scope of authority; works to resolve claims cost-effectively and ensure timely disbursements; refers claims to carriers when needed; and writes coverage letters explaining coverage positions. The role also interacts professionally with insurance carriers, internal and external customers, and departmental staff.

This position requires strong planning, communication, problem-solving, quality-control, adaptability, confidentiality, and safety practices. The listed physical requirements include extended daily use of a keyboard, mouse, telephone, and computer monitor, as well as sitting at a desk. The work is described as sedentary and not substantially exposed to adverse environmental conditions.

Requirements

• High school diploma or GED.
• 2–4 years of experience in the field or property insurance/adjusting experience.
• Active adjuster license(s).
• Proficiency with MS Office, specifically Word, Excel, and Outlook.
• Estimating software experience.
• Strong customer service skills and attention to detail.
• Excellent written and verbal communication skills.
• Ability to maintain an acceptable volume of work production.
• Ability to excel in a team environment, both internally and externally.
• Exceptional telephone demeanor.
• Ability to maintain a high level of confidentiality.

Nice To Haves

• Associate’s or bachelor’s degree in a business- or finance-related discipline.
• Inside adjuster experience or background.
• Adjuster license in the home state.

Responsibilities

• Review documents, estimates, and policy forms to determine if and how coverage applies to submitted claims.
• Authorize payments within the scope of authority, resolve claims cost-effectively, and ensure timely issuance of disbursements.
• Refer claims to carriers as needed.
• Write coverage letters detailing coverage positions.
• For liability claims, coordinate with the carrier and assigned adjusting firms.
• Interact professionally with insurance carriers, internal and external customers, and departmental staff.
• Prioritize and plan work activities and use time efficiently.
• Maintain confidentiality and produce accurate, quality work.

Benefits

• Medical/Rx, dental, vision, life, and disability insurance.
• Employee stock purchase plan (ESPP).
• 401(k).
• Student loan assistance.
• Tuition reimbursement.
• Free mental health and enhanced advocacy services.
• Paid time off and holidays.
• Preferred partner discounts.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED