Claims Examiner

Proctor Loan Protector • Troy, MI

1d

About The Position

The Claims Examiner reviews property claims to ensure timely and accurate handling in accordance with internal and statutory compliance requirements, including documentation, adjustment, best practices, and indemnity approval. For liability claims, the role coordinates with the insurance carrier and assigned adjusting firms. The examiner reviews claim documents, estimates, and policy forms to determine whether and how coverage applies, authorizes payments within their scope of authority, refers claims to carriers when needed, and writes coverage letters explaining coverage positions. The role also involves professional interaction with carriers, customers, and departmental staff.

Requirements

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

Nice To Haves

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

Responsibilities

• Review claim documents, estimates, and policy forms and determine whether 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.
• Plan and prioritize work, use time efficiently, and maintain the accuracy and quality of work.
• Maintain confidentiality and adapt to competing demands and workplace changes.

Benefits

• Medical and prescription drug coverage.
• Dental insurance.
• Vision insurance.
• Life insurance.
• Disability insurance.
• Employee stock purchase plan (ESPP).
• 401(k).
• Student loan assistance.
• Tuition reimbursement.
• Free mental health and enhanced advocacy services.
• Paid time off.
• Holidays.
• Preferred partner discounts.

What This Job Offers

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