Sr Claim Examiner- WC

Crawford • Dedham, MA

10h • Remote

About The Position

🔥 We’re Hiring: Sr. Claim Examiner – WC (Remote) 🔥 Ready to take on high‑stakes claims and make a real impact? We’re seeking an experienced Claims Adjuster who excels at handling advanced, large‑loss, and complex cases—with the independence to make sound decisions and the expertise to deliver fair, timely outcomes. What You’ll Do ⚖️ Review coverage, determine liability, and drive fair resolutions 📝 Secure critical information and arrange property damage appraisals 📈 Set reserves using sharp judgment and analytical expertise 🤝 Partner with supervisors and defense attorneys to prepare cases for litigation 🌟 Mentor and train new team members If you excel in fast‑paced environments and love solving complex problems, this role is for you. 📌 Take the next step—apply today and join a team that values expertise, integrity, and innovation!

Requirements

• Bachelor's degree or equivalent experience required.
• Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
• Ability to work independently while assimilating various technical subjects..
• Strong written and oral communication, negotiation and presentation skills.
• Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
• Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
• Workers Compensation (WC) Adjuster License required according to jurisdictional requirements

Nice To Haves

• Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU).

Responsibilities

• Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
• Manages all aspects of investigative activity on complex claims.
• Directs the discovery and litigation strategy with legal counsel.
• Analyzes claims activity and prepares reports for clients/carriers and management.
• Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
• Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
• Develops subrogation and third party recovery potential and follows reclaim procedures.
• Analyzes claims activities and prepares reports for clients, carriers and/or management.
• Participates in claim reviews.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level