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Senior Claims Examiner
Location
Florida
Posted
83 days ago
Salary
0
Seniority
Senior
Job Description
Senior Claims Examiner
MSI
• Manage insurance claims for policyholders • Handle complex 1st Party Property Claims • Investigate and analyze claim information • Communicate with clients and colleagues • Set reserves per company philosophy • Mentor less experienced Claims Examiners • Engage experts for claims evaluation
Job Requirements
- Bachelor’s degree or equivalent work experience
- 10+ years of claims adjusting experience
- Experience in handling commercial and residential property claims
- Emphasis on Florida claims including Assignment of Benefits, Public Adjusters, and Attorneys
- Florida resident preferred
- Insurance designations preferred
- State adjuster licenses preferred
Benefits
- Best-In-Class customer service
- Professional development
- Remote work opportunities
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Role Description In this role, you will be responsible for: - Team Leadership - Supervise, coach, and evaluate claims verification specialists - Manage workload distribution to meet turnaround time (TAT) standards - Lead onboarding and ongoing training on claims procedures and compliance - Claims Oversight & Quality - Audit completed claims to identify errors and training opportunities - Serve as escalation point for complex or high-value claims - Enforce verification standards and internal controls to minimize fraud, waste, and abuse - Reporting & Process Improvement - Track KPIs including accuracy rates, TAT, denial rates, and productivity - Identify workflow inefficiencies and implement improvements - Report team performance and claim outcomes to senior management - Compliance & Collaboration - Ensure documentation accuracy and compliance with all regulatory requirements - Stay current on payer rule changes and industry best practices - Partner cross-functionally with billing, underwriting, compliance, and legal teams - Identify opportunities to improve systems, processes, or outcomes—not just following existing playbooks At TopDog Law, everyone is expected to think critically, communicate clearly, and take ownership of their work. The Claims Verification Supervisor oversees daily operations of the claims verification team, ensuring accurate and timely review of claims in accordance with company policies and regulatory requirements. This is a high-ownership role focused on team performance, quality control, and process improvement — measured by accuracy rates, turnaround times, and denial reduction. This role is critical to our success because it: - Directly impacts clients, revenue, case outcomes, and team efficiency - Supports speed, quality, and consistency as we scale - Helps protect and elevate the TopDog Law brand and client experience - Strengthens the foundation needed to grow responsibly and sustainably Within your first 6–12 months, success in this role looks like: - You consistently deliver on commitments with minimal oversight - You proactively identify issues and propose solutions - Your work raises the bar for quality, clarity, and follow-through - You are viewed as a reliable, trusted partner by teammates and leaders - You contribute positively to team energy, morale, and momentum Qualifications - 3–5 years of claims processing or verification experience - 1–2 years of supervisory or lead experience in a claims or operations environment - Strong understanding of claims adjudication, documentation standards, and regulatory compliance - Proficiency in claims management systems and Microsoft Office Suite - Analytical mindset with the ability to translate data into actionable decisions - Clear communicator; able to present findings and recommendations to stakeholders - Bachelor’s degree in a related field preferred; equivalent experience considered - Strong communication skills—written and verbal - Ability to think critically, prioritize effectively, and execute with speed Requirements - Experience in a fast-growing or high-volume environment (nice to have) - Comfort with ambiguity and evolving systems (nice to have) - Experience in legal, professional services, or client-centric organizations (nice to have) Benefits - Real growth: As the firm grows, so do opportunities for advancement and leadership - High standards, real support: Clear expectations, coaching, and accountability - Culture that matters: Trust, respect, speed, and integrity, without sacrificing humanity - Meaningful work: Helping people through some of the hardest moments of their lives
• Investigating and confirming the facts of loss for advanced automobile accidents • Determining coverage, liability, damages, and adjusting claims • Supporting claims in the state of Florida • Building technical expertise in a high-performing claims organization
• Investigate and confirm facts of loss for automobile accidents • Determine coverage, liability, damages, and negotiate claims • Support claims in the state of Florida
Senior Auto Claim Examiner
ChubbFounded in 1882, Chubb is a global provider of property, casualty, personal accident, health, homeowners, automobile, and life insurance, as well as reinsurance
Role Description The Sr. Auto Examiner (Commercial) is primarily responsible for handling Commercial Auto Claims, including property damage, property damage liability, rental management, and other applicable coverages. This role requires exceptional time management, attention to detail, outstanding communication skills, and a commitment to timely claim resolution. - Promptly analyze first reports and contact insureds/claimants within required hours, demonstrating strong time management and timeliness. - Effectively evaluate contract language and identify coverage issues with meticulous attention to detail. - Create and execute an action plan for accurate and timely investigation and loss analysis. - Maintain an active file diary to ensure claims progress toward timely resolution. - Establish accurate and timely reserves within required timeframes. - Recognize and refer appropriate files for recovery. - Adhere to all internal, statutory, and regulatory compliance requirements. - Identify potential fraudulent claims through careful review and analysis. - Manage the use, work product, and expenses of outside vendors efficiently. - Evaluate claim facts and negotiate settlements with professionalism and clarity. - Develop and maintain strong business relationships with internal and external customers through clear, timely communication. - Serve as a resource to less experienced Examiners. - Support workload surges and/or Catastrophe Operations as needed, including working overtime, nights, and/or weekends during designated CATs. Qualifications - Full knowledge of commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations. - Ability to work effectively both in-person and remotely. - Inquisitive and curious mindset for investigating, evaluating, analyzing, and interpreting information. - Ability to analyze and prioritize multiple competing priorities, including claim receipt, telephone calls, email, mail, text messages, and other sources of information. - Exceptional skills in: - Time management and the ability to multi-task efficiently. - Attention to detail in all aspects of claim handling. - Verbal and written communication, ensuring clarity and professionalism. - Customer service, investigation techniques, organization, negotiation, and reserving. - Innovative thinking and adaptability. Company Description Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.



