The primary responsibility of the Senior Claims Examiner position is the direct management of assigned complex claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file. Senior Claims Examiner will also conduct presentations and work in cross functional teams to advance the line of business.
What you'll do:
- 30% - Provides direction, guidance and resolution throughout the life of the claim: contract and coverage analysis, investigation, evaluation of liability and damages, reserving and resolution.
- 20% - Directs defense counsel with regard to settlement values, defense tactics and strategies per department guidelines. Participate in selection of expert witnesses when appropriate. Maintain communication with supervisor and counsel and keep all internal and external stakeholders apprised of developments.
- 25% - Ensures proper file documentation of assigned files by complying with company and state requirements. Responsible for preparing reports to management by collecting, analyzing, and summarizing claim information.
- 10% - Attends trials, settlement conferences, mediations, and insured meetings. Participate in negotiations when appropriate.
- 5% - Review and approval of reasonable legal expenses and fees associated with the claim file and negotiate adjustment of charges when appropriate and within guidelines.
- 5% - Keeps apprised of changes in the law and court procedures affecting claims in jurisdictions supervised.
- 3% - Prepare and deliver presentations to internal stakeholders, brokers, and/or attendees at conferences, seminars, or other position or company-related functions and meetings.
- 2% - Work with department members, management, and other work groups on policy form research, development and revisions or other regulatory or product development work.Perform special projects as directed by management.
What we're looking for:
- Bachelor's degree required, advanced education or certification (JD, CPCU, ARM, AIC or similar) preferred.
- Minimum five years’ experience in the handling complex product liability cases or at least seven years’ experience in the legal field, with a high degree of specialized and technical competence.
- Proven superior written and verbal communication skills, strong interpersonal, and relationship management expertise.
- Superior time management and organizational skills.
- Excellent interpersonal communications and negotiation skills.
- Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues.
- Strong analytical skills.
- Ability to travel up to 25% and willingness and ability to be available beyond normal business hours.
- Valid driver’s license required.
#LI-Remote
We are committed to providing a dynamic and inclusive environment where everyone can do their best work and grow personally and professionally.
For that reason, we partner with The Predictive Index (PI) – an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one’s work style.
The position you applied to requires completion of two assessments prior to being scheduled to interview with a hiring manager. A Talent Acquisition team member may review your application and contact you before the assessment is complete. These assessments are Behavioral and Cognitive, and each assessment takes less than 12 minutes to complete.
After submitting your application, you will receive two emails from The Predictive Index inviting you to complete each of these assessments (please check your SPAM or Junk email folder if you do not see these emails in your inbox).
Note: If you already completed the assessments as part of an application with us, we may have results on file and you may not receive the emails inviting you to take the assessments. If you are moving forward in the process, a Talent Acquisition team member will confirm if we already have your assessment results.
Position Salary Range$100,739.00 - $166,236.00The salary range displayed represents the entirety of the pay grade for this position. Most candidates will start in the bottom half of the range. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have, your location and comparison to other team members already in this role. Build your career with us and enjoy access to a best-in-class benefits program.Skills Required
- Bachelor's degree
- Advanced education or certification (JD, CPCU, ARM, AIC or similar)
- Minimum five years handling complex product liability cases or seven years in the legal field
- Proven superior written and verbal communication skills
- Strong interpersonal and relationship management expertise
- Superior time management and organizational skills
- Excellent negotiation skills
- Ability to make prompt, intelligent decisions based on detailed analysis
- Strong analytical skills
- Ability to travel up to 25% and be available beyond normal business hours
- Valid driver's license
- Completion of Predictive Index behavioral and cognitive assessments prior to interview
ProAssurance Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about ProAssurance and has not been reviewed or approved by ProAssurance.
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Healthcare Strength — Health coverage is effective from the first day with multiple medical options, plus dental and vision, alongside employer-paid life and disability. HSA contributions, FSAs, wellness offerings, and 24/7 EAP broaden the support.
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Leave & Time Off Breadth — Paid time off is characterized as generous, complemented by company-designated holidays, personal holidays, volunteer days, and paid parental leave. Flexible work location options for many roles further enhance balance.
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Retirement Support — A 401(k) plan with a best-in-class company match is highlighted as part of the total rewards. It is emphasized as a strength within the overall package.
ProAssurance Insights
What We Do
Providing a Spectrum of Healthcare Liability and Other Insurance Solutions … and More ProAssurance’s group of insurance companies specializes in providing the full spectrum of healthcare liability, workers’ compensation, and legal professional liability insurance options. ProAssurance professionals possess deep knowledge of underwriting, risk management, and claims handling, all while representing a unique pledge to treat clients and all involved fairly. Healthcare liability solutions, from the simple to the most sophisticated, are available for every niche in healthcare. So whether you represent a health system, hospital, physicians, clinic, ancillary care providers and facilities, or medical technology and life sciences, we can help. ProAssurance Group holds a financial strength rating of A (Excellent) from A.M. Best; that group is made of up ProAssurance Casualty Company, ProAssurance Indemnity Company, Inc., ProAssurance Specialty Insurance Company, and ProAssurance American Mutual. Medmarc Casualty Insurance Company, PICA Group, and Eastern Alliance Insurance Company also carry the A (Excellent) A.M. Best strength rating. So whether you are a talented individual seeking a dynamic employer or an organization or professional seeking to insure risk, ProAssurance provides you with a strong option. We are committed to collaboration and making it easier for you to obtain unique solutions and the right fit. Choose to be treated fairly today for sophisticated support and greater clarity








