Claims Examiner

The Claims Examiner is responsible for investigating, evaluating, and resolving P&C claims in accordance with policy provisions, New York regulations, and company guidelines. This role requires sound judgment, strong communication skills, patience, and the ability to professionally manage difficult or high-pressure situations while maintaining a fair and customer-focused approach.

Key Responsibilities

• Investigate and evaluate Property and Casualty claims, including coverage analysis
• Manage claims from first notice of loss through resolution
• Communicate clearly and empathetically with policyholders, agents, attorneys, and vendors
• Resolve conflicts and disputes professionally while maintaining policy compliance
• Negotiate settlements within assigned authority, even in challenging or time-sensitive situations
• Review estimates, reports, medical records, and other supporting documentation
• Ensure compliance with New York State insurance regulations and internal guidelines
• Maintain accurate, timely, and well-documented claim files
• Identify potential fraud or subrogation opportunities

Qualifications

• 2+ years of P&C claims handling experience preferred
• Strong knowledge of property and/or casualty coverages
• Familiarity with New York insurance regulations
• Familiarity with URB forms preferred
• Demonstrated patience and the ability to handle emotionally charged conversations
• Strong conflict-resolution and negotiation skills
• Ability to manage a caseload effectively under pressure and deadlines
• Excellent written and verbal communication skills
• Strong organizational and time-management abilities
• Ability to work independently in a small-company environment

Licensing

• New York Adjuster License preferred or ability to obtain if required

What We Offer

Eastern Mutual is committed to offering competitive salaries and a robust benefits package that includes health insurance, a 401K retirement savings plan, and paid time off. The salary range for this position is set between $55k-$70k, depending on the candidate’s experience.

Interested candidates are invited to send their resume and cover letter to:

Attn: Claims Department

Eastern Mutual Ins. Co.

PO Box 40

Greenville, NY 12083

Or submit your application to: [email protected]

Pay: $55,000.00 - $75,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Flexible spending account
• Health insurance
• Paid time off

Ability to Commute:

• Greenville, NY 12083 (Preferred)

Work Location: In person