"Alerted.org

Claim Examiner

Date: Nov 25, 2025

Location:

Webster, MA, US

Company: MAPFRE

About the Role

As a **Claim Examiner** , you will provide technical leadership and oversight across all Claims Offices enterprise wide. You willprovide strategic oversight and direction to high-exposure, complex cases—including high-value claims, bad faith allegations, discrimination matters, appeals, and class action lawsuits—while granting settlement, reserve, and expense authority on cases exceeding regional office limits.

You will play a critical role in litigation monitoring, analyzing changes in law and regulation, and ensuring consistent, high-quality claim handling. This position also involves developing review processes, identifying improvement opportunities, and collaborating with cross-functional teams to influence underwriting decisions and product strategies.

Key Responsibilities

Customer Service

+ Provide guidance on technical and legal issues, coaching and mentoring regional offices to meet claim handling expectations.

+ Assist in resolving customer service concerns when needed.

+ Foster teamwork aligned with MAPFRE’s Vision, Mission, and Values.

+ Build strong relationships with agents, defense counsel, and vendors.

+ Recommend workflow improvements and assist in developing technical training materials.

Quality & Productivity

+ Maintain diary systems for monitored losses and conduct file reviews for compliance with quality standards.

+ Support severity, frequency, and profitability analysis; track incurred losses.

+ Monitor and manage high-risk suits, including bad faith and significant exposure cases.

+ Develop procedures to ensure quality outcomes and establish departmental goals.

Technical Knowledge

+ Grant settlement authority within assigned limits for claims exceeding regional discretion.

+ Report and update claims to reinsurers per treaty requirements.

+ Provide quarterly updates on monitored losses and oversee structured settlement programs.

+ Analyze court decisions and regulatory changes for impact on claims and underwriting.

+ Advise technical units on coverage issues.

Leadership

+ Lead claim roundtables and committees participate in company-sponsored initiatives.

+ Serve on committees such as Claims Discussion Meetings, Large Loss Committees, and Underwriting Product/State Strategy Committees.

+ Act as a role model for collaboration and technical excellence.

Miscellaneous

+ Flexible schedule to support multiple time zones.

+ Travel for training, reviews, and special projects.

+ Handle special assignments from senior claim management.

+ Adhere to company policies and departmental standards.

What We’re Looking For

+ Bachelor’s degree or equivalent professional experience.

+ Minimum 10+ years of multi-line property and casualty claims and litigation experience, including commercial and personal auto liability, general liability, property (1st and 3rd party), homeowner’s liability, no-fault, SIU, and subrogation.

+ At least 6 years of litigation experience required.

+ Strong multi-state claim investigation, negotiation, settlement, and litigation expertise.

+ Excellent oral and written communication skills.

+ Ability to build rapport across all organizational levels and with external partners.

+ Adjuster licenses may be required based on state regulations.

+ Experience with large lossfirst-party property coverages preferred.

**Travel:** Moderate, including out-of-state visits for training, reviews, mediations, arbitrations, and trials

Why Join Us?

+ Opportunity to influence enterprise-wide claims strategy and standards.

+ Work on high-impact cases and collaborate with senior leadership.

+ Hybrid work schedule

+ Be part of a company committed to excellence, innovation, and customer satisfaction.

**Pay Philosophy:** The typical starting salary range for this role is determined by several factors including skills, experience, education, certifications, and location. Some roles at MAPFRE are eligible for commission and/or bonus earnings, in addition to salary, calculated based upon factors set forth in the compensation plan for the role.

Salary Range $100,900 - $132,200

_Thank you for considering MAPFRE Insurance as part of your career journey._

_We're proud to be rated "A" (Excellent) by A.M. Best Company. We offer property and casualty insurance, working with over 3,000 independent agents and brokers in 11 states._

_If you require an accommodation for a disability so that you may participate in the selection process, you are encouraged to contact the MAPFRE Insurance Talent Acquisition team at_ [email protected]_ _._

_We are proud to be an equal opportunity employer._

**Nearest Major Market:** Worcester

**Job Segment:** Law, Liability, Compliance, Underwriter, Claims, Legal, Insurance