Eastern Mutual is hiring for the following position:
Claims Examiner
Position Summary
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. This is a full-time, on-site position based in Greenville, NY 12083.
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: claims@easternmutual.com