Senior Claims Examiner – EPLI Emphasis

Nonprofits Insurance Alliance (NIA)

Senior Claims Examiner managing complex claims for nonprofit organizations. Investigating, evaluating and resolving insurance claims with high loss potential and complexity.

Posted 5/7/2026full-timeSanta Cruz • California • 🇺🇸 United StatesSenior💰 $85,000 - $160,000 per yearWebsite

About the role

Key responsibilities & impact

Determines coverage(s) applicable to loss
Investigates, manages and resolves claims in compliance with company policies
Sets and maintains adequate claim reserves
Conducts investigation and assigns fieldwork
Determines liability
Evaluates and pays claims within authority
Prepares and presents claim status reports
Recommends payment and evaluates claims

Requirements

What you’ll need

10+ years carrier experience
Experience working remotely from a home office
Heavy employment practices liability (EPLI) experience a plus
Ability to obtain adjuster licenses in various states
Thorough knowledge of current tort law
Good written and oral communication skills
Organized and possess strong follow-up skills
Proven critical thinking skills

Benefits

Comp & perks

Health insurance
Professional development
Paid time off
Flexible work arrangements

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

claims managementclaims investigationclaim reserves managementliability determinationclaims evaluationclaims payment processingreport preparationfieldwork assignmenttort law knowledge

Soft Skills

written communicationoral communicationorganizational skillsfollow-up skillscritical thinking

Certifications

adjuster licenses