Claim Examiner

IFG Companies•Chapel Hill, NC

3d•$88,000 - $110,000•Hybrid

About The Position

The primary role of the Claim Examiner ("CE") is to investigate, evaluate, negotiate and settle injury/damage claims in a fair and timely manner across multiple jurisdictions while applying policy coverage considerations and applicable laws and regulations. The CE will handle potentially difficult and adversarial situations professionally, maintain accurate and supporting claim files and participate in quality reviews, as required. This role will keep Claims Management apprised of the status of difficult cases and be consultative with respect to their resolution, when appropriate, and within necessary timeliness and guidelines.

Requirements

Excellent written and oral communication skills.
Exhibit negotiation, critical thinking and problem-solving capabilities.
Outstanding customer service, attention to detail and multi-tasking skills.
Strong computer skills, including the ability to work effectively in the claims management system and strong knowledge of Microsoft applications (e.g., Outlook, Word, Excel).
Ability to exercise independent judgement with moderate supervision in handling claims within reserve and settlement authority.
A bachelor's degree from an accredited U.S. college/university, with a major or coursework in insurance, economics, or related fields.
At least two (2) years of property/casualty claims handling experience as a full-time exempt employee, preferably with a U.S. commercial insurer.
A valid adjuster license in designated home state (or be able and willing to obtain one within sixty (60) days after hire) and the ability to obtain additional non-residential adjuster licenses.

Nice To Haves

At least three (3) years of commercial general liability policy and/or garage policy experience, preferably with a U.S. commercial insurer.

Responsibilities

Prompt reviewing of new losses and determining initial plans of action.
Analyzing coverage as it relates to the facts and allegations of claims and preparing Reservation of Rights and Declination of Coverage letters, as applicable.
Initiating contact with policyholder and claimant(s) to confirm notice of loss description and determine the scope of the investigation, as appropriate.
When appropriate, assigning and instructing independent adjusting firms to conduct needed investigative tasks and managing and directing activity of independent adjusting firms in any continuous investigation of claims.
Reporting losses timely to management and updating as necessary.
Evaluating claims as investigations develop and establishing and adjusting reserves, as warranted.
Reviewing expense bills for appropriateness, accuracy and adherence to IFG Companies’ billing guidelines and process payments.
Recognizing, notifying and pursuing culpable parties and seeking contributions from such parties.
Identifying and ensuring subrogation efforts are undertaken against responsible parties.
Negotiating claims to settlement.
Other duties, as requested.