Claims Examiner (General Liability)

HAI Group•Cheshire, CT

9h•$72,000 - $82,000•Onsite

About The Position

The Claims Examiner is responsible for liability claims in the areas of: investigation, evaluation, reserving, negotiation and resolution of the companies’ claims in multiple jurisdictions. The position is required to follow established claims management standards and exercise solid judgment when solving business problems; using critical thinking and decision-making skills and judgment within their assigned authority levels. The Claims Examiner continually explores ways to apply claim’s best practices to business challenges.

Requirements

High School Diploma
3+ years of progressive liability claims handling experience
All lines property/casualty adjuster’s license
Ability to analyze and interpret coverage at a level commensurate with complexity of assigned claims
Skilled in evaluating coverage issues and preparing clear, concise, and legally defensible coverage correspondence that accurately communicates claim decisions and policy provisions.
Prepare and communicate written status reports, for policyholders, management and business partners, including treaty and facultative reinsurers, agents and brokers
Understands current relevant case law and statutory law in multiple jurisdictions
Ability to implement compliance processes and procedures to ensure consistent, efficient and effective compliance with all federal, state, local and filed requirements
Review invoices, estimates, and other documents to ensure accuracy and legitimacy prior to payment
Knowledge of insurance operations
Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
Must be able to be on-site for two weeks for training upon hire in our Cheshire, CT office

Nice To Haves

Bachelor’s degree in Business Management, Insurance, or related field, preferred; or equivalent work experience
Experience with the following claims: public officials’ errors and omissions, employment practices, law enforcement, mold, terrorism, lead based paint, employee benefit, and auto, preferred
Experience with litigated claims, preferred
AIC designation
Auto claims handling experience
Knows the Public and Affordable Housing business

Responsibilities

Timely and effectively investigate and evaluate claims while managing outside adjusters and legal counsel
Clearly and succinctly document files and prepare reports in timely manner
Directs settlement activity using investigative and problem-solving skills in direct negotiations
Handle all assigned cases efficiently and cost-effectively through conclusion
Analyze and recommend appropriate reserves; periodically reviewing and adjusting these reserves based on the assessment of probable liability, financial responsibility and exposure
Thoroughly review, analyze and interpret coverage in accordance with applicable policies
Create and manage positive working relationships with internal and external business partners

Benefits

Bonus program eligibility
Annual merit increase program
Outstanding 401(k) plan with match and additional non-elective company contributions
Flexible work schedules
Generous paid time off including paid volunteer days and holidays
Medical, vision and dental Insurance
Company paid life, AD&D, short-term disability, and long-term disability coverage
HSA, and Health and Dependent Care FSA options
On-Site wellness: Full gym and locker rooms, private wellness room (featuring a massage chair, lounge area, vibration plate, and a refrigerator, with accommodations for use as a private lactation space), wellness initiatives, outdoor basketball and tennis/pickleball courts, walking trail, picnic pavilion area
Tuition reimbursement and student loan repayment program
Professional development