Claims Examiner - Liability | General and Product Liability | Jurisdiction: All states | Licensing: Home state and NY Required (Remote)
About The Position
The Claims Examiner analyzes complex or technically difficult general and product liability claims, including litigated claims, to determine benefits due. The role handles high-exposure claims involving litigation and rehabilitation, ensures claims are adjudicated in accordance with service expectations, industry best practices, and client requirements, identifies subrogation opportunities, and negotiates settlements. Claims are investigated and managed through action plans toward appropriate and timely resolution, with claim activity communicated to claimants and clients. The examiner also reports claims to excess carriers and responds to their requests for direction.
Requirements
- High school diploma or GED required.
- Five years of claims management experience, or an equivalent combination of education and experience, required.
- Licensing for all 50 states, New York, Iowa, and Florida is required, or must be obtained within six months of employment.
- Ability to think clearly and conceptually, exercise sound judgment and discretion, troubleshoot, solve problems, analyze information, handle work-related stress and multiple priorities, and meet deadlines.
- Ability to perform computer keyboarding; travel as required.
Nice To Haves
- Bachelor's degree from an accredited college or university.
- Professional certification applicable to the line of business.
Responsibilities
- Analyze and process claims through action plans, investigating and gathering information to assess claim exposure and achieve timely resolution.
- Negotiate claim settlements within designated authority.
- Communicate claim activity and processing with claimants and clients.
- Report claims to excess carriers and respond professionally and promptly to requests for direction.
- Identify subrogation opportunities.
Benefits
- Flexible work schedule.
- Referral incentive program.
- Career development and promotional growth opportunities.
- Medical, dental, and vision benefits.
- 401(k) and 401(k) matching.
- Paid time off.
- Disability and life insurance.
- Employee assistance program.
- Flexible spending or health savings account.
- Additional voluntary benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
