Senior Claims Examiner, Programs - Property and Casualty

Berkshire Hathaway Specialty Insuance-posted 2 months ago
$70,000 - $90,000/Yr
Full-time • Mid Level
New York, NY
101-250 employees
Insurance Carriers and Related Activities
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Berkshire Hathaway Specialty Insurance (BHSI) has an exciting opportunity for an experienced Multi-Line Senior Claims Examiner to join our dynamic Claims team. The examiner will be responsible for handling of specialty lines claims and management oversight of TPA claims as well as some handling of individual claim files, collaborating with underwriters throughout the claims process and marketing BHSI Claim Service to customers. We are seeking candidates with a high level of technical skill, as well as excellent communication and interpersonal skills. The position will be based in either our New York, Boston or Atlanta office.

  • Responsible for the oversight, managing and adjusting of primary and TPA claims to include; commercial auto, general casualty, errors & omission, accident & health, homeowner and commercial property claims.
  • Ensure high level of customer service and technical claim file quality.
  • Duties include proactive handling of claims from first notice of loss through ultimate resolution, working and advising internal partners on claims, developing a plan of action for ultimate resolution, obtaining budgets and meeting with clients and brokers.
  • Perform audits of TPA claims.
  • Process monthly funding for TPA accounts.
  • Provides outstanding customer service and works well with the insured, broker and TPA in the handling and adjudication of claims.
  • Analyze and draft coverage letters as appropriate and communicates coverage positions effectively.
  • Conducts, coordinates, and proactively directs investigation, defense and settlement of claims.
  • Directs and closely monitors assignments to experts and defense counsel.
  • Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company.
  • Drafts reports, sets reserves within authority or make claim recommendations concerning reserve changes.
  • Travels to audits, conferences, mediations, and trials as necessary.
  • 5+ years of multi-line claim handling experience or matching equivalency; and be able to demonstrate technical competence in the handling of specialized program claims.
  • College degree preferred.
  • Ability to work independently and assimilate learning materials on many different subjects from various sources.
  • Excellent interpersonal communications and negotiation skills.
  • Ability to work in a team environment.
  • Should have technical competence in all aspects of multi-line claims with particular emphasis on customer service.
  • Experience in handling and adjusting claims in all 50 states and possess required licenses.
  • Comprehensive Health, Dental and Vision benefits
  • Disability Insurance (both short-term and long-term)
  • Life Insurance (for you and your family)
  • Accidental Death & Dismemberment Insurance (for you and your family)
  • Flexible Spending Accounts
  • Health Reimbursement Account
  • Employee Assistance Program
  • Retirement Savings 401(k) Plan with Company Match
  • Generous holiday and Paid Time Off
  • Tuition Reimbursement
  • Paid Parental Leave
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