Senior Claims Examiner

Berkley•Scottsdale, AZ

8h•Remote

About The Position

Nautilus Insurance is seeking a Senior Claims Examiner to join their team. This role can be located in our Scottsdale, AZ office, or remotely for a highly qualified candidate. The Senior Claims Examiner’s primary job function includes efficiently and effectively handling intermediate-level, commercial third-party general liability losses in a “paperless” environment. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.

Requirements

Must have at least seven (7) years of insurance experience.
Must have intermediate knowledge of computer programs in a Windows environment, including Word, Excel and E-mail.
High school diploma or general education degree (GED); some college preferred.
Certificates/licenses as required by states.

Nice To Haves

Excess and Surplus Lines experience preferred.
CPCU, AIC, AEI or completion of other insurance-related classes is preferred.

Responsibilities

Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
Establishes appropriate initial loss and expense reserves and continue to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
Proactively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
Consistently demonstrates coverage analysis, investigation, evaluation and negotiation skills at an intermediate level.
Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel.
Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.
Composes and transmits Large Loss Reports and other detailed reporting documents as appropriate in a regular and timely basis.
Manages and monitors file caseload through the use of various resources.
Obtains all required state adjuster licenses and maintains them as required via compliance with mandatory continuing education requirements.
Serves as a technical resource within the Department through mentoring and knowledge-sharing, whether one-on-one, in small groups, or presentations to larger groups.
Meets with intern personnel and others as needed to provide job function overview and/or specific subject-matter training.
Occasionally participates in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
Initiates appropriate communication with members of management and other Departments.
Attends internal and external seminars and other training events and provides feedback to peers and/or members of management.
Other duties may be assigned.

Benefits

Paid Parental Leave!
At Nautilus, we offer Childbirth Recovery Leave as well as Primary Caregiver Leave, for up to a maximum of 12 weeks of paid leave.
Nautilus offers Medical, Dental, and Vision coverage options, along with Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) choices
We help our employees feel secure by providing a 401(k) program, profit sharing, stock purchase plan, life insurance, and travel accident insurance options.
We provide every employee one paid day off per year to volunteer at a local charity. That’s serving with a smile!
We take risk management excellence and your professional growth seriously by offering Tuition Assistance and Industry-Related Education and Exam programs.
Can you hear us now? Employees are eligible for special cell phone service discounts with Verizon and AT&T.
We’ve got a plum position for you! We participate in the Plum Benefits program offering employees cost-free access to thousands of exclusive travel and entertainment discounts.
Flexible work arrangements
On site newly renovated fitness center - free to use for employees.
Yoga and other classes available for a nominal fee.