Claim Examiner Jobs

About The Position

Requirements

• 0–2 years of casualty claim handling or legal experience.
• Four-year college degree.
• Ability to handle a demanding claims caseload and provide outstanding customer service.
• Ability to work independently and assimilate learning materials on many subjects from various sources.
• Excellent interpersonal communication and negotiation skills.
• Ability to deal with highly visible and demanding customers.
• Ability to work professionally with TPAs, attorneys, and agents.
• Technical competence in handling casualty claims.
• Knowledge of claims-handling concepts, practices, and procedures.
• Customer focus, responsiveness, and an appropriate sense of urgency.
• Strong communication skills, including effective listening, confidently and diplomatically expressing opinions and concerns with team members, and presenting superior written communication to varied audiences.
• Excellent interpersonal skills and ability to establish trust and effective working relationships internally and externally.
• Ability to work collaboratively, independently, and as part of a team.
• Technical proficiency.

Responsibilities

• Provide outstanding customer service and work with insureds, claimants, and brokers in adjusting small business casualty and specialty risks.
• Analyze coverage and communicate coverage positions, as warranted, under the direction of a supervisor and coverage unit.
• Conduct, coordinate, and direct investigations into loss facts and the extent of third-party damages.
• Direct and closely monitor assignments to experts and defense counsel.
• Evaluate coverage, liability, and damages information to determine the extent of exposure to the insured and the company.
• Set reserves within authority or make recommendations to a supervisor concerning reserve changes.
• Report to reinsurers and facilitate prompt collection of reinsurance on matters for which they are accountable.
• Travel to conferences, mediations, and trials as necessary.