Senior Claims Examiner

CoAction

• $96K — $124K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 4+ years of claims handling experience, focusing on general liability claims.
  • Solid planning and organizational skills, with strong time-management and prioritization abilities.
  • Willingness to obtain adjuster’s licenses in all required states.
  • Ability to interpret and apply customized insurance policies effectively.
  • Flexibility to travel occasionally for mediations and trials.

Responsibilities

  • Provide expert handling of Ocean Marine and Energy claims, including coverage evaluation and resolution.
  • Conduct thorough investigations using approved legal and vendor panels as needed.
  • Prepare coverage letters for management review and approval.
  • Document each claim thoroughly and promptly, maintaining detailed files.
  • Set accurate reserves on claims and communicate with management regarding any exceeding authority limits.
  • Manage defense counsel and outside experts to control loss adjustment expenses.
  • Collaborate with other departments to address specific claims issues.

Benefits

  • Hybrid work schedule with in-office requirements of at least 3 days a week.
  • Standard benefits package including paid time off, medical, dental, and retirement plans.
  • Discretionary incentive bonus based on performance.
Full Job Description
Coaction's fast-paced and dynamic Claim Department seeks a highly motivated Senior Claims Examiner. This position is responsible for providing superior claim service by handling first and third-party Ocean Marine and Energy claims. The individual will desk-handle the claim investigation, estimate exposures, select and deploy experts, obtain appropriate claim documentation, and effect accurate settlement within the prescribed authority and performance standards. All job duties must be carried out in compliance with applicable legal and regulatory requirements. The position will work on a hybrid schedule from our New York or Morristown office. Responsibilities o Provide expert claim handling in coverage, investigation, evaluation, and resolution of first and third-party Ocean Marine and Energy Claims, including marine contractors, hull and machinery, cargo, general average, Jones Act, Longshore and Harbor Workers Compensation Act, and energy claims. o Ability to interpret and apply customized insurance policies to real-life situations. o Conduct thorough, high-quality investigations utilizing the approved legal and vendor panel as necessary. o Assigned claims may involve coverage interpretation and litigation, including specialized coverage extensions. o Prepare appropriate coverage letters for review and approval by claims management. o Complete an investigation on each claim promptly and thoroughly document the claim file with claim details. o Handle assigned claims following company guidelines and industry best practices. o Set accurate reserves on each claim within the given authority level and promptly advise management of claims requiring reserves exceeding authority. o Maintain a diary system ensuring that each assigned claim receives ongoing attention. o Possible travel to attend mediations, settlement conferences, and trials. o Use the claims system to maintain financials, including reserves, and make payments within assigned authority levels. o Closely manage defense counsel, outside investigators, and surveyors to ensure appropriate loss adjustment expenses. o Meet with members of other departments to discuss specific claim details or general claims issues. o Maintain adjuster licenses in states as required. Qualifications: • Solid planning & organizational skills including time-management and prioritization. • 4+ years of claims handling experience primarily handling general liability claims. • Must be willing to obtain adjuster’s license in all states requiring licensure. • Must be willing to occasionally travel. **This role must sit in our Morristown, NJ office on our hybrid schedule, being in office no less than 3 days a week**. Salary range specific to for this role : $96,000-$124,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance. The offered rate of compensation will be based on individual education, experience, and qualifications.  In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement. 

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