Job DescriptionWe're Hiring: Sr. Claims Examiner - Liability (REMOTE!)Ready to level up your claims career? Join us as a Senior Claims Examiner - Liability, where you'll manage high-exposure, complex claims and oversee the full process from investigation to resolution. Take your expertise to the next level in a role where your impact truly matters!
In This Role, You'll:
🕵 Lead advanced claim investigations with independence
⚖ Review coverage, determine liability, and drive fair resolutions
📈 Set reserves using sharp judgment and analytical expertise
🤝 Partner with supervisors and defense attorneys to prep cases for litigation
🌟 Mentor and train new team members
If you're detail-driven, thrive on problem-solving, and want a role where your experience makes a real difference-this is YOUR opportunity! 👉 Apply now and bring your skills to a team that values excellence! Responsibilities - Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
- Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
- Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
- Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
- Develops subrogation and third party recovery potential and follows reclaim procedures.
- Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
Qualifications - Bachelor's degree or equivalent experience required.
- Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
- Ability to work independently while assimilating various technical subjects..
- Strong written and oral communication, negotiation and presentation skills.
- Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
- Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
- Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
- License Requirements: Per State or Jurisdictional requirements.
#LI-ET1 #LI-Remote
