Job Description We're Hiring: Senior Claims Examiner - LiabilityWe're looking for a
Senior Claims Examiner - Liability with a passion for claims management to join our team!
📜 Licensing is a requirement.
• Proven expertise in managing complex liability claims.
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Role Overview: 🕵 Investigate and settle advanced, large-loss, and complex claims promptly and equitably under minimal supervision, while working within established authority on moderate-to-difficult claims.
📑 Review coverages, determine liability and compensability, secure information, arrange property damage appraisals, and settle claims using claims best practices.
📊 Evaluate and set reserves using independent judgment, assist supervisors and defense attorneys in preparing cases for litigation, and support team development by conducting training and mentoring new hires.
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-EM3 #LI-REMOTE
