Claim Examiner I

This is a fully remote position, open to applicants in United States.

📋 Description

• Investigate and assess claim information to ascertain the level of liability.

• Manage First Party Property Claims.

• Provide assistance in lawsuits, mediations, and arbitrations while collaborating with Counsel in litigation defense.

• Set appropriate reserves in a timely manner in accordance with the company's reserving philosophy.

• Engage experts to aid in the evaluation of claims.

• Oversee vendor performance and manage expenses effectively.

• Evaluate, negotiate, and establish settlement values.

• Maintain communication with all parties involved throughout the claim process.

• Discuss coverage determinations, additional information requirements, and settlement figures with stakeholders.

• Administer claims in line with Best Practices.

• Track and manage the assigned claims inventory.

• Deliver top-tier customer service to insureds and agents.

• Update and keep claim files current.

• Identify subrogation opportunities and safeguard recovery interests.

• Recognize indicators of fraud and escalate files to the Special Investigations Unit (SIU).

• Participate in both internal and external claims audits.

• Provide oversight of Third Party Administrators (TPAs).

⛳️ Requirements

• Technical expertise in insurance claims handling.

• Capability to establish relationships and communicate effectively with a diverse range of clients, carriers, and colleagues.

• Proficiency in clear and professional communication, delivering superior customer service via phone and written correspondence.

• Strong organizational and time management abilities.

• Excellent writing skills.

• Exceptional analytical, investigative, and negotiation skills.

• Proficiency in Microsoft Office, Teams, Word, Excel, and other computer systems and technologies.

• A Property & Casualty Insurance License is required, or the willingness to obtain it within the first 90 days of employment and maintain it.

• Ability to acquire and maintain a state adjuster’s license and fulfill state continuing education obligations.

• Preferred experience in claims handling; experience with renters’ claims handling is an advantage.

• An Associate’s or Bachelor’s degree is preferred.

🏝️ Benefits

• A nationwide portfolio of insurance products and specialized insurance solutions.

• A best-in-class customer service environment.

• A growing in-house renters claims handling team.