Claims Examiner, Liability

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

📋 Description

• Manage third-party bodily injury and property damage claims with low to moderate complexity from the initial assignment to resolution, including settlement discussions.

• Assess insurance policies and make determinations regarding coverage.

• Draft Reservation of Rights letters and coverage disclaimers.

• Reach out to policyholders, claimants, and other relevant parties to collect information, take recorded statements, and conduct investigations.

• Examine the validity of claims and assess potential liability against insured parties.

• Analyze bodily injury and property damage, determine exposures, and establish appropriate reserves.

• Efficiently and independently manage claim loads.

• Oversee defense counsel, including claim strategy, exposure assessment, invoice reviews, mediations, and settlement discussions.

• Engage experts and vendors and monitor their activities while managing expenses.

• Prepare large-loss and leadership reports.

• Assess, negotiate, and establish claim settlement values.

• Maintain communication with interested parties throughout the claims process.

• Keep an organized diary system and manage the assigned claims inventory.

• Adhere to state and local regulations, including NJ/PA Unfair Claims Practices and Guidelines.

• Deliver exceptional customer service to insureds, agents, claimants, and business partners.

• Foster relationships with both internal and external stakeholders.

• Recognize fraud indicators and notify the Special Investigation Unit as necessary.

• Identify subrogation opportunities and protect recovery interests.

• Mentor junior Claims Examiners.

• Maintain precise notes and documentation in claim files.

• Assist with special projects as required.

⛳️ Requirements

• Bachelor’s degree or equivalent professional experience.

• Over 5 years of experience in casualty claims adjusting.

• Experience in First-Party Property is advantageous.

• Insurance designations are preferred.

• Must possess a State Adjuster License(s); licenses in California, Florida, and Texas are desirable, with a willingness to obtain additional licenses as required.

• Strong verbal and written communication skills to provide excellent customer service.

• Exceptional organizational and time management abilities.

• Proficient writing skills.

• Outstanding analytical, investigative, and negotiation capabilities.

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

• Ability to work independently with minimal supervision in a fast-paced setting.

• Capability to obtain and maintain multiple state adjuster’s licenses and meet continuing education obligations.

🏝️ Benefits

• Not specified in the posting.