Claims Examiner – Liability

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Evaluate intricate or technically challenging general liability claims to establish due benefits.

• Handle high-stakes claims that involve litigation and rehabilitation processes.

• Ensure continual adjudication of claims aligns with service expectations, industry best practices, and specific client service standards.

• Identify opportunities for subrogation of claims and facilitate settlement negotiations.

• Analyze and manage claims through action plans aimed at achieving appropriate and timely resolutions.

• Conduct investigations and collect information to assess claim exposure.

• Negotiate claim settlements within the established authority limits.

• Maintain communication regarding claim activity and processing with claimants and clients.

• Report claims to excess carriers and address requests for guidance.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• A Bachelor's degree from a recognized college or university is preferred.

• Relevant professional certification applicable to the line of business is preferred.

• A minimum of 5 years of claims management experience or an equivalent combination of education and experience is required.

• Capability to investigate and compile claim information effectively.

• Proficiency in analyzing complex or technically challenging general liability claims.

• Skill in negotiating settlements within assigned authority.

• Ability to communicate claim activity and processing clearly with claimants and clients.

• Competence in reporting claims to excess carriers and addressing requests for guidance.

• Strong clear and conceptual thinking skills.

• Exceptional judgment, troubleshooting skills, problem-solving abilities, analytical skills, and discretion.

• Ability to manage work-related stress and prioritize multiple tasks simultaneously.

• Capability to meet deadlines consistently.

• Proficient keyboarding skills for computer use.

• Willingness to travel as required.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunity to work within an agile environment.

• Career development and promotional growth opportunities.

• Medical, dental, and vision insurance coverage.

• 401(k) plan with matching contributions.

• Paid Time Off (PTO).

• Disability and life insurance coverage.

• Employee assistance programs.

• Flexible spending or health savings account options.

• Additional voluntary benefits available.