Claims Examiner – Liability

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

📋 Description

• Evaluate complex or technically challenging liability claims to ascertain benefits owed.

• Manage high exposure claims that involve litigation and rehabilitation processes.

• Ensure continuous adjudication of claims adhering to service expectations, industry standards, and client service requirements.

• Identify opportunities for subrogation and negotiate settlements effectively.

• Conduct investigations and gather pertinent information to assess claim exposure.

• Process claims through action plans leading to appropriate and timely resolutions.

• Negotiate claim settlements within the established authority limits.

• Communicate claim activity and processing updates to claimants and clients.

• Report claims to the excess carrier as necessary.

• Respond in a professional and timely manner to inquiries for guidance.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• A Bachelor's degree from an accredited institution is preferred.

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

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

• Proficient in analyzing complex or technically difficult liability claims.

• Capable of managing high exposure claims that involve litigation and rehabilitation.

• Knowledgeable in claims adjudication, subrogation, and settlement negotiations.

• Skilled in investigating claims and collecting exposure information.

• Ability to collaborate effectively with claimants, clients, and excess carriers.

• Strong analytical and conceptual thinking skills.

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

• Capable of managing work-related stress and juggling multiple priorities simultaneously.

• Ability to meet deadlines consistently.

• Proficient in computer keyboarding.

• Willingness to travel as necessary.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunities for career development and promotion.

• Comprehensive medical, dental, and vision benefits.

• 401K plan available from day one.

• Flexible work location and career pathway options.

• Opportunities for professional development.

• Emphasis on work-life balance.