Claims Examiner – Liability, GL & BI

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

📋 Description

• Evaluate General Liability and Bodily Injury claims on behalf of clients to ascertain benefits owed.

• Ensure the continuous adjudication of claims meets service expectations, industry standards, and client requirements.

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

• Investigate claims and collect information to assess claim exposure.

• Negotiate claim settlements within the defined authority limits.

• Maintain communication regarding claim activities and processing with both claimants and clients.

• Report claims to excess carriers as necessary.

• Respond promptly and professionally to requests for guidance.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• A Bachelor's degree from an accredited college or university is preferred.

• Relevant professional certification related to the line of business is advantageous.

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

• A home state license is necessary.

• Familiarity with the jurisdictional regulations of all states is essential.

• Proficiency in analyzing General Liability and Bodily Injury claims.

• Capability to investigate claims and gather necessary information to evaluate exposure.

• Skill in negotiating settlements within authorized limits.

• Strong ability to communicate claim activities and processing effectively with claimants and clients.

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

• Ability to think clearly and conceptually.

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

• Capacity to manage work-related stress and multiple priorities effectively.

• Ability to meet established deadlines.

• Proficient in computer keyboarding, with capabilities in hearing, vision, and verbal communication.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunity to work in an agile environment.

• Career development and opportunities for promotion.

• Coverage for medical, dental, and vision.

• 401(k) plan with matching contributions.

• Paid time off (PTO).

• Disability insurance.

• Life insurance.

• Employee assistance program.

• Flexible spending account or health savings account.

• Additional voluntary benefits available.