Senior Claims Examiner, 3Rd Party Property Damage

Description:

Build a brilliant future with A Business Insurance Company
The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:

• Adjusts and resolves moderate to complex claims that includes all phases of litigation for our GL Property Damage Team
• Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities

Proficient in and able to demonstrate knowledge regarding coverage evaluation and application

• With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
• Reviews and analyses claim documentation and legal filings to set timely and accurate a reserves and notify the manager if upward segmentation is needed
• Identifies emerging exposures and claims trends
• Drives litigation best practices to manage deployment and utilization of defense counsel
• Identifies suspected fraudulent claims and tracks with special investigations unit

The team:
The US Claims team at A Business Insurance Company is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing A Business Insurance Company's strong brand built on a long history of outstanding claims handling.
Person specification:

• 6+ years of claims handling experience. A JD from an ABA accredited law school may be considered as a supplement to claims handling experience
• Advanced knowledge of claims analysis and adjusting practices
• Experience with litigated claims
• In depth knowledge of standards for claims documentation and legal filings
• Proven ability to actively and effectively negotiate settlement of moderate to complex claims
• Experience in mentoring and training other Claims Examiners
• Advanced analytical skills
• Strong verbal and written communication skills
• Active insurance adjuster's license or ability to obtain within 90 days of hire
• B.A./B.S degree from an accredited College or University preferred
  

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