Sr Claims Examiner

• A diverse, inclusive, professional work environment
• Flexible work schedules
• Company match on 401(k)
• Competitive Paid Time Off policy
• Generous Employer contribution for health, dental and vision insurance
• Company paid short term and long term disability insurance
• Paid Maternity and Paternity Leave
• Tuition reimbursement
• Company paid life insurance
• Employee Assistance program
• Wellness programs
• Fun employee and company events
• Discounts on travel insurance

Who are we?

Generali Global Assistance is proudly part of the Europ Assistance Group brand and our products utilize a number of corporate and product brands. The brands for our North American team include the following:

• CSA: US travel insurance brand for retail and lodging partners. Learn more here.
• Generali Global Assistance (GGA): The primary Corporate brand in the United States for our travel insurance, travel assistance, identity and cyber protection, and beneficiary companion products. Learn more here.
• GMMI: the industry standard for global medical cost containment and medical risk management solutions. Learn more here.
• Iris, Powered by Generali: identity and digital protection solution. Learn more here.
• Trip Mate: US travel insurance brand for tour operator, cruise and airline partners. Learn more here.

What you’ll be doing.

Job Summary:

• Moderate to severe complexity first and third party claims to include premises liability, products liability, property, aviation, builder’s risk, and marine exposures
• Completes via denial or payment of all claim types and all account types with limited involvement of Claims Leadership
• Completes Appeals to all claim types and account types
• Documents claim file with findings of claim settlement
• Escalates any claims to claims leadership with any mention of legal or department of insurance threats
• Maintains rapport and open communications with clients
• Escalates and prepares any carriers over limits
• Reviews medical records for claims adjudication purposes
• Other responsibilities as assigned by Senior Management

Requirements:

• 3+ years of multi-line claims handling at an insurer or TPA
• Familiarity with premises and products liability claims and injury evaluation. Familiarity with first party
• Claims handling/evaluation preferably to include construction all risks and transit/marine claims
• Prior experience handling moderate to high severity or complex claims
• Prior experience handling multi line claims
• Excellent verbal and written communication, investigation, organizational, and analytical skills
• Claims data and adjudication background
• Excellent interpersonal skills necessary to interact positively with clients, providers, and employees. Must be able to represent the organization in a professional and knowledgeable manner.
• Excellent verbal and written communication skills with ability to manage and prioritize multiple tasks.
• Computer skills necessary to work effectively: Windows Microsoft Word and Excel.
• Ability to work well under pressure in a production oriented environment.
• Must be able to problem solve with limited involvement from Claims Leadership

Education/Certifications:

• Bachelor’s degree or equivalent technical, professional education, or work experience
• Must have FL State Adjuster’s License
• Must secure and maintain a multi-state adjuster license

Where you’ll be doing it.

This is a hybrid role based out of our Pembroke Pines, FL office. As a hybrid role, you will be working onsite 2-3 days a week and working from home 2-3 days a week.

When you’ll be doing it.

While there is some flexibility in the hours, this position will be Monday-Friday during regular business hours (approximately 8:00am-5:00pm). Occasional overtime may be required according to business need.

Apply today to begin your next chapter.

Don’t meet every single requirement? At Generali Global Assistance, we are dedicated to building a diverse, inclusive and enriching workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

California Residents - Privacy Notice for California Residents Seeking Employment with Generali Global Assistance is available here: https://us.generaliglobalassistance.com/privacy-notice-for-california-residents-seeking-employment/

The Company is committed to providing equal employment opportunity in all our employment programs and decisions. Discrimination in employment on the basis of any classification protected under federal, state, or local law is a violation of our policy. Equal employment opportunity is provided to all employees and applicants for employment without regard age, race, color, religion, creed, sex, gender identity, gender expression, transgender status, pregnancy, childbirth, medical conditions related to pregnancy or childbirth, sexual orientation, national origin, ancestry, ethnicity, citizenship, genetic information, marital status, military status, HIV/AIDS status, mental or physical disability, use of a guide or support animal because of blindness, deafness, or physical handicap, or any other legally protected basis under applicable federal, state, or local law. This policy applies to all terms and conditions of employment, including, but not limited to, recruitment and hiring, classification, placement, promotion, termination, reductions in force, recall, transfer, leaves of absences, compensation, and training. Any employees with questions or concerns about equal employment opportunities in the workplace are encouraged to bring these issues to the attention of Human Resources. The Company will not allow any form of retaliation against individuals who raise issues of equal employment opportunity. All Company employees are responsible for complying with the Company’s Equal Opportunity Policy. Every employee is to treat all other employees equally and fairly. Violations of this policy may subject an employee to disciplinary action, up to and including termination of employment.