Insurance Examiner

Role: Sr Claim Examiner-Liability
Duration: 3+ months (Contract)
Location: 100% Remote
 
Duties:

  • Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
  • Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
  • Analyzes claims activity and prepares reports for clients/carriers and management.
  • Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements.
  • Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
  • Develops subrogation and third-party recovery potential and follows reclaim procedures.
  • Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.

 
Education:      

  • Bachelor’s degree or equivalent experience.
  • Technical claims investigations/settling experience with 4-8 years’ experience in Claims or similar organization.
  • Preferred: – IIA, AIC, AEI, and/or CPCU.

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