Claims Examiner

GBLI | Global Indemnity provides specialty property and casualty insurance for small to middle-market businesses – and we’re on a mission to be the best-in-class while achieving steady, profitable growth. Our guiding principles include the core belief that our people are number one. We also strongly emphasize a customer-centric mentality and disciplined underwriting practices. Our work environment is flexible, friendly, and collaborative, with plenty of opportunities to take charge of your career. 

What GBLI offers you:

• Generous paid time off (PTO)
• Professional development opportunities (including a mentorship program)
• Educational assistance program, which covers up to $5,250 in educational costs per year
• Comprehensive health insurance plan (with vision and dental)
• Paid Parental Leave
• Life insurance
• 401(k) retirement plan with up to 6% company match and immediate vesting
• Healthcare and dependent care flexible spending accounts
• Short-term and long-term disability
• Company-sponsored social events
• Various committees to get involved in, which include our Diversity, Equity, and Inclusion Committee, and Charitable Giving Committee

The typical starting salary range for this position can vary depending on several factors such as geographic location, education, experience, and skill set.  The full salary range for this position is designed to provide employees with the opportunity to progress and grow within their positions and reflects the competitive market value for these positions across the national market. GBLI, also offers a total compensation plan including bonuses for all positions.

Typical starting salary range for this position:

$71,875 to $110,000

Essential Duties & Functions

• Promptly investigates each claim in accordance with the claims Department Best Practices.
• Reviews and evaluates policy coverage provisions, business classifications and underwriting guidelines.
• Supervises and controls investigation assignments made to independent adjusters and other vendors.
• Reviews and audits all vendor invoices.
• Sets initial reserves and ensures proper reserve evaluations throughout the life of a claim.
• Maintains an organized claim file.
• Maintains an effective and timely diary in accordance with Best Practices.
• Ensures compliance with the Department’s Litigation Management Plan and Billing Guidelines for all claims in which counsel has been engaged.
• Equitably resolves all claims within the authority granted.
• Recognizes and pursues potential opportunities for recovery including subrogation, indemnification and/or contribution.
• Recognizes and refers potential suspicious claims or claims activity to the SIU in accordance with the Claims Department Best Practices.
• Establishes and maintains business relationships with Underwriting and reinsurers, as well as agents, insureds attorneys, vendors and other parties as appropriate.
• Participates in weekly roundtable meetings on claims issues.
• Completes special projects and performs other duties as assigned by the Claims Manager.

Qualifications

• Bachelors degree and eight years technical experience or equivalent combination of education and experience.
• Must possess knowledge of coverage, statutory requirements and claims handling regulations.
• High degree of technical skill and expertise required to recognize and resolve technical claims issues and recommend and implement solutions within the granted authority.
• Requires excellent interpersonal skills and a high degree of initiative and decisiveness.
• Ability to communicate with all levels of company management as well as the general public, attorneys and the company’s general agents in a professional manner.
• Must have strong analytical skills and knowledge of policy construction, and forms used by the Company.
• Must have strong computer skills with knowledge of Windows operating systems plus Word, Excel, PowerPoint and ImageRight.
• Must be able to effectively understand construction terminology, estimating systems, and building evaluations.
• Knowledge of the legal invoice review process (TyMetrix software) is a plus.
• Must possess or acquire adjuster licenses and complete CE requirements as needed.
• Must be able to travel on company business as needed.
• Additional insurance related education/designation such as CPCU, AIC, AIM, SCLA, etc, preferred.
• Advanced degrees are a plus.