Sr. Claims Examiner

Work set-up: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)
Work from: 

Offer summary

Qualifications:

Bachelor's degree or 10 years of relevant experience; Juris Doctorate preferred., 7-10 years of experience supporting commercial casualty claims, including professional liability, energy casualty, construction, or rail., Proper adjuster licensing in applicable states., Strong communication, negotiation, and organizational skills, with proficiency in Microsoft Office..

Key responsibilities:

  • Handle claims nationwide, focusing on bodily injury in FL, NY, and Texas.
  • Assess coverage issues, draft coverage position letters, and coordinate with coverage counsel.
  • Develop strategies for coverage, liability, and damages to resolve claims.
  • Maintain communication with claims staff, counsel, underwriters, and clients, and negotiate claim resolutions.

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Resource Informatics Group, Inc SME https://www.rigusinc.com/
51 - 200 Employees
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Job description


Sr. Claims Examiner (Its Non-IT if you wish to work)

Client: Arch Insurance
Duration: 6 weeks with a possibility to extend.

Feed back from the client : This position requires claims handling throughout the country with heavy focus on FL, NY and Texas bodily injury claims
We need someone heavy GL bodily injury



Remote

Requirement:
  • Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary, as well as review coverage counsel's opinion letters and analysis
  • Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
  • Develop and implement strategy to resolve matters of liability and damages of a particular case
  • Maintain contact with the TPA claims staff, business line leader, underwriter, defense counsel, program manager, and broker
  • Investigate claim and review the insureds' materials, pleadings, and other relevant documents
  • Identify and review of each jurisdiction's applicable statutes, rules, and case law
  • Review litigation materials including depositions and expert's reports
  • Analyze and direct risk transfer, additional insured issues, and contractual indemnity issues
  • Retain counsel when necessary and direct counsel in accordance with resolution strategy
  • Analyze coverage, liability and damages for purposes of assessing and recommending reserves
  • Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves
  • Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter
  • Negotiate resolution of claims
  • Select and utilize structure brokers
  • Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims

Qualifications
  • Bachelor's degree or 10 years of working experience in lieu of degree; Juris Doctorate degree preferred
  • Seven to 10 (7-10) years of working experience with a primary and or excess carrier supporting commercial accounts for Casuality claims; professional liability claims experience with Energy Casualty, Construction, and or Rail a plus
  • Proper adjuster licensing in all applicable states
  • Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
  • Strong time management and organizational skills
  • Ability to take part in active strategic discussions
  • Ability to work well independently and in a team environment
  • Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word

Required profile

Experience

Level of experience: Senior (5-10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Negotiation
  • Organizational Skills
  • Time Management
  • Teamwork
  • Communication

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