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Liability Claims Examiner III

Roles & Responsibilities

  • Experience reviewing, investigating, and concluding complex Auto and General Liability/Casualty claims
  • Ability to oversee outside investigative service providers and coordinate with clients and client counsel
  • Proficiency in assessing loss exposure and establishing reserves
  • Strong written and verbal communication and documentation skills

Requirements:

  • Review, process, and conclude assigned claims including investigation and evaluation of complex Auto and General Liability/Casualty Claims
  • Oversee and direct outside investigative service providers and coordinate with the client and client counsel to advance the claim to conclusion
  • Maintain an ongoing diary and document all correspondence, reports, discussions, and decisions in the claim file
  • Continually assess exposure and evaluate accurate reserves and settlement recommendations; prepare Loss Reports analyzing liability and damages

Job description

SUMMARY: Responsible for the prompt review of policy information including all relevant endorsements and schedules to determine coverage for loss and injury. Conduct an efficient claim examination and investigation leading to the final resolution of professional liability claims including matters in litigation. Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.

DUTIES AND RESPONSIBILITIES:

  • Review, process, and conclude assigned claims including investigation and evaluation of complex Auto and General Liability Casualty Claims.
  • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.
  • Maintain an ongoing diary.
  • Continually assess exposure and evaluate accurate reserves and settlement recommendations.
  • Prepare Loss Reports providing a thorough analysis of liability and damages.
  • Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.
  • Document all correspondence, reports, discussions, and decisions in the claim file record.
  • Provide outstanding service to the client.
  • Assist Supervisors and the Claim Department with requested tasks or special projects.
  • Other duties as assigned

EQUIPMENT OPERATED/USED: Computer, 10-key, printer, copier, fax/scanner machine and other office equipment

SPECIAL EQUIPMENT OR CLOTHING:     Appropriate office attire

 

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