Claim Examiner- Liability (Finance)
Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability. Settle claims for assigned lines of business promptly and equitably under general supervision.
- Bachelor's degree or equivalent experience required.
- Comprehensive claims investigations/settling experience with 1-3 years experience in Claims or similar organization.
- Ability to work independently while assimilating various technical subjects.
- Good verbal and written communication skills.
- Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.
- Strong ability to identify, analyze and solve problems.
- Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.
- Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
- License Requirements: Per State or Jurisdictional requirements.
- • ; Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.
- • ; Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.
- • ; Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.
- • ; 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.
- • ; Make settlement decisions 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
