Sr Claim Examiner
Description - Investigate and settle advanced, large loss, complex claims promptly and equitably under minimal supervision. - Works within established authority on moderate-to-difficult claims. - Reviews coverages, determines liability and compensability, secures information, arranges property damage appraisals and settles claims utilizing claims best practices. - Evaluates and sets reserves using independent judgment. - Assists supervisor and company attorneys in preparing cases for litigations. - Conducts training and mentors new hires. Responsibilities - 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. Qualifications - Bachelor's degree or equivalent experience required. - Industry designations preferred but not required (IIA, AIC, AEI and/or CPCU). - Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. - Ability to work independently while assimilating various technical subjects. - Strong written and oral communication, negotiation and presentation skills. - Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects. - Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients. - Workers Compensation (WC) Adjuster License required according to jurisdictional requirements - #LI-ET1 - #LI-Remote