7 дней назад
Claims Examiner – Spinnaker (Insurance)
85 000 - 120 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Claims Examiner – Spinnaker (Insurance): Reviewing and approving property, casualty, and specialty insurance claims, reserves, payments, and coverage decisions with an accent on claim investigation, policy interpretation, regulatory compliance, and TPA oversight. Focus on analyzing high-exposure claims, coordinating with TPAs, brokers, underwriters, reinsurers, and attorneys, and resolving complex coverage matters.
Location: Austin, TX; Dallas, TX; Bedminster, NJ; or San Jose, CA, United States
Salary: $85,000–$120,000 annual base pay for the Morristown, NJ location
Company
provides modern homeowners insurance, preventative maintenance plans, and coverage for additional areas such as auto and flood.
What you will do
- Review claims submitted by third-party administrators and authorize reserves, payments, and funding requests within delegated authority.
- Guide claim investigations and support coverage analysis, including the engagement of experts and attorneys when needed.
- Review and approve reservation of rights and coverage denial correspondence.
- Monitor reserve adequacy, participate in claim file audits, and refer claims exceeding authority to supervisors.
- Prepare notifications and reports for underwriters, reinsurers, agents, insureds, and state agencies.
- Communicate claim updates and complex coverage or high-exposure matters to internal and external stakeholders.
Requirements
- 2–5 years of claims handling experience in property, casualty, or specialty lines.
- Understanding of insurance coverage principles and policy interpretation.
- Experience investigating and resolving claims, including exposure analysis and reserving.
- Strong written and verbal communication and effective caseload organization.
- Ability to collaborate with internal teams, TPAs, claim administrators, brokers, and program partners.
- Proficiency with Microsoft Office applications, including Excel, Word, and Outlook.
Nice to have
- Experience working with TPAs or program business.
- Exposure to litigated claims.
- Professional designations such as AIC, ARM, or CPCU in progress or an interest in pursuing them.
Culture & Benefits
- Medical plan options with employer-paid dental and vision coverage for employees and families.
- 401(k), disability coverage, employer-paid life insurance, FSAs, and an employee assistance program.
- Equity compensation eligibility, training, and internal career growth opportunities.
- Flexible time off and 12 weeks of parental leave for primary and secondary caregivers.
- Snacks and drinks are available for onsite employees.
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