обновлено 9 часов назад
Senior Claims Examiner
80 000 - 125 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Claims Examiner (Commercial Insurance): Adjudicating and resolving moderate to complex commercial general liability claims, including litigation, coverage analysis, reserves, documentation, and settlement negotiations with an accent on claims accuracy, legal filings, and defense counsel management. Focus on analyzing emerging exposures, identifying suspected fraud, drafting coverage letters, and driving best practices across complex claims.
Location: Primarily hybrid, with in-office attendance at least two days per week for candidates near an office in Atlanta, Boston, Chicago, Manhattan, Scottsdale, or West Hartford; qualified remote candidates will also be considered. The role is limited to candidates located in the United States.
Salary: $80,000–$125,000 annually
Company
USA provides commercial insurance products to small and middle-market clients through broker and direct distribution channels.
What you will do
- Adjudicate assigned claims within established authority and resolve moderate to complex commercial general liability claims.
- Manage all phases of litigation, including reviewing legal filings and deploying defense counsel.
- Document claim files accurately in accordance with company policies and regulatory requirements.
- Draft coverage letters, including reservation of rights and denial letters.
- Analyze claims to set accurate reserves, identify emerging exposures and trends, and escalate issues when needed.
- Identify suspected fraudulent claims, coordinate with the special investigations unit, and participate in claims projects.
Requirements
- 3–5 years of claims handling experience in commercial general liability with an insurance carrier.
- Advanced knowledge of claims analysis, adjusting practices, claims documentation standards, and legal filings.
- Proven ability to negotiate settlements for moderate to complex claims.
- Experience mentoring and training other claims examiners.
- Advanced analytical skills and strong verbal and written communication skills.
- Active insurance adjuster’s license; a B.A. or B.S. degree is preferred.
Culture & Benefits
- 401(k) with company matching, comprehensive health, vision, dental, and FSA plans.
- Company-paid life, short-term disability, and long-term disability coverage.
- 24 paid time-off days, two days, paid holidays, and paid parental leave.
- Paid four-week sabbatical after every five years of service.
- Health club reimbursement, Headspace subscription, and additional wellbeing programs.
- Dynamic, creative, values-driven culture with volunteerism, social responsibility, and community involvement.
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