3 дня 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, documentation, reserves, and settlement negotiations with an accent on claims accuracy, regulatory compliance, and litigation management. Focus on analyzing legal filings, drafting coverage letters, identifying emerging exposures and suspected fraud, and coordinating defense counsel.
Location: Primarily hybrid with in-office attendance at least two days per week for candidates near an office; qualified remote candidates may also be considered. The role can be based in Atlanta, Boston, Chicago, Manhattan, Scottsdale, or West Hartford, United States.
Salary: $80,000–$125,000 per year
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 delegated authority and resolve moderate to complex commercial general liability claims.
- Manage all phases of litigation, including defense counsel deployment and litigation best practices.
- Document claim files with correspondence, notes, legal filings, and supporting documentation in accordance with company policies and regulations.
- Draft coverage letters, including reservation-of-rights and denial letters.
- Analyze claim documentation and legal filings to establish accurate reserves and escalate claims when required.
- Identify emerging exposures, claims trends, and suspected fraudulent claims, and support 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 required. A bachelor’s degree from an accredited college or university is preferred.
Culture & Benefits
- Collaborative, dynamic, creative, and values-driven work environment.
- 401(k) with competitive company matching.
- Health, vision, dental, FSA, life, short-term disability, and long-term disability coverage.
- Paid time off, company holidays, paid parental leave, and a four-week paid sabbatical after every five years of service.
- Financial adoption assistance, medical travel reimbursement, fitness reimbursement, and Headspace subscription.
- Volunteerism, social responsibility, community involvement, and charitable donation matching.
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