Claims Examiner II

Company Details

Nautilus Insurance Group specializes in providing commercial property and casualty insurance solutions to appointed wholesale surplus lines producers. Founded over 35 years ago, we offer flexible policy terms and premium rates on a non-admitted basis. Our focus is on small to medium Property and Casualty risks, distributed through partnerships with wholesale surplus lines producers. Our policies are underwritten by Nautilus Insurance Company and Great Divide Insurance Company, both subsidiaries of W. R. Berkley Corporation, with A.M. Best ratings of A+ XV.

Benefits

• Paid Parental Leave
• Medical, Dental, and Vision coverage
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
• 401(k) program, profit sharing, stock purchase plan, life insurance, and travel accident insurance
• One paid day off per year to volunteer at a local charity
• Tuition Assistance and Industry-Related Education and Exam programs
• Special cell phone service discounts with Verizon and AT&T
• Cost-free access to thousands of exclusive travel and entertainment discounts through the Plum Benefits program
• Flexible work arrangements
• On-site newly renovated fitness center with yoga and other classes available for a nominal fee

Responsibilities

The Claims Examiner I or II role involves handling third-party general liability losses in a paperless environment. Key responsibilities include:

• Efficiently and effectively handling claims
• Setting up new loss assignments in compliance with Department guidelines and best practices
• Establishing appropriate initial loss and expense reserves and regularly evaluating files
• Analyzing and interpreting policy language to reach coverage decisions
• Drafting coverage correspondence and other detailed correspondence
• Managing claim files from inception to closure, including identifying and investigating issues, determining actions, and resolving claims
• Documenting all claim file activity
• Directing and controlling vendor activities
• Presenting and discussing loss facts in meetings
• Transmitting large loss reports and other detailed documents
• Maintaining state adjuster licenses and complying with continuing education requirements
• Communicating with management and other departments
• Attending training events and providing feedback

Qualifications

• At least five (5) years of insurance experience
• Certificates as required by states
• Intermediate knowledge of computer programs in a Windows environment (Word, Excel, E-mail)
• High school diploma or equivalent
• Some college preferred
• CPCU, AIC, AEI, or completion of other insurance-related classes preferred