Senior Claims Examiner

About the role

The position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims. The primary purpose of this job is to handle claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis, to timely and accurate resolution; ensuring mitigation of indemnity and expense exposure while communicating developments and outcomes as necessary to all internal and external stakeholders.

Responsibilities

• Analyzes coverage and communicates coverage positions
• Conducts, coordinates, and directs investigation into loss facts and extent of damages
• Confirms coverage of claims by reviewing policies and documents submitted in support of claims
• Coordinates loss information for business stakeholders and presents information during meetings with underwriters and/or insureds when applicable
• Delivers technical training to colleagues and external contacts as appropriate
• Directs and monitors assignments to experts and outside counsel, ensures effective vendor and litigation management on moderate to high complexity claims including demonstrable savings
• Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
• Negotiates and settles claims typically in litigation either directly or indirectly
• Participates in special projects or assists other team members as requested
• Prepares coverage position letters on matters typically in litigation without assistance of outside coverage counsel
• Prepares reports by collecting and summarizing information
• Provides timely service throughout the life cycle of the claim by meeting all service level agreements, initiating timely contact to all appropriate parties, and responding to incoming inquiries according to company policy and procedures
• Sets reserves within authority or makes claim recommendations concerning reserve changes to manager
• Travel to mediations, trials, and conferences as required
• Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results by obtaining, reviewing and analyzing documentation, policy provisions and other records

Qualifications

• Minimum of 5 years of claims handling experience or equivalent combination of education and experience
• Successful completion of 3 years as a Claims Examiner
• Excellent written and oral communication skills
• Strong analytical and problem solving skills
• Strong organization and time management skills
• Ability to deliver outstanding customer service
• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)
• Ability to work in a team environment
• Strong desire for continuous improvement