Claims Examiner

Our client, a leading and rapidly growing insurance carrier, is actively seeking to add a skilled Claims Examiner to their casualty team. This is an exciting opportunity to join a dynamic organization committed to excellence in claims management and continued expansion.

Overview:

• Review and evaluate general liability claims to determine coverage, liability, and damages.
• Investigate claims by gathering relevant documentation, interviewing involved parties, and consulting experts when necessary.
• Analyze policy terms and conditions to assess claim validity and ensure compliance with contractual obligations.
• Collaborate with legal counsel, adjusters, and other stakeholders to resolve complex claims efficiently.
• Maintain accurate and detailed claim files and documentation throughout the lifecycle of each case.
• Communicate claim decisions and updates clearly and professionally to insured parties and internal teams.
• Monitor claim progress and ensure timely resolution in accordance with company standards and regulatory requirements.
• Identify potential fraud indicators and escalate suspicious claims for further investigation.
• Provide recommendations for claim settlements and negotiate resolutions within authority limits.
• Stay current on industry trends, legal developments, and regulatory changes affecting general liability claims.

Responsibilities:

• Bachelor's degree in business, insurance, law, or a related field (or equivalent work experience).
• 3+ years of experience handling general liability claims, preferably in a commercial insurance environment.
• Strong knowledge of general liability coverage, legal terminology, and claims handling procedures.
• Familiarity with state and federal regulations governing liability claims.
• Excellent analytical and investigative skills to assess complex claims and determine appropriate outcomes.
• Proficient in claims management systems and Microsoft Office Suite.
• Strong written and verbal communication skills for interacting with claimants, legal counsel, and internal teams.
• Ability to manage multiple claims simultaneously while meeting deadlines and maintaining accuracy.
• Detail-oriented with strong organizational and documentation skills.