Description✨ We’re Hiring: Sr. Claims Examiner – Liability (REMOTE!) ✨
Ready to take your claims career to the next level? Join us as a Senior Claims Examiner – Liability, where you’ll handle high‑exposure, complex claims and manage the entire process—from investigation to final resolution. This is your chance to grow in a role where your expertise truly makes an impact!
💼 In This Role, You’ll
🕵️ Lead advanced claim investigations with independence
⚖️ Review coverage, determine liability, and drive fair outcomes
📈 Set reserves using strong analytical judgment
🤝 Collaborate with supervisors and defense attorneys to prepare cases for litigation
🌟 Mentor and support the development of new team members
If you’re detail‑oriented, love solving complex problems, and want a role where your experience truly matters—this opportunity is for you!
👉 Apply now and bring your expertise to a team that values excellence!
Responsibilities
- Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted.
- Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel.
- Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements.
- Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits.
- Develops subrogation and third party recovery potential and follows reclaim procedures.
- Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews.
Qualifications
- Bachelor's degree or equivalent experience required.
- Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization.
- Ability to work independently while assimilating various technical subjects..
- Strong written and oral communication, negotiation and presentation skills.
- Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects.
- Effective advanced interpersonal skills to effectively interact with all levels of internal and external clients.
- Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.
- License Requirements: Per State or Jurisdictional requirements.
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