Claim Examiner- Liability

Investigate, evaluate, negotiate, and settle moderate difficulty type claims; takes appropriate action to achieve results that have a positive impact on profitability.

Settle claims for assigned lines of business promptly and equitably under general supervision.


* Bachelor's degree or equivalent experience required.


* Comprehensive claims investigations/settling experience with 1-3 years experience in Claims or similar organization.


* Ability to work independently while assimilating various technical subjects.


* Good verbal and written communication skills.


* Demonstrated ability to gather and analyze information, determine a course of action and implement the selected course of action.


* Strong ability to identify, analyze and solve problems.


* Effective interpersonal skills to be capable of dealing with external sources and all levels of employees.


* Industry Designations: Preferred: IIA, AIC, AEI, and/or CPCU.


* License Requirements: Per State or Jurisdictional requirements.

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* Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.


* Interprets and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted.


* Investigates, evaluates, negotiates and adjudicates first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties as required.


* Analyzes claims activity and prepares reports for clients/carriers and management.


* 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.


* Make settlement decisions 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