Senior Claims Examiner
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
TL;DR
Senior Claims Examiner: Resolving moderate to high complexity and exposure claims from coverage enquiry through legal liability assessment (where relevant) and quantum analysis with an accent on coverage/ liability evaluation, investigation of loss facts, and timely, accurate claim resolution. Focus on setting reserves within authority, negotiating/settling claims (often involving litigation), and coordinating experts and outside counsel while communicating outcomes to stakeholders.
Company
is a Fortune 500 holding company providing insurance, reinsurance, specialist advisory, and investment operations.
What you will do
- Analyze coverage and communicate coverage positions; confirm coverage by reviewing policies and submitted claim documents.
- Conduct, coordinate, and direct investigations into loss facts and extent of damages.
- Evaluate coverage, liability, and damages to determine the extent of insured exposure; perform quantum analysis.
- Negotiate and settle claims, typically in litigation either directly or indirectly; prepare coverage position letters and reports.
- Direct and monitor assignments to experts and outside counsel; manage vendors and litigation to achieve cost-effective, timely closure.
- Provide timely service across the claim lifecycle, meet service level agreements, set reserves within authority, and present at roundtables for cases going to trial.
Requirements
- US Work Authorization required; does not provide visa sponsorship.
- Minimum 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 Microsoft Office skills (Excel, Outlook, PowerPoint, Word).
Nice to have
- Claims adjuster license (must have or be eligible to receive).
- Industry designations such as INS, IEA, AIC, ARM, SCLA, or CPCU; or participation in industry training (e.g., CLM Claim College, Munich Re Training, FDCC).
Culture & Benefits
- Hybrid work option: 3 days in the office and 2 days remote; schedule depends on your location distance.
- Full-time benefits including multiple health, dental, and vision plan options, plus optional life, disability, and AD&D insurance.
- 401(k) with employer match, Employee Stock Purchase Plan, PTO, corporate and floating holidays, and parental leave.
- 401(k) and other benefits designed to support employees at different life stages.
Hiring process
- Submit a short application via the application flow.
- Interviews and evaluations based on claims experience, communication, and technical claims handling capabilities.
Location: Richmond, VA
Salary: $78,000–$107,250 base with up to 15% bonus potential
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