Claims Examiner-General Liability Remote /National to 95K base/bonus National specialty insurance carrier is seeking a Claims Examiner, responsible for handling complex and higher level general liability losses. These are national accounts and requires a strong litigation background. Reviews and sets up new loss assignments in a timely manner in compliance with department guidelines and best practices. Establishes appropriate initial loss and expense reserves and continue to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines. Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions. Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations. Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and regulatory agencies. Pro-actively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with department guidelines and best practices. Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes. Consistently demonstrates coverage analysis, investigation, evaluation and negotiation skills at a senior level. Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel. Obtains all required state adjuster licenses and maintains them as required via compliance with mandatory continuing education requirements. 4-7 years minimum of claims handling experience. Excess and Surplus Lines experience a plus. Carrier experience required but will also consider a mix of carrier/tpa claims handling. College degree preferred. Designations a plus. To 95k base(DOE) including bonus incentives, benefits, etc. This position can be a remote work arrangement nationally except for California. Qualified claims professionals should submit their resume in confidence to Jim Lieberman, EVP at jalieberman@hollingerjobs.com or call 732-247-5656.
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