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Claims Examiner

Claims Examiner

W.R. BerkleyJersey City, NJ, US
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Auto Liability Examiner

The auto liability claims department is looking for an experienced examiner to handle moderate complexity auto claims within our organization. This position requires an understanding and knowledge of litigation management in multiple jurisdictions. The successful candidate will routinely handle claims involving liability / coverage issues, contractual liability issues and litigated matters including some reserved in excess of $250,000.

Key functions include but are not limited to :

  • Handle claims from assignment to conclusion, develop action plans to manage case for early resolution.
  • Provide direction and guidance to defense attorneys to develop an effective and cost-efficient litigation plan.
  • Provide a positive customer service experience.
  • Maintain a current diary on outstanding claims.
  • Prepare large loss reports as needed.
  • Meet or exceed objectives for reserving standards, quality audits, closing ratio, expense controls, Medicare compliance.
  • Maintain all adjuster licenses by attending CE courses as required.
  • Perform other duties assigned.

Qualifications :

  • 5-7 years of experience handling claims. The individual must be able to identify and address coverage issues and complete an investigation to determine liability / exposure.
  • 2+ years of experience handling litigated injury claims.
  • Ability to work independently and handle cases with moderate supervision.
  • Excellent written and verbal communication skills as well as having the ability to present complex matters to upper management as needed.
  • Self-motivated and results oriented.
  • Capable of working with internal and external teams and partners.
  • Education :

  • 4-year college degree with a concentration in business, law, public administration or insurance preferred.
  • Advanced industry designations such as AIC, CCP, or CPCU preferred.
  • The company is an equal employment opportunity employer.
  • Additional Company Details :

    We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include : Base Salary Range : $55,000 $115,000 Eligible to participate in annual discretionary bonus. Benefits : Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

    Sponsorship not offered for this role.

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    Examiner • Jersey City, NJ, US