Salary Information:
The salary for this position is highly competitive and will be based on experience and qualifications.
Job Title:
Claims Examiner or Associate Claims Examiner - Personal Lines Claims
Experience Information:
- 2+ years of relevant experience for Associate Claims Examiner position
- 7+ years of relevant experience for Claims Examiner position
- Experience in handling general liability/casualty/excess matters
- Prior experience as an examiner, adjuster, paralegal, or in a similar role
- Personal lines experience is a plus
- Multi-jurisdictional knowledge is a plus
- Advanced degrees or JD are a plus
Essential Functions:
- Confirm coverage for claims by reviewing first notice of loss, policy language, and available systems
- Prepare initial position letters to policyholders, such as disclaimers and reservation of rights
- Conduct thorough and focused investigations of claims, including securing facts, statements, and documents
- Identify joint tortfeasors and witnesses, and conduct scene investigations
- Post, review, and maintain reserves based on liability and damage evaluation
- Proactively manage claims towards final disposition through effective diary, direction to defense counsel, and analysis and strategy leading to settlement or trial
- Document all file activity in claim notes
- Communicate regularly with policyholders, underwriting, and actuary through comprehensive and concise authority requests, reinsurance reports, and coverage position letters
Other Duties and Responsibilities:
- Provide prompt responses to phone and email inquiries from both internal and external parties
- Adhere to established claim service promises
- Complete special projects as assigned
- Engage in continuing education to maintain state licenses and support professional and personal development
- Travel as needed for mediations and court hearings
Specific Skills:
- Strong oral and written communication skills
- Analytical thinking and problem-solving abilities
- Effective negotiation skills
- Organizational and time management skills
- Technical knowledge of insurance coverage, negligence law, and claim evaluation
Minimum Job Requirements:
- 2+ years of relevant experience for Associate Claims Examiner position
- 7+ years of relevant experience for Claims Examiner position
- Experience in handling general liability/casualty/excess matters
- Prior experience as an examiner, adjuster, paralegal, or in a similar role
- Personal lines experience is a plus
- Multi-jurisdictional knowledge is a plus
- Advanced degrees or JD are a plus
Company Overview:
**Members Only** is a leading insurance company that is committed to promoting diversity, equity, and inclusion in the workplace. We strive to provide a welcoming and inclusive environment for all community members, regardless of race, gender, religion, or sexual orientation. Our goal is to ensure that every employee feels valued, heard, and supported.
Benefits:
- Highly competitive salary based on experience and qualifications
- Comprehensive benefits package for full-time employees
- Access to wellness programs and continuing education resources
- Opportunities to get involved with charitable organizations
Community Involvement:
At **Members Only**, we believe in giving back to our community and making a positive impact. We encourage our employees to get involved with charitable organizations and volunteer their time and skills to help those in need.
Conclusion:
If you are a highly analytical and creative problem solver with experience in handling general liability/casualty/excess claims, we encourage you to apply for our Claims Examiner or Associate Claims Examiner position at **Members Only**. We offer a competitive salary, comprehensive benefits, and opportunities for professional and personal development. Join us in our commitment to diversity, equity, and inclusion, and make a positive impact in our community.
