Job Title: Executive Claim Examiner
Job Responsibilities:
- Confirm coverage of claims by reviewing policies and documents submitted in support of claims.
- Analyze coverage and communicate coverage positions.
- Conduct, coordinate, and direct investigation into loss facts and extent of damages.
- Direct and monitor assignments to experts and outside counsel.
- Evaluate information on coverage, liability, and damages to determine the extent of insured's exposure.
- Set reserves within authority or make claim recommendations concerning reserve changes to manager.
- Negotiate and settle claims either directly or indirectly.
- Prepare reports by collecting and summarizing information.
- Adhere to Fair Claims Practices regulations.
- Assist in training and mentoring of specialists.
- Serve as a technical resource to subordinates and others in the organization.
- Review and approve correspondence, reports, and authority requests as directed by manager.
- Participate in special projects or assist other team members as requested.
- Travel to mediations, trials, and conferences as required.
- Represent the company's claims expertise on external panels and industry forums.
- Coordinate loss information for senior business stakeholders and present during monthly/quarterly business meetings.
- Contribute to maintenance of claims guidelines and best practice procedures.
- Deliver construction claims technical training to colleagues and external contacts as appropriate.
- Ensure effective vendor and litigation management on claims with a focus on minimizing indemnity exposure and mitigating vendor and legal expense.
- Step in for manager to assume managerial duties when manager is unavailable or requires assistance.
Education and Experience Information:
- Juris Doctor (JD) Degree preferred.
- Must have or be eligible to receive claims adjuster license.
- Successful achievement of industry designations (INS, IEA, AIC, ARM, SCLA, CPCU) or I-Lead or other Management Training.
- Minimum of 10 years of claims handling experience or equivalent combination of education and experience.
- Experience handling high exposure construction bodily injury and property damage claims.
- Market-leading specialist knowledge within casualty construction lines.
- Expert policy language skills enabling accurate and consistent policy wording interpretation.
- Experience in negotiation, mediation, and arbitrations.
- Experience in conducting technical claims audits and effectively following up on findings.
- Ability to manage claims outside of local jurisdiction where appropriate, including understanding of laws and regulations.
- Strong senior stakeholder management experience, both internal and external.
- Ability to influence claims stakeholders and to effectively direct claims strategy.
- Ability to lead within a team environment.
- Strong presentation skills.
- 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 skills in Microsoft Office products (Excel, Outlook, PowerPoint, Word).
- Ability to work in a team environment.
- Strong desire for continuous improvement.
Salary Information:
The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary for the Executive Claims Examiner is $90,500 to $150,900 with 25% bonus potential.
Company Information:
The company is a Fortune 500 company with over 60 offices in more than 20 countries, serving as a holding company for insurance, reinsurance, specialist advisory, and investment operations globally. The company values its employees and offers competitive benefit programs, including multiple health, dental, and vision insurance plan options, life, disability, and AD&D insurance, a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays, floating holidays, and parental leave.
The company is committed to equal opportunity employment and does not discriminate based on any protected characteristic. The company also cautions against employment-related scams and advises that all legitimate job postings are on the company's career site and communications come from company email addresses.
