Back to Open Opportunities

Returning Applicant?  Login Now

Notice: Applicants must be currently authorized to work in the country where this job is located on a full time basis. 

General Liability Associate Claims Examiner
Location:Wayne, PA
Team:Claims
Job Type:Claims
FT/PT Status:Full Time
  
Job Description
The ideal claims team member will be an analytical and creative problem solver with the ability to hone in on key issues for coverage, liability and damage evaluation. Our claim examiners are assertive decision makers with a strong desire to persuade through negotiation and conflict management. The claims team offers on going challenges, even for the most experienced professional, as every claim is unique, providing new opportunities to learn and grow. We welcome our ongoing interaction with underwriting, compliance and actuarial to keep our products healthy.

Essential Functions:

Coverage is confirmed by reviewing the first notice of loss, checking all available systems, and interpreting policy language. Upon coverage analysis, the examiner prepares initial position letters to the policyholder such as disclaimers and reservation of rights. Once coverage is confirmed, the examiner conducts a thorough and focused investigation of the claim using independent adjusters, as appropriate. Investigation includes securing all pertinent facts, statements & documents, identifying joint tortfeasors and witnesses as well as scene investigation. Initial reserves are posted, reviewed and maintained as file develops to properly reflect ultimate exposure based upon liability and damage evaluation. The examiner is responsible for proactive file management toward final disposition via an effective diary, direction to defense counsel & independent adjusters, analysis & strategy leading to negotiated settlement or trial. Substantive file documentation in Mayfare notes should reflect file activity. While the claim is pending, communication includes delivery of comprehensive and concise authority requests, reinsurance reports, serious loss reports, coverage position letters and appropriate communication with underwriting.

Other Duties and Responsibilities:
In addition to the essential functions, an examiner is expected to support customer service by responding the same day to phone and email both internally and externally and adhere to established claim service promises.  The position may entail completion of special projects. There is an expectation for enrollment in continuing education to maintain state licenses and to support both professional and personal development as outlined in the annual Individual Development Plan. Occasional travel required i.e. attendance at mediation.

Specific Skills:
Strong oral and written communication skills, insightful analytical skills, effective negotiation skills, strong organizational and time management skills, technical knowledge of insurance coverage, negligence law and claim evaluation.

Minimum Job Requirements:
College degree OR equivalent business/industry experience.  We are seeking 2-5 years relevant claims experience handling third party liability claims. Experience with latent injury/latent damage claims is a plus.