Claims Examiner - Property & Liability

Property and Liability Claims Examiner - Our client, an insurance carrier the metro Portland area, is looking for a Property and Liability Claims Examiner with at least 10 years' experience to work on a Direct Hire basis. For consideration, please apply online or email resume to talent@activatestaffing.com.

Job Description

Claims Examiner

SUMMARY

Responsible for analyzing claim and coverage information, evaluate and approve coverage decisions for claims submitted by policyholders and others within Authority Grant. Communicate with insureds, claimants, agents, attorneys and coworkers, both inside and outside the department. Participate in review of loss to determine direction of assignment. Generate Reservation of Rights or Declination of Coverage if applicable. Oversee functioning of department in Manager’s absence

Essential Functions / Major Responsibilities:

  • Review loss presented, underwriting file and policy coverage to determine coverage within Authority Grant
  • Set up file, set reserves and assign
  • Contact insureds, claimants and others to discuss details of claim
  • Generate status requests to appropriate parties
  • Request needed documentation for claims handling
  • Communicate with insureds and others the basis for loss determination
  • Prepare requests for draft payments within Authority Grant
  • Request reserve adjustments within Authority Grant
  • Follow up daily on claim diaries
  • Generate Reservation of Rights letters and Denials of Coverage within Authority Grant
  • Perform online research (OJIN, LexisNexis, ISO, etc.)
  • Negotiate settlements and approve payments within Authority Grant
  • Draft tender of defense (or work with defense counsel) to tender to others and follow up on tenders 
  • Review and interpret coverage opinions received from counsel
  • Learn and demonstrate proficient use of company proprietary system and imaging system
  • Actively continue to improve personal knowledge and practices of the insurance industry through work experience, in-house instruction, industry courses and workshops

Secondary Functions:

  • Assign work to others within the department
  • Monitor and report to claims manager regarding status of work flow operations
  • Solicit contribution/reimbursement/recovery on settled claims
  • Assist others within the department with lower authority
  • Generate coverage summary on Construction Defect Claims and identify time on risk
  • Review and approve actions of Examiners with lower authority
  • Back-up for other Examiner positions with less authority
  • Train Examiners
  • Other duties as assigned

Specific Job Skills:

  • Strong knowledge of Property and Casualty (including Marine and Inland Marine) insurance policy language
  • Moderate knowledge of the laws in various states we write in
  • Able to read coverage forms and make sound decisions regarding coverage
  • Ability to take in new information and apply it to current situations
  • Strong negotiation and problem-solving skills
  • Organized and able to work independently within defined authority, manage workflow, utilize good judgment, meet deadlines, take initiative to address identified needs and make independent decisions
  • Strong interpersonal skills
  • Ability to work effectively as a team player
  • Strong listening skills
  • Ability to read, write and orally communicate in English, clearly and concisely with use of good grammar, spelling, and punctuation
  • Working knowledge of Microsoft Word and Outlook
  • Must be able to function using automated tools, including company systems, imaging system, e-mail and the Internet
  • Basic math skills
  • Physical abilities would include:
    • Sit for extended periods of time
    • Type
    • Look at a computer monitor for extended periods of time

Minimum Education and/or Experience required:

  • A Bachelor’s degree and
  • 8 years’ claims handling experience that provides the required knowledge, skills and abilities
  • An equivalent combination of education and experience will also be considered.
  • Preference will be given to candidates with experience in the applicable area
  • Professional insurance designation preferred (i.e. AIC, CPCU, AU, ARM or similar equivalent)

Salary range is $75k - $123k annually, depending on experience.

About Activate Staffing LLC

The Resource for Insurance Professionals
Activate Staffing is a premier staffing firm specializing in the Insurance Industry. Our staff is comprised of the best Insurance and Staffing professionals in the industry to fill the staffing needs of Insurance Companies, TPAs, Self-Insured Entities, and Retail and Wholesale Agencies and Brokerages. We have the breadth of knowledge and the skills needed to successfully match top-notch talent with highly rated companies. Give us a call, and Expect the Best!

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Job Summary

  • Job ID

    1572686

  • Category

    Property & Casualty Claims

  • Location

    Portland, OR

  • Order Type

    Direct Hire

  • Contact Phone

    (855) 228-7823 x103

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