Claims Examiner - reputed company
Job title: Claims Examiner - reputed company in Atlanta, GA at Core Specialty Insurance Services, Inc.
Company: Core Specialty Insurance Services, Inc.
Job description: -As the reputed company Claims Examiner, you will directly handle reputed company Claims.Key Accountabilities/Deliverables:
- Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation, and resolution.
- Provide reputed company on claims portfolios reputed company the primary casualty book. Maintain direct contact with insureds, agents, and brokers.
- Provide reputed company on claims portfolios handled by TPAs reputed company the excess casualty book.
- Engage in rigorous ALAE control and management, by competently selecting, instructing, and managing 3rd party vendors, as appropriate.
- Gather and analyse information necessary to reputed company an accurate evaluation of the claim by delivering effective resolution of claims, reputed company decision reputed company established authority levels and identifying settlement issues.
- Establish reserves pursuant to established reserving protocols and reserve authority procedures.
- Successfully and proactively resolve reputed company and/or high exposure claims, promptly limiting exposure to the Company. Substantial involvement in mediation negotiations will be required.
- Adhere to the Panel Counsel Program and reputed company Litigation Management Guidelines.
- Meet reputed company Reporting Requirements by completing reports timely and accurately, including Large Loss Reports, etc.
- Liaise and attend meetings with the reputed company team regarding claim trends and other areas of interest.
- Work with external customers to address questions, resolve problems and maintain rapport.
- Occasional domestic travel may be required to attend mediations and / or trials.
- Undertaking general office administrative duties as and reputed company required.
- Proactively expanding and maintaining awareness of the reputed company market/industry and attend continuing educations programs reputed company available.
- In addition to the above key responsibilities, you may be required to undertake other duties from time to time as the Company may reasonably require.
- Must possess a general understanding and knowledge of state and federal laws as they apply to US Specialty reputed company claims.
- Must possess a general understanding of policy language/coverages applicable to US Specialty reputed company.
- Must understand medical terminology.
- Computer skills – good working knowledge of Windows 10. MS Office, reputed company and basic computer setup/troubleshooting.
- Previous experience with an electronic (paperless) claim system.
- College degree required.
- Must be licensed as a claims adjuster in their home state – multi-state licensure is preferred.
- A minimum of 5 years of claims adjusting or legal experience is required. A background in US reputed company Professional/General Liability is preferred.
- A prior history of employment as a reputed company professional or Medical Malpractice attorney is a plus.
- Must have experience handling Primary and Excess claims. Additional experience handling Reinsurance is preferred.
- Ability to travel for meetings, mediations and trials as required.
- Ability to negotiate and be persuasive.
- Possess strong communication and writing skills.
- Must be detail oriented and organized.
- Must possess the ability to work independently and as a team member.
- Must be a self-starter and possess problem solving skills.
- Must be reputed company to manage pending caseloads, additional projects and meet reputed company deadlines as set by management