Examiner II
Examiner II
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Company Details
As an elite Excess and Surplus Lines market Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide. We have specialized in providing these solutions for more than 35 years.
We have more flexible policy terms and premium rates on a nonadmitted basis. Our focus is small to medium Property and Casualty risks on both an admitted and a nonadmitted basis.
Our offerings are distributed through partnerships with appointed wholesale surplus lines producers. Our relationships are defined by mutual success speed to market customercentric focus and an expanded appetite.
Coverage placed by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company both W. R. Berkley Corporation members with A.M. Best (Superior) A XV ratings.
Benefit Highlights:
- Paid Parental Leave! At Nautilus we offer Childbirth Recovery Leave as well as Primary Caregiver Leave for up to a maximum of 12 weeks of paid leave.
- Nautilus offers Medical Dental and Vision coverage options along with Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) choices
- We help our employees feel secure by providing a 401(k) program profit sharing stock purchase plan life insurance and travel accident insurance options.
- One of our core values is Committed to Serve and these arent idle words. We provide every employee one paid day off per year to volunteer at a local charity. Thats serving with a smile!
- We take risk management excellence and your professional growth seriously by offering Tuition Assistance and IndustryRelated Education and Exam programs.
- Can you hear us now Employees are eligible for special cell phone service discounts with Verizon and AT&T. Weve got a plum position for you! We participate in the Plum Benefits program offering employees costfree access to thousands of exclusive travel and entertainment discounts.
- Flexible work arrangements
- On site newly renovated fitness center free to use for employees. Yoga and other classes available for a nominal fee.
Responsibilities
Nautilus Insurance Group is looking for a Claims Examiner II with commercial lines experience to join its team. This role is located on a hybrid schedule in our Scottsdale office or remotely for a highly qualified candidate.
The Claims Examiner II handles primarily basic commercial thirdparty general liability losses in a paperless environment. The assigned caseload may include up to onehalf intermediatelevel losses.
We look for candidates with a strong customer focus the ability to communicate clearly and accurately when writing or speaking and the desire to work as part of team that values collaboration and continuous improvement.
In terms of specific duties the Claims Examiner II:
- Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
- Establishes appropriate initial loss and expense reserves and continues to regularly evaluate the file for adequacy accuracy and adherence to reserving guidelines.
- Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
- Drafts frequent coverage correspondence including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
- Composes a variety of other detailed correspondence to insureds claimants attorneys agents and Regulatory agencies.
- Proactively manages claim files from inception to closure including identification and investigation of coverage liability and damage issues determination and efficient of an appropriate plan of action and prompt economical file resolution in compliance with Department guidelines and best practices.
- Appropriately and clearly documents all claim file activity including current strategy plan of action and exit plan in file notes.
- Consistently demonstrates coverage analysis investigation evaluation and negotiation skills at a basic and frequently higher level.
- Directs and controls the activities and costs of numerous outside vendors including independent adjusters defense counsel and coverage counsel.
- Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.
- Composes and transmits in a regular and timely basis Large Loss Reports and other detailed reporting documents as appropriate.
- Manages and monitors file caseload through the use of various resources.
- Obtains all required state adjuster licenses and maintain them as required via compliance with mandatory continuing education requirements.
- Demonstrated experience working with business users.
- Other duties may be assigned.
- Occasional participation in projects and initiatives lead by other departments and/or W. R. Berkley companies including audits workshops focus groups task forces etc.
- Initiates appropriate communication with members of management and other Departments.
- Attends internal and external seminars and other training events and provide feedback to peers and/or members of management.
#LIRS1
#LIHybrid
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Qualifications
- Must have at least five 5 years of experience.
- Licenses as required by states.
- Must have intermediate knowledge of computer programs in a Windows environment including Word Excel and Outlook.
- High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. Some college preferred.
- CPCU AIC AEI or completion of other insurancerelated classes is preferred.
Additional Company Details
We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
Employment Type
Unclear
