Sr Claim Examiner-Liability
Share
Job Location:
Berkeley Heights, NJ - USA
Monthly Salary:
Not Disclosed
Posted on:
4 days ago
Vacancies:
1 Vacancy
Job Summary
Job Title: Sr Claim Examiner-Liability
Location: Laguna Hills CA
Duration: 2 Months
Job Type: Contract
Note: Top 3 Keywords: 1- Complex Claims Management / Claims Adjusting 2- Litigation & Coverage Analysis 3- Claims Investigation and Settlement Authority
Top Required Skills:
- Complex Claims Investigation & Settlement
- Policy Coverage Interpretation & Decision-Making
- Litigation Negotiation & Subrogation Management
Must-Have Skills:
- Ability to interpret complex and unusual insurance policy coverages
- Experience managing complex claims investigations end-to-end
- Strong analytical problem-solving and independent decision-making skills
- Experience establishing claim reserves and authorizing payments
- Strong written verbal negotiation and presentation skills
- Ability to work independently and manage multiple priorities
- Effective interpersonal skills for internal and external stakeholder interaction
Nice-to-Have Skills:
- Experience directing discovery and litigation strategy with legal counsel
- Subrogation and third-party recovery development experience
- Preparation of claims reports for clients carriers and management
- Professional insurance designations (IIA AIC AEI CPCU)
Key Responsibilities and Duties:
- Interpret insurance policies and determine coverage applicability for complex claims
- Manage all investigative activities on complex claims including litigation strategy with legal counsel
- Establish reserves authorize claim payments and ensure timely and cost-effective settlements
- Settle claims promptly and equitably within authority limits and issue company payment drafts
- Identify subrogation and third-party recovery opportunities and manage reclaim procedures
- Analyze claims activity and prepare reports for clients carriers and management
Requirements:
- Bachelors degree or equivalent professional experience
- 4 8 years of experience in claims handling investigations or settlement roles
- Strong analytical communication and negotiation skills
- Ability to independently manage complex and high-value claims
- English proficiency (read write speak)
Key Skills
- Auditing
- GAAP
- Military Experience
- Phlebotomy
- Conflict Management
- Vital Signs Experience
- Computer Forensics
- Research Experience
- Securities Law
- Operating Systems
- PTSD Care
- RMF
