Claims Examiner

Company Details:

 

What makes Admiral Insurance Group ADMIRABLE.

 

Since 1974, Admiral Insurance Group has been supporting business innovation and market growth through our wholesale-dedicated excess and surplus (E&S) lines of commercial insurance.  We specialize in underwriting difficult-to-place moderate to high-risk commercial businesses that require creative solutions, outside of the box thinking, entrepreneurial spirit and astute business knowledge.  As a member of the W. R. Berkley Corporation, a Fortune 500® Company and one of the nation’s premier commercial lines property casualty insurance providers, we have the resources, support and industry data to provide exceptional service and exciting solutions for our clients and partners. 

 

Unlock your insure-ability. Learn more about Careers at Admiral Insurance Group.

 

See what it’s like to work in Admiral’s Claims department.

 

The Company is an equal employment opportunity employer.

Responsibilities:

The Claims Examiner is responsible for determining and discharging the company's contractual obligations under its various policy contracts involving coverage analysis, investigation, legal defense, and loss and expense reserving. 

• Incorporate all claims into company records and review for applicability of coverage.
• Conference coverage questions, reserves, and settlement authority with Manager and Claims Committee pursuant to best practices, including preparation of large loss reports.
• Present facts of claims, with recommendations, to committee as necessary.
• Establish initial loss and expense reserves.  Maintain valid loss and expense reserves based on current investigation and legal discovery.
• Provide ongoing direction to adjusters, investigators and defense attorneys to ensure that all claims are adequately handled.  Attend and participate in mediations and trials as necessary with supervision.
• Adhere to company procedures and guidelines as well as case law and statutory requirements when coverage is in question, and/or when paying or denying claims.
• Review trade journals, Unfair Claim Practice Acts, etc. to ensure current understanding as they relate to the specified job duties.
• Review incoming billing statements for accuracy and process for payment.
• Attend industry related seminar workshops and/or courses for continuing education.
• Additional tasks, as assigned.

Qualifications:

• Bachelor’s Degree preferred (or equivalent work experience)
• Minimum of three years of progressive commercial insurance claims handling experience.
• Ability to assess priorities and manage deadlines effectively.
• Effective communication skills, both verbal and written.
• Strong research and analytical skills.
• Must have strong problem-solving skills and excellent organization skills.
• Must be customer service oriented
• Up to 20% travel
• Proficiency with MS Office Suite.

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Additional Company Details: The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: •Base Salary Range: $70,000 – $70,000 Berkley is committed to offering comprehensive and competitive employee health benefits that help our employees stay healthy, feel secure and maintain a work/life balance. We offer Medical, Dental, Vision, Flexible Spending Account, Health Savings Account and a Health Reimbursement Arrangement. We support our employees in planning for their current and future security by offering Short & Long Term Disability, 401(k)/Profit Sharing/Employee Stock Purchase Plan, Life/Accidental Death & Dismemberment/Travel and Additional Life Insurance. We want our employees to live productive and fulfilling lives. We promote work-life balance and personal wellness by providing an Employee Assistance Program, Paid Time Off (Vacation/Sick/Holidays) and encouraging employees to participate in our groups wellness program. We take risk management excellence and your professional growth and ongoing development seriously by offering industry-related education and exams along with industry-related tuition assistance. We do not accept unsolicited resumes from third party recruiting agencies or firms. Sponsorship Details: Sponsorship not Offered for this Role