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Nautilus Insurance Group (a Berkley Company) · 1 day ago

Claims Examiner I

Scottsdale, AZ

Full-time

Hybrid

Senior Level

5+ years exp

Nautilus Insurance Group is an elite Excess and Surplus Lines market offering commercial property and casualty insurance solutions. The Claims Examiner I will primarily handle basic commercial first-party property and third-party general liability losses, ensuring efficient claims management in a paperless environment.

Commercial InsuranceInsuranceProperty Insurance

Comp. & Benefits

No H1B

Responsibilities

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 execution 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

Qualification

Insurance experienceClaims managementCPCU certificationAIC certificationWindows proficiencyAnalytical skillsCommunication skillsNegotiation skills

Required

Must have at least five (5) years of insurance experience

Certificates as required by states

Must have intermediate knowledge of computer programs in a Windows environment, including Word, Excel and E-mail

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

Preferred

Some college preferred

CPCU, AIC, AEI or completion of other insurance-related classes is preferred

Benefits

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 aren’t idle words. We provide every employee one paid day off per year to volunteer at a local charity. That’s serving with a smile!

We take risk management excellence and your professional growth seriously by offering Tuition Assistance and Industry-Related Education and Exam programs.

Can you hear us now? Employees are eligible for special cell phone service discounts with Verizon and AT&T.

We participate in the Plum Benefits program offering employees cost-free 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.