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HAI Group · 10 hours ago

Claims Examiner (General Liability)

Cheshire, CT

Full-time

Onsite

Mid, Senior Level

3+ years exp

HAI Group is the nation’s leading property-casualty insurance company dedicated to affordable housing organizations. The Claims Examiner is responsible for investigating, evaluating, reserving, negotiating, and resolving liability claims in multiple jurisdictions, while ensuring compliance with established claims management standards.

Insurance

Work & Life Balance

No H1B

Responsibilities

Timely and effectively investigate and evaluate claims while managing outside adjusters and legal counsel

Clearly and succinctly document files and prepare reports in timely manner

Directs settlement activity using investigative and problem-solving skills in direct negotiations

Handle all assigned cases efficiently and cost-effectively through conclusion

Analyze and recommend appropriate reserves; periodically reviewing and adjusting these reserves based on the assessment of probable liability, financial responsibility and exposure

Thoroughly review, analyze and interpret coverage in accordance with applicable policies

Level of authority and complexity of decision making established by departmental management team

Create and manage positive working relationships with internal and external business partners

Qualification

Liability claims handlingAll lines adjuster's licenseCoverage interpretationAIC designationInsurance operations knowledgeCustomer service skillsWritten communication skillsVerbal communication skillsTeam playerCritical thinking

Required

Bachelor's degree in Business Management, Insurance, or related field; or equivalent work experience

3+ years of progressive liability claims handling experience

All lines property/casualty adjuster's license

Ability to analyze and interpret coverage at a level commensurate with complexity of assigned claims

Prepare and communicate written status reports, for policyholders, management and business partners, including treaty and facultative reinsurers, agents and brokers

Understands current relevant case law and statutory law in multiple jurisdictions

Ability to implement compliance processes and procedures to ensure consistent, efficient and effective compliance with all federal, state, local and filed requirements

Review invoices, estimates, and other documents to ensure accuracy and legitimacy prior to payment

Knowledge of insurance operations

Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future