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Berkshire Hathaway Specialty Insurance · 3 months ago

Senior Claims Examiner, Programs - Property and Casualty

Boston, MA, US

Full-time

Onsite

Senior Level

$70K/yr - $90K/yr

5+ years exp

Berkshire Hathaway Specialty Insurance (BHSI) is a strategic and trusted insurance partner providing a broad range of commercial property, casualty, and specialty insurance coverages. The Senior Claims Examiner will be responsible for managing specialty lines claims, overseeing TPA claims, and collaborating with underwriters to ensure high-quality service and resolution of claims.

Financial ServicesInsurance

Responsibilities

Responsible for the oversight, managing and adjusting of primary and TPA claims to include; commercial auto, general casualty, errors & omission, accident & health, homeowner and commercial property claims. Ensure high level of customer service and technical claim file quality

Duties include proactive handling of claims from first notice of loss through ultimate resolution, working and advising internal partners on claims, developing a plan of action for ultimate resolution, obtaining budgets and meeting with clients and brokers

Perform audits of TPA claims

Process monthly funding for TPA accounts

Provides outstanding customer service and works well with the insured, broker and TPA in the handling and adjudication of claims

Analyze and draft coverage letters as appropriate and communicates coverage positions effectively

Conducts, coordinates, and proactively directs investigation, defense and settlement of claims

Directs and closely monitors assignments to experts and defense counsel

Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company

Drafts reports, sets reserves within authority or make claim recommendations concerning reserve changes

Travels to audits, conferences, mediations, and trials as necessary

Qualification

Multi-line claims handlingTechnical competenceCustomer serviceInterpersonal communicationNegotiation skillsTeamworkLicenses for all statesIndependent workLearning ability

Required

5+ years of multi-line claim handling experience or matching equivalency; and be able to demonstrate technical competence in the handling of specialized program claims

Ability to work independently and assimilate learning materials on many different subjects from various sources

Excellent interpersonal communications and negotiation skills

Ability to work in a team environment

Should have technical competence in all aspects of multi-line claims with particular emphasis on customer service

Experience in handling and adjusting claims in all 50 states and possess required licenses