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AssuranceAmerica · 1 month ago

Casualty Claims Examiner

United States

Full-time

Remote

Senior Level

5+ years exp

AssuranceAmerica is a Managing General Agency seeking a Casualty Claims Examiner responsible for overseeing complex and large exposure losses. The role involves providing direction and oversight to ensure compliance with best practices and state/local guidelines while collaborating with claims management and staff.

Financial ServicesInsurance

Responsibilities

Review home office casualty files, provide direction as required to ensure that handling is within best practice guidelines and local jurisdiction regulations

Responsible for providing guidance and direction to claims staff in order to ensure proper handling and risk mitigation

Provide authority and guidance on all bodily injury claims regarding coverage, liability and damages, as required

Provide feedback to leadership and adjusting staff as required for continually improved file handling

Responsible for collaboration with claims staff, front line claims management, senior claims management and legal counsel

Available to answer questions and participate in roundtable discussions with claims staff and management to provide feedback and guidance on claim handling procedures

Complete research pertaining to complex coverage issues, industry trends, and related topics

May assist with targeted audits of a particular process or function (e.g. total loss handling, BI evaluations, cycle times, regulatory reviews, customer service skills, etc.) and/or management re-audits to verify calibration and accuracy of the first level reviews completed

Assist in designing and delivering casualty training as needed to ensure compliance and proper claim handling

Qualification

Casualty claims adjustingClaims management experienceAnalytical abilityInterpersonal skillsTeam buildingLeadership abilitiesTime managementOrganizational skills

Required

Bachelor's degree or equivalent work experience

A minimum of five years of adjusting claims

At least two years adjusting/overseeing casualty claims with high complexity

Communication and analytical ability at a level to interact with associates, managers, agents and vendors

Demonstrated team building and coordination skills

Must possess strong interpersonal skills and the ability to present critical information to Senior Management

Ability to manage multiple priorities and work independently

Leadership abilities are necessary, with the ability to make autonomous decisions based on multiple facts

Must be able to work in a fast-paced automated production environment and possess solid planning and organizational skills including time management, prioritization, and attention to detail

Must meet company guidelines for attendance and punctuality and professional appearance/decorum