USLI · 1 month ago
Claims Examiner-Personal Lines
Wayne, PA
Full-time
Onsite
Mid, Senior Level
2+ years expUSLI is a vibrant organization committed to making a difference in the insurance industry. The Claims Examiner will play a critical role in evaluating coverage, liability, and damages for claims, collaborating with teams and external stakeholders to investigate, negotiate, and resolve claims.
Financial ServicesInsurance
Hiring Manager
Riley McNamara
Responsibilities
Coverage review: Confirm coverage by reviewing the first notice of loss and policy details; prepare disclaimers and reservation of rights letters as necessary
Thorough investigation: Conduct detailed investigations into claims, including liability and damages assessment, witness interviews, scene inspections, and evidence collection
Independent adjusters: Retain and provide directions to independent adjusters while managing all aspects of the investigation process
Liability analysis: Apply statutory and case law to evaluate liability exposure and ensure joint tortfeasors contribute their fair share
Reserve maintenance: Maintain accurate reserves reflecting liability and damages as claims develop
File management: Proactively manage claim files, negotiate settlements directly with claimants or attorneys, oversee defense counsel, and ensure effective litigation management
Reporting: Prepare comprehensive reserve authority requests, reinsurance reports, serious loss reports, and coverage position letters
Cross-team collaboration: Provide updates and collaborate with underwriting, compliance, and actuarial teams to maintain healthy products
Qualification
Required
2+ years of relevant experience for Associate Claims Examiner
7+ years of relevant experience for Claims Examiner
Previous experience as an examiner, adjuster, paralegal, attorney, or in other transferable roles
Problem-solving skills: Analytical and creative problem-solving capabilities with a focus on liability and damage evaluation
Communication: Strong oral and written communication skills to effectively interact with all stakeholders
Negotiation expertise: Assertive decision-making with effective negotiation and conflict management skills
Organization: Strong organizational and time management skills to manage multiple priorities efficiently
Technical knowledge: Familiarity with insurance coverage, negligence law, and claim evaluation processes
Preferred
Personal lines experience: Experience in personal lines claims handling is preferred
Liability and jurisdiction knowledge: Multi-jurisdictional experience and advanced degrees or JD are a plus
Benefits
Performance-based triannual bonuses
Medical benefits paid at 100% for full-time employees and 80% for eligible part-time employees
A profit-sharing program
Free lunch every day while onsite
More than 450 annual personal and professional development courses
Company
USLI
We aspire to be the very best insurance company at underwriting insurance products for our customers.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2000-04-27Acquired
Leadership Team
Aaron Miller
Senior Vice President, Chief Technology Officer
Adam Taylor
Senior Vice President - Chief Marketing Officer, Professional Lines
Recent News
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