Claims Examiner- Specialty Claims jobs in United States
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USLI ยท 3 days ago

Claims Examiner- Specialty Claims

USLI is a company dedicated to making a difference in the insurance industry through its core values of Caring, Attitude, Respect, Empathy, and Energy. The Claims Examiner - Specialty role involves evaluating coverage, liability, and damages for claims, collaborating with various teams and stakeholders to effectively investigate and resolve claims.

Financial ServicesInsurance
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Growth Opportunities
Hiring Manager
Riley McNamara
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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

Insurance coverage knowledgeLiability analysisClaims evaluation processesMulti-jurisdictional knowledgeNegotiation expertiseProblem-solving skillsCommunication skillsOrganizational skills

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

Excess liability experience: Experience with excess liability claims is preferred
Jurisdiction Knowledge: Multi-jurisdictional knowledge, advanced degrees, and/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

We aspire to be the very best insurance company at underwriting insurance products for our customers.

Funding

Current Stage
Late Stage
Total Funding
unknown
2000-04-27Acquired

Leadership Team

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Aaron Miller
Senior Vice President, Chief Technology Officer
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Adam Taylor
Senior Vice President - Chief Marketing Officer, Professional Lines
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