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WestCongress Insurance Services LLC · 3 hours ago

Claims Examiner

United States

Full-time

Remote

Mid, Senior Level

2+ years exp

WestCongress Insurance Services LLC is seeking a Claims Examiner who will review, evaluate, and process insurance claims while making recommendations for resolution. The role involves managing general liability, bodily injury, property damage, and other claims, requiring familiarity with regulatory compliance and tort law.

Financial ServicesInsuranceRisk Management

Responsibilities

Ensure appropriate investigation of the underlying facts and circumstances is carried out in a timely manner, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, proper negotiation strategy is employed

Recognizing exposures and ensuring reserving is appropriate and timely

Evaluating coverage issues and risk transfer opportunities

Effectively communicate exposures both internally and externally

Overall responsibility for formulating proper resolution strategy to ensure best total outcome

Position may require periodic travel to attend meditations, trials and/or other related meetings

Perform other duties as assigned

Qualification

CPCU CertificationAIC CertificationClaims coverage analysisCommercial casualty claimsRegulatory complianceMicrosoft OfficeCommunication skillsAttention to detail

Required

Experience handling large complex commercial casualty claims with 2-8 years of commercial casualty claim adjusting experience handling primary and excess general liability, auto and personal injury claims

Experience in claims coverage analysis

Ability to approach every task in a meticulous and thorough manner, documenting actions and communications, prioritizing, maintaining schedules; paying attention to detail and striving for accuracy at all times; identifying and meeting all deadlines

Understanding of legal procedures, regulatory compliance and states' statutes

Strong oral and written communication skills with the ability to communicate professionally at all levels within and outside the organization

Strong computer skills including Microsoft Office Word, Outlook and Excel