James River Insurance Company · 2 hours ago
Senior Claims Examiner - Claims Specialist
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Responsibilities
Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service
Perform coverage, liability, and damage analysis on all claims assignments
Prepare correspondence to all required parties involved in claim when necessary
May investigate allegations and determine facts based on evidence and recorded interviews
May be required to complete actions to satisfy department of insurance and/or state regulations
Draft disclaimers and reservation of rights letters when coverage issues arise
Assign limited investigations and appraisals to licensed insurance professionals
Negotiate settlements, mitigate losses, and control expenses
Maintain a high level of communication internally with claims management team and externally with insureds, claimants, and attorneys
May be called upon to assist in training existing and new Claims Examiners
Qualification
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Required
High school diploma required
Minimum of one year of P&C claims handling experience including handling liability and coverage issues, multi-jurisdictional claims, and negotiating settlements with claimants and attorneys required
Excellent written and verbal communication skills
Strong analytical skills
Strong negotiation skills
Ability to work independently with moderate level of supervision
Excellent organizational skills
Proficiency in MS Office (Word, Excel, Outlook)
Ability to work in a team environment and take direction from Claims Manager
Ability to successfully obtain the required state adjusters’ licenses within six (6) months following the completion of Company-provided licensure training courses and maintain appropriate licensure thereafter.
Preferred
Bachelor’s Degree preferred
Adjuster license and/or certifications preferred
College degree preferred
Experience and proven track record in managing complex coverage issues and complex litigation
Advanced degree or law degree preferred
Extensive expertise in specific specialty area of claims (i.e. PL, M&C, GL)
Adjuster license and/or certifications desired preferred
Company
James River Insurance Company
James River® is a specialty insurer operating on an Excess & Surplus Lines basis in all fifty states and D.C.