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Claims Examiner- Personal Lines

USLI

Job Title: Claims Examiner – Personal Lines Key Responsibilities Coverage review: Confirm coverage by reviewing the first notice of loss and policy details; prepare disclaimer 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. What You’ll Bring 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. Qualifications 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. 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. Position affords 5 days per month to work remotely. #J-18808-Ljbffr

Vacancy posted 3 days ago
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