Claims Examiner, General Liability Claims

Role Description

The Claims Examiner is responsible for liability claims and property damage claims to their conclusion in the most cost-effective way possible for the client. In addition, the Claims Examiner will be responsible for recognizing claims involving coverage issues and present them to the Claims and Coverage Committees for referral to counsel.

• Review assigned claims within the PLCA guidelines.
• Prepare appropriate response letter to Government Claims within the required timelines.
• Assignment of Investigations.
• Review investigative reports, evaluate damages and make recommendations to clients regarding assigned files.
• Direct attorneys on litigated files and control defense costs.
• Prepare timely Reports to Reinsurers.
• Prepare appropriate write ups for JPA’s/ Superpools on a quarterly basis.
• Monitor/adjust reserves when developments occur.
• Review files for Subrogation potential and actively pursue subrogation.
• Manage and respond to client inquiries.
• Maintain accurate statistical data in computer.
• Assist in client file reviews.
• Attend Court ordered Mediations/MSC’s or any meeting required to facilitate settlement.
• Bill at minimum 80% of the work day.
• Other duties as assigned.

Qualifications

• Required: High school diploma and 5 years related claims experience required.
• Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements.
• Extensive knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.
• Preferred: Bachelor's degree preferred.

Requirements

• Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
• Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses.
• Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation.

Benefits

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance.
• 401(K) and Roth options.
• Tax-advantaged accounts (HSA, FSA).
• Educational expense reimbursement.
• Paid parental leave.
• Digital mental health services (Talkspace).
• Flexible work hours (availability varies by office and job function).
• Training programs.
• Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing.
• Charitable matching gift program.
• And more...