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CGL Claims Examiner II

$90k

The Jonus Group

Job Description

CGL Claims Examiner II
Job Summary

Seeking a highly skilled and motivated CGL Claims Examiner II to join a team. This role involves efficiently and effectively managing commercial first-party property and third-party general liability claims in a dynamic and fast-paced environment. The ideal candidate will have a strong background in claims handling, excellent communication skills, and the ability to work both independently and collaboratively.
Compensation Package
  • Salary: Up to $90,000 annually
  • Bonus: Target of 10% (not guaranteed)
  • Profit Sharing: 5-12% in lieu of 401(k) match
  • Comprehensive benefits package, including medical, dental, and vision coverage, flexible spending accounts (FSA), and health savings accounts (HSA)
  • Paid parental leave (up to 12 weeks)
  • 401(k) program, stock purchase plan, life insurance, and travel accident insurance options
  • Tuition assistance and industry-related education and exam programs
  • Flexible work arrangements
  • Access to an on-site, newly renovated fitness center with free usage and optional classes for a nominal fee
  • Special discounts on cell phone services with Verizon and AT&T
  • Access to exclusive travel and entertainment discounts through the Plum Benefits program
  • One paid day off annually to volunteer at a local charity
Responsibilities
  • Review and set up new loss assignments promptly, adhering to department guidelines and best practices.
  • Establish and regularly evaluate loss and expense reserves for accuracy and adequacy.
  • Analyze and interpret policy language to determine appropriate coverage decisions.
  • Draft coverage correspondence, including reservation of rights and coverage disclaimers, in compliance with state statutes and regulations.
  • Manage claim files from inception to closure, including investigation, evaluation, and resolution of claims.
  • Document all claim file activity, including strategies, plans of action, and exit plans.
  • Demonstrate strong skills in coverage analysis, investigation, evaluation, and negotiation.
  • Oversee and manage activities and costs of external vendors, including independent adjusters and legal counsel.
  • Prepare and present detailed loss reports and participate in roundtable discussions with peers and management.
  • Obtain and maintain required state adjuster licenses and comply with continuing education requirements.
  • Participate in cross-departmental projects, audits, workshops, and task forces as needed.
  • Attend internal and external training events and provide feedback to peers and management.
Qualifications/Requirements
  • Minimum of five (5) years of experience in Commercial General Liability (CGL) insurance claims handling.
  • Possession of required state adjuster licenses and compliance with continuing education requirements.
  • Intermediate proficiency in computer programs within a Windows environment, including Microsoft Word, Excel, and email.
  • Strong written and verbal communication skills, with the ability to draft professional correspondence and reports.
  • Demonstrated ability to work effectively with business users and external vendors.
  • Proven ability to manage a caseload efficiently and resolve claims in a timely and cost-effective manner.

#LI-RG1
Vacancy posted 4 days ago
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