Claims Examiner - PL

Posted 4 Days Ago
Be an Early Applicant
Morristown, NJ
Mid level
Industrial
The Role
As a Senior Examiner in the Professional Liability unit, you will manage claims for various policies, ensuring compliance with guidelines and best practices. Your role involves conducting investigations, documenting claims, setting reserves, and managing the litigation process while maintaining communication with different departments and clients.
Summary Generated by Built In

At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients.

As a Senior Examiner focused in our Professional Liability unit, you're at the heart of the Claim’s business operations. You will use your knowledge base to balance the needs of Coaction’s customers and business. You are a top performer with excellent investigation, organizational and analytical skills. You understand just how important this role is to the function of Coaction’s overall business and this is what encourages you to bring your a-game every day. You love what you do and you enjoy the daily interactions with both Coaction’s customers as well as your colleagues. In addition to being organized and analytical, you possess the strong business judgment and have the communication skills needed to interact with a variety of people in different situations. You thrive in our fast-paced environment, embrace challenges and are flexible enough to be successful in a dynamic and growing organization.Responsibilities:

  • Handles claims primarily involving Accountant, Lawyer & Auto Dealership Professional Liability policies, with capacity to learn Directors & Officers, EPL and Not for Profit coverages.
  • Handles assigned claims following company guidelines and industry best practices with a minimal amount of supervision.
  • Generally the claims assigned will be of a moderate level of complexity.
  • Assigned claims will often involve coverage interpretation and litigation.
  • Prepares appropriate coverage letters with supervision.
  • Completes an investigation on each claim in a timely manner and fully documents the claim file with claim details.
  • Promptly identifies claims with a potential for high exposure.
  • Sets accurate reserves on each claim within given authority level and promptly brings claims that will require reserves in excess of their authority to their supervisor’s attention. 
  • Completes timely and high quality large claim reports with some management input and editing.
  • Maintains a diary system that assures that each assigned claim will receive necessary ongoing attention. 
  • Travels to attend mediations, settlement conferences and trials as needed. 
  • Uses the claims system to accurately change reserves and make payments within assigned authority levels
  • Closely manages defense counsel and the litigation process to insure that loss adjustment expenses are appropriate.
  • Meets with members of other departments to discuss specific claim details or general claims issues. 
  • May be designated as claims contact for key accounts and programs in which case the Examiner will perform various account or program management tasks including: Preparing for and attending claim reviews; Analyzing claims data and meeting with members of other departments to discuss the account status; and/or Meeting with and making presentations to account or program representatives.
  • Maintains adjuster licenses in states agreed upon with manager.
  • May be called upon to perform other tasks and duties within the claims department as dictated by business needs.

Qualifications:

  • At least 3 to 5 years of experience handling commercial claims.
  • Some experience handling Professional Liability and/or Management Liability Claims preferred but not required.
  • JD preferred but not required

Core Competencies:

  • Results Orientation
  • Initiative & Creativity
  • Teamwork
  • Customer Service
  • Sense of Urgency
  • Expert Attention
  • Honesty & Integrity
  • Communication Skills

Equal Opportunity Employer

Coaction is an Equal Employment Opportunity employer. Coaction’s policy is not to discriminate against any applicant or employee based on race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, and genetic information, or any other basis protected by applicable law. Coaction also prohibits harassment of applicants or employees based on any of these protected categories.

If your application is selected, you will receive an email directly from the Coaction Recruiting Team at [email protected] asking you to contact a member of the Coaction Recruiting Team. Any other method of contact may be fraudulent.

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The Company
Alpharetta, Georgia
447 Employees
On-site Workplace
Year Founded: 2009

What We Do

Coaction Global (Coaction) is an A.M. Best “A-“ (Excellent)-rated, property and casualty (P&C) insurance company. Founded in 2009 as ProSight Global, Coaction today is a specialty underwriter providing property, casualty, entertainment, executive liability, and multi-line coverages to U.S. customers via open brokerage and delegated underwriting authority platforms. Coaction’s authentic, results-oriented culture is reflected in the company’s focused approach to fulfilling individual customer needs by combining product, analytics, and underwriting capabilities with strong industry knowledge and partnerships. Through data-driven insights and collaboration, the company coacts with customers and partners to rationally manage risk for a more confident and sustainable future

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