Claims Examiner

Posted 7 Hours Ago
Be an Early Applicant
Mayfield Heights, OH
Mid level
Insurance
The Role
The Claims Examiner will investigate and manage insurance claims from initial report to final disposition, ensuring compliance with laws and analyzing damages. Responsibilities include engaging policyholders, overseeing vendors, conducting reviews, and collaborating with departments. Must have strong analytical and communication skills, with an emphasis on customer service.
Summary Generated by Built In

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Multi-state commercial insurance company is seeking a qualified Claims Examiner for a position based out of the Mayfield Heights, OH claims office.

Key Accountabilities/Deliverables:

  • Investigate commercial insurance automobile, property damage and general liability claims.

  • Handle claims from the initial loss report through final disposition.

  • Conduct investigation of policy coverage and liability with a detailed analysis of applicable state laws; damage determination for property, commodity and personal injury claims.

  • Establish a course of action to conclude claims timely and in compliance with state regulatory requirements.

  • Analyze exposures and ensure proper reserves established.

  • Escalate high exposure claims to management for direction.

  • Manage litigation filed against commercial insureds.

  • Task assignments to outside vendors as required along with oversight and management of the vendor.

  • Communicate with policyholders, agents and underwriting on key claim issues as required.

  • Conduct open claim reviews and work cohesively with other departments to deliver superior customer service and claim service to policyholders.

  • Travel may be required to attend mediations, conferences, trials and training activities

Technical Knowledge and Understanding:

  • 3 - 5 years of experience handling commercial auto claims is required

  • Active adjuster’s license in Texas or home state

  • Working knowledge of Microsoft Word & Excel is required

Experience:

  • High school diploma required, bachelor’s degree preferred

  • Strong analytical skills are required to effectively and efficiently analyze information

  • Excellent verbal and written communication skills to express complex evaluations and resolve claims through a well-planned negotiation strategy

  • Customer service skills and a willingness to work in a team-oriented environment are essential

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa for this position.
#LI-Hybrid
 

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At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement.  We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program

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The Company
HQ: Cincinnati, Ohio
390 Employees
On-site Workplace

What We Do

Core Specialty, through its subsidiary insurers, offers a diversified range of property, casualty, and marine insurance products for small to mid-sized businesses.
We have the capital to take on risk, the underwriting talent in place, decisive leadership team, infrastructure, and a proven track record of making things happen – fast!

When you’re ready to solve your toughest insurance needs, we’re ready to get it done for you.
We free customers up to focus on their business by taking the load of complicated specialty insurance off their hands.
We break down the walls of bureaucracy to provide optimal underwriting solutions for brokers.
We’re ready, equipped, and motivated to get the job done, efficiently and professionally, by empowering experts with what they need to move quickly on behalf of customers and their brokers.

Our specialty focus is the essential part of our identity.
It is at our core

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