Claims Examiner, Sr. reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner, Sr. studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner, Sr. determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner, Sr. occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Claims Examiner, Sr. typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)
At Berkley Alliance Managers, we offer innovative coverage and risk management solutions for our brokers and policyholders. We have a passion for offering fresh ideas and relevant insurance products and services. Our business consists of four target markets – Design Professionals, Construction Professionals, Accounting Professionals and Miscellaneous Service Professionals. Our focus allows us to tailor coverage and create comprehensive risk management programs that enhance profitability and reduce susceptibility to loss.
Company URL: https://www.berkleyalliance.com
The company is an equal opportunity employer.
The AVP, Sr. Claims Examiner handles all aspects of claims notices and files related to professional liability and accompanying coverages, including but not limited to claims and coverage analysis, liability and damages analysis, reserve setting, reporting, reinsurance analysis and reporting, and travel. The role will manage outside defense and coverage counsel that are assigned on claim or pre-claim files, including cost containment and litigation management. It will support and assist with marketing and loss prevention education, including development of educational materials, for assigned product lines, as requested or needed. The AVP, Sr. Claims Examiner supports and assists functional departments, including marketing, risk management, finance and actuarial, including any related travel, as needed or requested. The role actively engages in and embraces the company’s continued learning and innovation culture, including participation in innovation groups to identify solutions for enhancement and change.
Key functions include but are not limited to:
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