Senior Claims Examiner (General Liability)

Senior Claims Examiner (General Liability)

The Senior Claims Examiner is responsible for investigation, evaluation, reserving, negotiation, and resolution of the companies' liability claims in multiple jurisdictions. The position is required to follow established claims management standards and exercise solid judgment when solving business problems as well as using critical thinking, decision-making skills, and judgment within their assigned authority levels.

The Senior Claims Examiner continually explores ways to apply claim's best practices to business challenges. Individuals in this role are expected to mentor and coach team members to increase their technical expertise and business contributions.

Essential Functions

• Timely and effectively investigate and evaluate claims while managing outside adjusters and legal counsel
• Directs settlement activity using investigative and problem-solving skills in direct negotiations
• Handle all assigned cases efficiently and cost-effectively through conclusion
• Analyze and recommend appropriate reserves; periodically reviewing and adjusting these reserves based on the assessment of probable liability, financial responsibility and exposure
• Handle all assigned cases efficiently and cost-effectively through conclusion, identifying and thoroughly investigating all available risk transfer options (subrogation and third-party recoveries and re-insurance)
• Review, analyze and interpret coverage in accordance with applicable policies
• Prepare coverage evaluations, document files and draft letters for management review in a timely manner
• Concentration on larger cases with reinsurance involvement requiring ability to track aggregates, and prepare more complex reports
• Reviews invoices, estimates, legal fees, and other documents to ensure accuracy and legitimacy prior to payment
• Prepare clear and concise reports with little or no guidance that can be presented for review and require little or no edits by management
• Mentors' examiners, as well as coordinators, by providing guidance, sharing expertise, and overseeing work product
• Serve as Subject Matter Expert for certain venues and / or coverage line

Knowledge, Skills, Abilities :

Job Requirements

Required

Preferred

Work environment & Physical Demands

Company Overview

HAI Group is the nation's leading property-casualty insurance company founded by and dedicated to affordable housing organizations. We protect, preserve, and promote the sustainability of affordable housing with an array of products and services that support the challenges housing organizations face.

HAI Group Benefits And Perks

HAI Group is an Equal Opportunity Employer.

J-18808-Ljbffr