Claim examiner Jobs in Philadelphia, PA

Complex Claim Director

We are seeking a Complex Claim Director to oversee our Personal Umbrella Liability claims, including auto, premises, and personal liability. This role requires a strategic thinker with a proven ability to manage complex claim investigations and evaluations while ensuring optimal outcomes for our clients.

Principal Duties & Responsibilities

• Claims Management: Proactively handle Personal Umbrella Liability claims, emphasizing detailed investigation, evaluation, and monitoring of primary carrier activities to achieve the best results.
• Coverage Analysis: Investigate and analyze complex coverage issues, providing clear and detailed coverage letters as necessary.
• Investigation & Evaluation: Conduct timely and comprehensive investigations into liability and damages to recognize exposures early.
• Claims Resolution: Focus on effective resolution strategies, including timely liability investigations, damage assessments, and reserve setting.
• Best Practices: Ensure adherence to RLI's Best Practices in all claims handling activities.

Education & Experience

• Education: Requires a bachelor's degree.
• Experience: 8+ years of relevant legal or technical claims experience, with a strong background in handling large exposure third-party liability claims on a primary/excess basis.
• State Knowledge: Significant experience with policy limit demands in Florida, Texas, and California.
• Independence: Ability to excel in a fast-paced environment with minimal supervision.
• Collaboration: Proven ability to work effectively with primary carriers and defense counsel, with in-depth knowledge of umbrella/excess handling and management of outside counsel.
• Legal Acumen: Extensive knowledge of case law, statutes, and procedures impacting liability claims in Florida, California, New York, and Texas.

Knowledge, Skills, & Competencies

• Strong analytical skills to navigate complex claim processes and develop effective solutions.
• Innovative mindset with the ability to drive improvements within the claims department.
• Excellent communication skills to convey findings and recommendations clearly to internal and external stakeholders.

Compensation Overview

The base salary range for the position is listed below. Please note that the base salary is only one component of our robust total rewards package at RLI. The salary offered will take into account a number of factors including, but not limited to, geographic location, experience, scope & responsibilities of the role, qualifications/credentials, talent availability & specialization, as well as business needs. The below range may be modified in the future.

Base Pay Range

$142,828.00 - $208,171.00

Total Rewards

At RLI, we're all owners. We hire the best and the brightest employees and allow them to share in the company's success through our Total Rewards. With the Employee Stock Ownership plan at its core, the Total Rewards program includes all compensation, benefits and perks that come with being an RLI employee.

Financial Incentives

• Annual bonus plans
• Employee stock ownership plan (ESOP)
• 401(k) automatic 3% company contribution
• Annual 401k and ESOP profit-sharing contributions (Up to 15% of eligible earnings)

Work & Life

• Paid time off (PTO) and holidays
• Paid volunteer time off (VTO) to support our communities
• Parental and family care leave
• Flexible & hybrid work arrangements
• Fitness center discounts and free virtual fitness platform
• Employee assistance program

Health & Wellness

• Comprehensive medical, dental and vision benefits
• Flexible spending and health savings accounts
• 2x base salary for group life and AD&D insurance
• Voluntary life, critical illness, & accident insurance for purchase
• Short-term and long-term disability benefits

Personal & Professional Growth

RLI encourages its employees to pursue professional development work in insurance and job-related areas. We make a commitment to employees to provide educational opportunities that help them enhance their skills and further their career advancement. RLI fosters a true learning culture and encourages professional growth through insurance courses, in-house training and other educational programs. RLI covers the cost for most programs and employees typically earn a bonus upon successful completion of approved courses and certifications. Our personal and professional growth benefits include:

• Training & certification opportunities
• Tuition reimbursement
• Education bonuses

Diversity & Inclusion

Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers. We actively support, and participate in, initiatives led by the American Property Casualty Insurance Association that aim to increase diversity in the insurance industry. Cultivating an exceptional and diverse workforce to deliver excellent customer service reinforces our culture and is a key to achieving superior business results.

RLI is an equal opportunity employer and does not discriminate in hiring or employment on the basis of race, color, religion, national origin, citizenship, gender, marital status, sexual orientation, age, disability, veteran status, or any other characteristic protected by federal, state, or local law.