Senior Claims Examiner

Admiral Insurance Group

Since 1974, Admiral Insurance Group has been supporting business innovation and market growth through our wholesale-dedicated excess and surplus (E&S) lines of commercial insurance. We specialize in underwriting difficult-to-place moderate to high-risk commercial businesses that require creative solutions, outside of the box thinking, entrepreneurial spirit and astute business knowledge. As a member of the W. R. Berkley Corporation, a Fortune 500 Company and one of the nation's premier commercial lines property casualty insurance providers, we have the resources, support and industry data to provide exceptional service and exciting solutions for our clients and partners.

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See what it's like to work in Admiral's Claims department.

The Company is an equal employment opportunity employer.

Responsibilities

The Multi-Line Senior Claims Examiner is responsible for determining and discharging the company's contractual obligations under its various policy contracts involving coverage analysis, investigation, legal defense, and loss and expense reserving.

• Incorporate all claims into company records and review for applicability of coverage.
• Conference coverage questions, reserves, and settlement authority with Manager and Claims Committee pursuant to best practices, including preparation of large loss reports.
• Present facts of claims, with recommendations, to committee as necessary.
• Establish initial loss and expense reserves. Maintain valid loss and expense reserves based on current investigation and legal discovery.
• Provide ongoing direction to adjusters, investigators and defense attorneys to ensure that all claims are adequately handled. Attend and participate in mediations and trials as necessary with supervision.
• Adhere to company procedures and guidelines as well as case law and statutory requirements when coverage is in question, and / or when paying or denying claims.
• Review trade journals, Unfair Claim Practice Acts, etc. to ensure current understanding as they relate to the specified job duties.
• Review incoming billing statements for accuracy and process for payment.
• Attend industry related seminar workshops and / or courses for continuing education.
• Additional tasks as assigned.

Qualifications

#LI-FL1 #LI-HYBRID

Additional Company Details

We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes : Base Salary Range : $80,000 - $100,000 The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Eligible to participate in the annual discretionary bonus program. Benefits : Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.

Sponsorship Details

Sponsorship not Offered for this Role