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Claims Examiner (General Liability)
Claims Examiner (General Liability)HAI Group • Cheshire, CT, US
Claims Examiner (General Liability)

Claims Examiner (General Liability)

HAI Group • Cheshire, CT, US
30+ days ago
Job type
  • Full-time
Job description

Join to apply for the Claims Examiner (General Liability) role at HAI Group

The Claims Examiner is responsible for liability claims in the areas of : investigation, evaluation, reserving, negotiation and resolution of the companies' claims in multiple jurisdictions.

The position is required to follow established claims management standards and exercise solid judgment when solving business problems; using critical thinking and decision-making skills and judgment within their assigned authority levels.

Position Overview

The Claims Examiner continually explores ways to apply claim's best practices to business challenges.

Essential Functions

  • Timely and effectively investigate and evaluate claims while managing outside adjusters and legal counsel
  • Clearly and succinctly document files and prepare reports in timely manner
  • 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
  • Thoroughly review, analyze and interpret coverage in accordance with applicable policies
  • Level of authority and complexity of decision making established by departmental management team
  • Create and manage positive working relationships with internal and external business partners

Knowledge, Skills, Abilities

  • Presents a positive and professional image of the companies
  • Knowledge and commitment to company mission, vision and organizational values
  • Ability to quickly assimilate and practically utilize new information
  • Possess written and verbal communications skills required to review, understand, interpret and convey data including medical records and legal documents, and coverage interpretation
  • Strong customer service skills including interacting with internal and external customers
  • Team player; works effectively as part of a team
  • Job Requirements

    Required :

  • Bachelor's degree in Business Management, Insurance, or related field; or equivalent work experience
  • 3+ years of progressive liability claims handling experience
  • All lines property / casualty adjuster's license
  • Ability to analyze and interpret coverage at a level commensurate with complexity of assigned claims
  • Prepare and communicate written status reports, for policyholders, management and business partners, including treaty and facultative reinsurers, agents and brokers
  • Understands current relevant case law and statutory law in multiple jurisdictions
  • Ability to implement compliance processes and procedures to ensure consistent, efficient and effective compliance with all federal, state, local and filed requirements
  • Review invoices, estimates, and other documents to ensure accuracy and legitimacy prior to payment
  • Knowledge of insurance operations
  • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future.
  • Preferred

  • Five years of progressive liability claims handling experience
  • AIC designation
  • Auto claims handling experience
  • Knows the Public and Affordable Housing business
  • Work environment & Physical Demands

  • Inside climate-controlled office building
  • Prolonged sitting and using a PC
  • Company Overview

    HAI Group , is the nation's leading property-casualty insurance company founded by and dedicated to affordable housing organizations.

    HAI Group Benefits And Perks

  • Bonus program eligibility
  • Annual merit program
  • Outstanding 401(k) program and non-elective contribution
  • Flexible work schedules
  • Generous paid time off, paid volunteer days and paid holidays
  • Medical, vision and dental Insurance
  • Company paid life, AD&D, short-term disability, and long-term disability coverage
  • HSA, FSA and dependent care options
  • On-Site wellness : Full gym and locker rooms, wellness initiatives, outdoor basketball and tennis court, picnic pavilion area
  • Tuition reimbursement and loan repayment
  • Professional development
  • Community outreach
  • HAI Group is an Equal Opportunity Employer.

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    Claim Examiner • Cheshire, CT, US

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