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Claims Examiner I/II
Claims Examiner I/IINautilus Insurance Group (a Berkley Company) • Scottsdale, AZ, US
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Claims Examiner I / II

Claims Examiner I / II

Nautilus Insurance Group (a Berkley Company) • Scottsdale, AZ, US
16 hours ago
Job type
  • Full-time
Job description

Overview

Claims Examiner I / II role at Nautilus Insurance Group (a Berkley Company).

Location : Scottsdale, AZ or remote for a highly qualified candidate.

Company Details

As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide. We have specialized in providing these solutions for more than 35 years. Coverage placed by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company, both W. R. Berkley Corporation members with A.M. Best (Superior) A+ XV ratings.

Benefit Highlights

  • Paid Parental Leave! At Nautilus, we offer Childbirth Recovery Leave as well as Primary Caregiver Leave, for up to a maximum of 12 weeks of paid leave.
  • Nautilus offers Medical, Dental, and Vision coverage options, along with Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) choices
  • We help our employees feel secure by providing a 401(k) program, profit sharing, stock purchase plan, life insurance, and travel accident insurance options.
  • One paid day off per year to volunteer at a local charity, reflecting our value of "Committed to Serve."
  • Tuition Assistance and Industry-Related Education and Exam programs for professional growth.
  • Special cell phone service discounts with Verizon and AT&T. Plum Benefits program with access to exclusive travel and entertainment discounts.
  • Flexible work arrangements
  • On-site newly renovated fitness center with free use for employees; yoga and other classes available for a nominal fee.

Responsibilities

Nautilus Insurance is seeking a Claims Examiner I or II to join our team. This role can be located in our Scottsdale office or remotely for a highly qualified candidate.

  • Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
  • Establishes appropriate initial loss and expense reserves and regularly evaluates the file for adequacy and adherence to reserving guidelines.
  • Analyzes and interprets policy language with loss facts to reach appropriate coverage decisions.
  • Drafts coverage correspondence, including reservation of rights and coverage disclaimers in compliance with state statutes and regulations.
  • Composes other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
  • Proactively manages claim files from inception to closure, including investigation of coverage, liability and damage issues, plan of action, and prompt, economical file resolution in compliance with guidelines.
  • Documents all claim file activity clearly in file notes.
  • Demonstrates coverage analysis, investigation, evaluation and negotiation skills at a basic and higher level.
  • Directs and controls activities and costs of outside vendors including independent adjusters and counsel.
  • Present and discuss loss facts and issues in roundtable discussions with peers and management.
  • Composes and transmits Large Loss Reports and other reporting documents as appropriate.
  • Manages and monitors file caseload using available resources.
  • Obtains required state adjuster licenses and maintains them via continuing education.
  • Occasional participation in projects and initiatives led by other departments or W. R. Berkley companies (audits, workshops, focus groups, etc.).
  • Initiates appropriate communication with management and other departments.
  • Attends internal and external seminars and training, providing feedback to peers and management.

    • Qualifications

  • Must have at least five (5) years of insurance experience.
  • Certificates as required by states.
  • Intermediate knowledge of computer programs in a Windows environment, including Word, Excel and E-mail.

    • Education Requirement

  • High school diploma or GED; or one to three months related experience and / or training; or equivalent combination. Some college preferred.
  • CPCU, AIC, AEI or completion of other insurance-related classes is preferred.

    • Sponsorship Details

    Sponsorship not Offered for this Role

    Seniorities & Employment

  • Seniority level : Mid-Senior level
  • Employment type : Full-time
  • Job function : Finance and Sales
  • Industries : Financial Services and Insurance

    • The Company is an equal employment opportunity employer.

    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.

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    Examiner • Scottsdale, AZ, US