Job Description

Claims Examiner - Carrier Oversight

Job Summary

Looking for a highly skilled and experienced Claims Examiner to join a team. This role involves overseeing claims sent to carriers, primarily focusing on General Liability (GL), Auto, and Professional Liability (PL).

Compensation Package

• Salary Range: $85,000 - $110,000

Responsibilities

• Review and manage assigned claims and litigation involving clients, developing and updating action plans until claims are resolved.
• Provide direction to outside counsel in handling client litigation as needed.
• Prepare and update Claim Status Reports, documenting actions and developments in each claim.
• Research, analyze, and prepare presentations on regulatory, legislative, and litigation developments impacting clients and carriers.
• Conduct legal research as required.
• Act as the primary contact for insurance reporting of potential and actual claims, ensuring timely responses to client and carrier-related inquiries.
• Handle Garage Liability claims for large Franchise Automobile Dealer Groups, including Dealer Physical Damage, Dealership Errors and Omissions, Employment Practices, and Excess Liability.
• Assist with monthly renewal accounts in preparation for client presentations.
• Collaborate with claims support staff to ensure efficient receipt and reporting of claims.
• Maintain a strong focus on customer service while interacting with dealership General Managers and carrier adjusters.

Qualifications/Requirements

• Education: Bachelor’s Degree required.
• Experience: Minimum of 5 years of relevant claims experience, including General Liability (GL), Professional Liability (PL), Bodily Injury (BI), Workers' Compensation (WC), and Cyber claims.
• Technical Skills: Proficiency in Microsoft Excel, including pivot tables, functions, and formulas.
• Licensing: California Property & Casualty License required.
• Knowledge:
  • Strong understanding of laws and regulations related to Commercial and Personal insurance.
  • Familiarity with general litigation procedures and liability contract language.
  • Knowledge of broker, third-party administration, and consultant roles and responsibilities.
• Soft Skills:
  • Exceptional oral and written communication skills.
  • Strong problem-solving and prioritization abilities.
  • Self-motivated, independent, and capable of managing time-sensitive projects.
  • Ability to thrive in a fast-paced environment while managing multiple tasks.
  • A passion for knowledge, quality, and excellence.

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