What are the responsibilities and job description for the Claims Examiner position at Incline P&C Group?
About Incline P&C Group
Incline P&C Group is privately owned and operated with an exclusive focus on the program insurance market. Incline has a team of over 90 employees; headquartered in Austin, TX. It is our mission to provide the most effective and proficient environment for our partners by actively managing programs with a diligent focus on underwriting, claims, and enterprise risk.
Claims Examiner
Incline P&C Group is now hiring an experienced Claims Examiner to join its Claims team in Austin, TX. Incline P&C Group and its subsidiaries are fronting companies with claims handled by managing general agents (MGAs) or third-party claims administrators (TPAs). The ideal candidate will have previous P&C insurance carrier experience and experience working with MGAs and TPAs. This role will report directly to the Claims Manager and is a great opportunity for those looking for career growth in a dynamic and innovative organization.
Responsibilities :
- Assist in conducting claims audits of MGAs and TPAs, including in-depth and specific targeted audits.
- Review and respond to requests for settlement and reserve authority from personal auto MGAs and TPAs.
- Provide consultation, advice, and direction to MGAs and TPAs on claims issues such as coverage, reserving, responses to settlement demands, etc.
- Review and modify or approve responses to policy limits demands, denials of coverage, and payments as required by applicable contracts or otherwise requested by MGAs or TPAs.
- Monitor MGAs and TPAs for compliance with regulatory requirements and with contractual requirements.
Requirements :
