What are the responsibilities and job description for the Claim Examiner (Commerical Insurance) position at International Financial Group LTD?
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POSITION TITLE : Claim Examiner
DEPARTMENT : Claims
REPORTS TO : Team Manager, Claims
EEO CATEGORY : Professional
DIRECT REPORTS : None
FLSA STATUS : Exempt
LOCATIONS : Alpharetta (GA), Chapel Hill (NC), Hartford (CT), Scottsdale (AZ)
POSITION SUMMARY / OBJECTIVES
The primary role of the Claim Examiner is to investigate, evaluate, negotiate, and settle injury / damage claims in multiple jurisdictions, applying coverage, laws and regulations accordingly; reporting to management within necessary timelines and guidelines.
POSITION RESPONSIBILITIES INCLUDING
- Promptly review new losses and determine initial plans of action.
- Analyze coverage as it relates to the facts and allegations of claims; prepare Reservation of Rights and Declination of Coverage letters, as applicable.
- Initiate contact with policyholder and claimant(s) to confirm notice of loss description and determine the scope of the investigation, as appropriate.
- When appropriate, assign and instruct independent adjusting firms to conduct needed investigative tasks; manage and direct activity of independent adjusting firms in any continued investigation of claims.
- Report losses timely to management and update as necessary.
- Evaluate claims as investigations develop and establish and adjust reserves as warranted.
- Review expense bills for appropriateness, accuracy and adherence to Company billing guidelines and process payments.
- Recognize, notify and pursue culpable parties and seek contributions from such parties.
- Identify and ensure subrogation efforts are undertaken against responsible parties.
- Negotiation of claims to settlement.
- Other duties as required.
KNOWLEDGE / SKILLS / ABILITIES INCLUDING
EDUCATION / EXPERIENCE / CERTIFICATIONS
PHYSICAL DEMANDS
BENEFITS
IFG Companies is an equal opportunity employer committed to a diverse workforce.
LI-Hybrid
LI-JF1
