Demo

Employment Practices Claims Examiner

USLI
Austin, TX Full Time
POSTED ON 3/30/2025
AVAILABLE BEFORE 5/25/2025

Key Responsibilities:

  • Coverage Assessment: Review the first notice of loss and policy details to confirm coverage; draft disclaimers and reservation of rights letters as needed.
  • Comprehensive Investigations: Conduct in-depth investigations, including liability and damages assessments, witness interviews, scene inspections, and evidence collection.
  • Independent Adjuster Coordination: Engage and direct independent adjusters, ensuring thorough and effective claim investigations.
  • Liability Evaluation: Apply statutory and case law to assess liability exposure and ensure equitable contribution from joint tortfeasors.
  • Reserve Management: Maintain accurate reserves that reflect the evolving liability and damages associated with each claim.
  • Claim Resolution: Manage claim files proactively, negotiate settlements with claimants or attorneys, oversee defense counsel, and ensure efficient litigation handling.
  • Reporting & Documentation: Prepare detailed reserve authority requests, reinsurance reports, serious loss reports, and coverage position letters.
  • Cross-Functional Collaboration: Work closely with underwriting, compliance, and actuarial teams to support product integrity and risk management.

What You’ll Bring:

  • Analytical Thinking: Strong problem-solving skills with the ability to evaluate complex liability and damage assessments.
  • Effective Communication: Excellent written and verbal communication skills to interact with stakeholders and provide clear legal analysis.
  • Negotiation & Decision-Making: Assertive decision-making abilities, with strong negotiation and conflict resolution skills.
  • Organizational Excellence: Ability to manage multiple cases effectively while maintaining accuracy and efficiency.
  • Technical Expertise: Strong understanding of insurance coverage, negligence law, and claims evaluation processes.

Qualifications:

  • Experience:
  • 2 years of relevant experience for Associate Claims Examiner
  • 7 years of relevant experience for Claims Examiner
  • Background in claims examination, adjusting, legal services (paralegal, attorney), or a related field.
  • Specialized expertise in Employment Practices Liability, Directors & Officers (D&O), and Errors & Omissions (E&O) claims is highly preferred.
  • Additional qualifications such as multi-jurisdictional knowledge, advanced degrees, or a JD are a plus.

Passion and drive can be just as important as experience. If you’re excited about this opportunity, we’d love to hear from you!

Position affords 5 days per month to work remotely

Job Type: Full-time

Expected hours: 35 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Referral program
  • Vision insurance

Schedule:

  • Monday to Friday

Work Location: In person

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