Specialty Claims Examiner

Boise, ID, US, United States

Job Description

Key Responsibilities



Coverage Review:


Evaluate coverage by reviewing the first notice of loss and policy details; prepare disclaimers and reservation of rights letters as needed.

Claims Investigation:


Lead thorough investigations into claims, including assessing liability and damages, interviewing witnesses, inspecting scenes, and collecting evidence.

Independent Adjuster Management:


Engage and provide direction to independent adjusters while overseeing all aspects of the investigative process.

Liability Evaluation:


Apply statutory and case law to analyze liability exposure and ensure all responsible parties contribute appropriately.

Reserve Management:


Establish and maintain accurate reserves that reflect the evolving liability and damages associated with each claim.

File Oversight:


Proactively manage claim files from start to finish--negotiating settlements, overseeing defense counsel, and ensuring effective litigation management.

Reporting:


Prepare detailed reserve authority requests, reinsurance and serious loss reports, and coverage position letters.

Collaboration:


Work closely with Underwriting, Compliance, and Actuarial teams to share insights and support the development of strong, sustainable products.

What You'll Bring



Analytical Thinking:


Strong problem-solving skills and the ability to assess liability and damages with accuracy and creativity.

Communication Skills:


Clear and professional oral and written communication, with the ability to interact effectively with internal and external stakeholders.

Negotiation Ability:


Confident decision-making supported by effective negotiation and conflict resolution skills.

Organization:


Exceptional organizational and time management skills, with the ability to handle multiple priorities efficiently.

Technical Expertise:


Solid understanding of insurance coverage, negligence law, and claims evaluation processes.

Qualifications



Associate Claims Examiner:

2+ years of relevant experience

Claims Examiner:

7+ years of relevant experience Prior experience as an examiner, adjuster, paralegal, attorney, or in another transferable role

Preferred:

Experience handling excess liability claims

Plus:

Multi-jurisdictional knowledge, advanced degrees, and/or a JD
Job Type: Full-time

Expected hours: 35 per week

Benefits:

401(k) Dental insurance Employee assistance program Flexible schedule Flexible spending account Health insurance Health savings account Paid time off Referral program Retirement plan Tuition reimbursement Vision insurance
Work Location: In person

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Job Detail

  • Job Id
    JD5968815
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Boise, ID, US, United States
  • Education
    Not mentioned