ProSight Specialty Insurance

  • Claims Examiner

    Job Locations US-NJ-Morristown
    Posted Date 1 month ago(11/7/2018 7:46 AM)
    Job ID
    2018-1937
    # of Openings
    1
    Category
    Claims
  • Overview

    As an Examiner focused in our General Liability unit, you're at the heart of the Claim’s business operations in one of our fastest growing programs. You will use your extensive knowledge base to balance the needs of ProSight’s customers and business. You are a top performer with excellent investigation, organizational and analytical skills. You understand just how important this role is to the function of ProSight’s overall business and this is what encourages you to bring your a-game every day. You love what you do and you enjoy the daily interactions with both ProSight’s customers as well as your colleagues. In addition to being organized and analytical, you possess the strong business judgment and have the communication skills needed to interact with a variety of people in different situations. You thrive in our fast-paced environment, embrace challenges and are flexible enough to be successful in a dynamic and growing organization.

    Responsibilities

    • Handles assigned claims following company guidelines and industry best practices with a minimal amount of supervision.
    • Generally the claims assigned will be of a moderate to severe level of complexity.
    • Assigned claims will often involve coverage interpretation and litigation.
    • Prepares appropriate coverage letters with some supervision.
    • Completes an investigation on each claim in a timely manner and fully documents the claim file with claim details.
    • Promptly identifies claims with a potential for high exposure.
    • Sets accurate reserves on each claim within given authority level and promptly brings claims that will require reserves in excess of their authority to their supervisor’s attention.
    • Completes timely and high quality large claim reports with some management input and editing.
    • Maintains a diary system that assures that each assigned claim will receive necessary ongoing attention.
    • Travels to attend mediations, settlement conferences and trials as needed.
    • Uses the claims system to accurately change reserves and make payments within assigned authority levels
    • Closely manages defense counsel and the litigation process to insure that loss adjustment expenses are appropriate.
    • Meets with members of other departments to discuss specific claim details or general claims issues.
    • May be designated as claims contact for key accounts and programs in which case the Examiner will perform various account or program management tasks including:
    • Preparing for and attending claim reviews.
    • Analyzing claims data and meeting with members of other departments to discuss the account status.
    • Meeting with and making presentations to account or program representatives.
    • Maintains adjuster licenses in states agreed upon with manager.
    • May be called upon to perform other tasks and duties within the claims department as dictated by business needs.
    • May be called upon to perform other tasks and duties within the claims department as dictated by business needs.

    Qualifications

    • Three to Five years of experience handling commercial claims.
    • Two or more years’ experience handling moderate to severe claims involving complex coverage questions and litigation.
    • One or more years’ experience handling contractual and/or construction related litigation.
    • Bachelor’s degree preferred.

     

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