ProSight Specialty Insurance

  • Claims Examiner

    Job Locations US-FL-Ft. Lauderdale
    Posted Date 2 months ago(5/30/2019 3:58 PM)
    Job ID
    2019-1979
    # of Openings
    1
    Category
    Claims
  • Overview

    As an Examiner focused in our Transportation 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 moderate to high level injury level claims. Assigned claims may involve coverage interpretation and litigation as well.
    • Prepares appropriate coverage letters with some supervision when appropriate.
    • Completes an investigation on each claim in a timely manner and fully documents the claim file with claim details.
    • 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.
    • Maintains a diary system that assures that each assigned claim will receive necessary ongoing attention.
    • Closely works with defense counsel to ensure proactive handling on any litigated matters.
    • 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 Claims 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.

    Qualifications

    • Three to Five years of experience handling commercial bodily injury claims. 
    • Some experience in handling trucking and/or busing related claims is preferred
    • Bachelor’s degree preferred.

     

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