ProSight Specialty Insurance

Claims Senior Examiner

Job Locations US-FL-Ft. Lauderdale
Posted Date 3 weeks ago(3/18/2020 10:39 AM)
Job ID
2020-2161
# of Openings
1
Category
Claims

Overview

ProSight’s fast paced and dynamic Claim Department is looking for a highly motivated Bodily Injury Claims Examiner.  This individual will be responsible for the investigation, evaluation and resolution low complexity claims within our department. The number of claims assigned on a monthly basis and average number of pending claims will vary based on the type of claims assigned, level of complexity, jurisdiction and other factors. Our new team member will need to adapt to a changing environment of varied lines of coverage and have the ability to take on new responsibilities. This is an ideal position for a claim professional seeking a unique opportunity to utilize their skills and grow with an expanding team of claim professionals.

Responsibilities

  • Investigates, maintains, and settles Commercial Auto Bodily Injury claims under moderate supervision
  • Conduct thorough, high-quality investigations and utilize outside resources as necessary.
  • Prepares appropriate coverage letters for review and approval by claims management.
  • Completes an investigation on each claim in a timely manner and fully documents the claim file with claim details.
  • Handles assigned claims following company guidelines and industry best practices.
  • Promptly identifies claims that have significant exposure or suspected fraudulent activity.
  • Sets accurate reserves on each claim within given authority level and promptly advises management of claims that will require reserves exceeding authority.
  • Completes timely and high-quality claim reports with limited management input and editing.
  • Maintains a diary system that assures that each assigned claim will receive necessary ongoing attention.
  • Closely manages defense counsel, outside investigators and surveyors to ensure that loss adjustment expenses are appropriate.
  • Meets with members of other departments to discuss specific claim details or general claims issues.
  • Maintains adjuster licenses in states as required.
  • May be called upon to perform other tasks and duties within the claims department as dictated by business needs.

Qualifications

  • 1-2 years of Insurance experience, commercial lines experience preferred
  • Bachelor’s degree preferred
  • Prior P&C insurance experience is a plus
  • Ability to evaluate policy language and apply to claim
  • Willingness to accept challenges and take on new responsibilities
  • Solid planning & organizational skills including time-management and prioritization
  • Analytical skills to identify, gather, and organize information
  • Customer focused attitude and skills to resolve inquiries quickly and effectively
  • Strong verbal & written communication skills
  • Possess strong business judgement
  • Excellent investigation, organizational and analytical skills

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