• Location(s): Atlanta | New York - White Plains | New York - Manhattan | Phoenix | Chicago | Los Angeles

The Senior Claims Examiner adjudicates assigned claims within given authority and provides operational support to the claims team. This person also:

• Adjusts and resolves moderate to complex claims that includes all phases of litigation for our GL Property Damage Team
• Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities

Proficient in and able to demonstrate knowledge regarding coverage evaluation and application

• With minimal supervision, drafts coverage letters, including reservation of rights and denial letters
• Reviews and analyses claim documentation and legal filings to set timely and accurate a reserves and notify the manager if upward segmentation is needed
• Identifies emerging exposures and claims trends
• Drives litigation best practices to manage deployment and utilization of defense counsel
• Identifies suspected fraudulent claims and tracks with special investigations unit

The Team:       

Our US Claims team is a growing group of professionals working together to provide superior customer service and claims handling expertise. The claims staff are empowered to manage their claims within given authority to provide fair and fast resolution of claims for our insured and broker partners. With strong growth across the US business, the Claims team is focused on delivering profitability while reinforcing our strong brand built on a long history of outstanding claims handling.

person specification:

1. 6+ years of claims handling experience. A JD from an ABA accredited law school may be considered as a supplement to claims handling experience
2. Advanced knowledge of claims analysis and adjusting practices
3. Experience with litigated claims
4. In depth knowledge of standards for claims documentation and legal filings
5. Proven ability to actively and effectively negotiate settlement of moderate to complex claims
6. Experience in mentoring and training other claims examiners
7. Advanced analytical skills
8. Strong verbal and written communication skills
9. Active insurance adjuster’s license or ability to obtain within 90 days of hire
10. B.A./B.S degree from an accredited College or University preferred

What we offer

• Competitive salary and bonus (based on personal & company performance) 
• 401(k) with competitive company matching 
• Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)  
• Company paid group term life, short- term disability and long-term disability coverage 
• 24 Paid time off days, 2 company days, 10 paid holidays, and ability to purchase 5 PTO days 
• Paid parental leave 
• 4 week paid sabbatical after every 5 years of service 
• Financial Adoption Assistance and Medical Travel Reimbursement Programs 
• Annual reimbursement up to $600 for health club membership or fees associated with any fitness program 
• Company paid subscription to Headspace to support employees’ mental health and wellbeing 
• Recipient of 2021 Cigna’s Well-Being Award for having a best-in-class health and wellness program 
• Dynamic, creative and values-driven culture 
• Modern and open office spaces, complimentary drinks 
• Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company