Description

• Promptly analyze first reports and contact insureds/claimants within required hours, demonstrating strong time management and timeliness.
• Effectively evaluate contract language and identify coverage issues with meticulous attention to detail.
• Create and execute an action plan for accurate and timely investigation and loss analysis.
• Maintain an active file diary to ensure claims progress toward timely resolution.
• Establish accurate and timely reserves within required timeframes.
• Recognize and refer appropriate files for recovery.
• Adhere to all internal, statutory, and regulatory compliance requirements.
• Identify potential fraudulent claims through careful review and analysis.
• Manage the use, work product, and expenses of outside vendors efficiently.
• Evaluate claim facts and negotiate settlements with professionalism and clarity.
• Develop and maintain strong business relationships with internal and external customers through clear, timely communication.
• Serve as a resource to less experienced Examiners.
• Support workload surges and/or Catastrophe Operations as needed, including working overtime, nights, and/or weekends during designated CATs.

• Full knowledge of commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations.
• Ability to work effectively both in-person and remotely.
• Inquisitive and curious mindset for investigating, evaluating, analyzing, and interpreting information.
• Ability to analyze and prioritize multiple competing priorities, including claim receipt, telephone calls, email, mail, text messages, and other sources of information.
• Exceptional skills in:
  • Time management and the ability to multi-task efficiently.
  • Attention to detail in all aspects of claim handling.
  • Verbal and written communication, ensuring clarity and professionalism.
  • Customer service, investigation techniques, organization, negotiation, and reserving.
  • Innovative thinking and adaptability.