Claim Examiner

WestCongress Insurance Services LLC; Manchester; On-site; GBP 44,000 - 60,000; Full time

Job summary

An established industry player is seeking a Commercial Claims Examiner to join their dynamic team. This role involves analyzing and resolving complex claims, ensuring thorough investigations, and formulating effective resolution strategies. The ideal candidate will possess strong communication skills and a meticulous approach to their work, with opportunities for advancement within the organization. This position offers a competitive compensation package, including health benefits and a bonus opportunity, making it an attractive opportunity for skilled professionals in the insurance field.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401k

Paid Time Off

Holidays

Bonus Opportunity

Qualifications

• 3-5 years of experience in commercial casualty claims adjusting.
• Familiarity with tort law and regulatory compliance.

Responsibilities

• Analyze and resolve complex claim issues including coverage and damages.
• Ensure timely investigation and proper negotiation strategies.

Skills

Claims Analysis

Investigation Skills

Negotiation Strategy

Regulatory Compliance

Communication Skills

Attention to Detail

Education

Bachelor’s Degree

Adjusters License

CPCU or AIC Certification

Tools

Microsoft Office Word

Microsoft Outlook

Microsoft Excel

Job description

Claims Examiner

Champlain Insurance Group is a fast-growing, specialty, surplus and excess lines insurance enterprise, which, through our affiliates, Champlain Specialty Insurance Company, WestCongress Insurance Services LLC, and WestCongress Risk Services LLC, offers primary and excess general liability insurance solutions and claims administration throughout the United States.

We are seeking aCommercial Claims Examinerfor ourManchester, NH office capable of handling general liability, bodily injury, property damage, personal/advertising injury, auto and other miscellaneous claims. The Claims Examiner will analyze, investigate and resolve complex claim issues, including coverage, liability and damages. The position requires familiarity with regulatory compliance requirements and tort law.

As a Claims Examiner, you will:

• Ensure appropriate investigation of the underlying facts and circumstances is carried out in a timely manner, proper experts are retained and utilized where necessary, selection and utilization of counsel is appropriate, proper negotiation strategy is employed.
• Recognizing exposures and ensuring reserving is appropriate and timely.
• Evaluating coverage issues and risk transfer opportunities.
• Effectively communicate exposures both internally and externally.
• Overall responsibility for formulating proper resolution strategy to ensure best total outcome.
• Position may require periodic travel to attend meditations, trials and/or other related meetings.
• Perform other duties as assigned.

The successful candidate will possess:

• Bachelor’s degree
• Adjusters license (Preferred)
• CPCU or AIC Certification (Preferred)
• Experience handling large complex commercial casualty claims with 3-5 years of commercial casualty claim adjusting experience handling primary and excess general liability, auto and personal injury claims.
• Experience in claims coverage analysis.
• Ability to approach every task in a meticulous and thorough manner, documenting actions and communications, prioritizing, maintaining schedules; paying attention to detail and striving for accuracy at all times; identifying and meeting all deadlines.
• Understanding of legal procedures, regulatory compliance and states’ statutes.
• Strong oral and written communication skills with the ability to communicate professionally at all levels within and outside the organization.
• Insurance designations a plus.
• Strong computer skills including Microsoft Office Word, Outlook and Excel.

Opportunity for Advancement:

For the successful candidate that demonstrates the aptitude and a desire to learn and advance, this position may offer opportunities for advancement to positions of increasing responsibility and authority within the insurance underwriting aspect of our business.

Compensation:

We offer a competitive compensation package, including bonus opportunity, health, dental, vision, life, disability insurance, 401k, paid time off and holidays.

Salary: $60,000 – $80,000 annually