Claims Examiner, Liability – TX License Required

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

    Job Description:
  • Analyze complex or technically difficult general liability claims to determine benefits due.
  • Work with high exposure claims involving litigation and rehabilitation.
  • Ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements.
  • Identify subrogation of claims and negotiate settlements.
  • Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Assesses liability and resolves claims within evaluation.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
    Requirements:
  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Five (5) years of claims management experience or equivalent combination of education and experience required.
  • Non-Subscriber Claims Experience.
    Benefits:
  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

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