Claim Examiner Or Associate Claim Examiner- Property

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Claim Examiner or Associate Claim Examiner- Property
The candidate will provide coverage if confirmed by reviewing the first notice of loss, checking all available systems, and interpreting policy language. Upon coverage analysis, will prepares initial position letters to the policyholder such as disclaimers and reservation of rights. Once coverage is confirmed, the examiner conducts a thorough and focused investigation of the claim using independent adjusters, and other experts, as appropriate. The investigation includes securing all pertinent facts, statements & documents and reviewing and approving repair estimates. Initial reserves are posted, reviewed and maintained as the file develops to properly reflect ultimate exposure based on coverage and damage evaluation. The claims representative is responsible for proactive file management toward final disposition via an effective diary, direction to coverage counsel & independent adjusters, analysis & strategy leading to claims settlement. Substantive file documentation in Mayfare notes should reflect file activity. While the claim is pending, communication includes delivery of comprehensive and concise authority requests, reinsurance reports, serious loss reports, coverage position letters and appropriate communication with underwriting. In addition to the essential functions, an examiner is expected to support customer service by responding the same day to phone and email both internally and externally and adhere to established claim service promises. The position may entail the completion of special projects. There is an expectation for enrollment in continuing education to maintain state licenses and to support both professional and personal development as outlined in the annual Individual Development Plan. Occasional travel requirements, i.e., attendance at mediation. Should have 2+ years (Associate Claim Examiner) or 7+ years (Claim Examiner) of relevant experience handling first-party property claims, including prior examiner, adjuster, paralegal, attorney/lawyer and/or other transferable experience.

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