Claims Examiner (General Liability)

The posting, as HAI Group wrote it

Position Overview

The Claims Examiner is responsible for liability claims in the areas of: investigation, evaluation, reserving, negotiation and resolution of the companies’ claims in multiple jurisdictions. The position is required to follow established claims management standards and exercise solid judgment when solving business problems; using critical thinking and decision-making skills and judgment within their assigned authority levels. The Claims Examiner continually explores ways to apply claim’s best practices to business challenges.

Essential Functions

• Timely and effectively investigate and evaluate claims while managing outside adjusters and legal counsel
• Clearly and succinctly document files and prepare reports in timely manner
• Directs settlement activity using investigative and problem-solving skills in direct negotiations
• Handle all assigned cases efficiently and cost-effectively through conclusion
• Analyze and recommend appropriate reserves; periodically reviewing and adjusting these reserves based on the assessment of probable liability, financial responsibility and exposure
• Thoroughly review, analyze and interpret coverage in accordance with applicable policies
• Level of authority and complexity of decision making established by departmental management team
• Create and manage positive working relationships with internal and external business partners

Knowledge, Skills, Abilities

• Presents a positive and professional image of the companies
• Knowledge and commitment to company mission, vision and organizational values
• Ability to quickly assimilate and practically utilize new information
• Possess written and verbal communications skills required to review, understand, interpret and convey data including medical records and legal documents, and coverage interpretation
• Strong customer service skills including interacting with internal and external customers
• Team player; works effectively as part of a team

Job Requirements

Required

• High School Diploma
• Bachelor’s degree in Business Management, Insurance, or related field, preferred; or equivalent work experience
• 3+ years of progressive liability claims handling experience
• Experience with the following claims: public officials’ errors and omissions, employment practices, law enforcement, mold, terrorism, lead based paint, employee benefit, and auto, preferred
• Experience with litigated claims, preferred
• All lines property/casualty adjuster’s license
• Ability to analyze and interpret coverage at a level commensurate with complexity of assigned claims
• Skilled in evaluating coverage issues and preparing clear, concise, and legally defensible coverage correspondence that accurately communicates claim decisions and policy provisions.
• Prepare and communicate written status reports, for policyholders, management and business partners, including treaty and facultative reinsurers, agents and brokers
• Understands current rel

[…]
Outstanding 401(k) plan with match and additional non-elective company contributions

• Flexible work schedules
• Generous paid time off including paid volunteer days and holidays
• Medical, vision and dental Insurance
• Company paid life, AD&D, short-term disability, and long-term disability coverage
• HSA, and Health and Dependent Care FSA options
• On-Site wellness: Full gym and locker rooms, private wellness room (featuring a massage chair, lounge area, vibration plate, and a refrigerator, with accommodations for use as a private lactation space), wellness initiatives, outdoor basketball and tennis/pickleball courts, walking trail, picnic pavilion area
• Tuition reimbursement and student loan repayment program
• Professional development

HAI Group is an Equal Opportunity Employer.

HARRG Inc., reserves the right to fill this position at a level above or below the level included in this posting.

No agency submissions please. Resumes submitted to any HAI Group employee without a current, signed, and valid contract in place with the HAI Group Recruiting team for this position will become the property of HAI Group and no agency fees will be paid.

HAI Group's Notice of Collection of Personal Information: https://resources.haigroup.com/hubfs/2023-HAI-Notice-of-Collection-Employees_1099_Applicants.pdf

[1] HAI Group® is a marketing name used to refer to insurers, a producer, and related service providers affiliated through a common mission, management, and governance. Property-casualty insurance and related services are written or provided by Housing Authority Risk Retention Group, Inc.; Housing Authority Property Insurance, A Mutual Company; Housing Enterprise Insurance Company, Inc.; Housing Specialty Insurance Company, Inc.; Innovative Housing Insurance Company Inc.; Housing Investment Group, Inc.; and Housing Insurance Services, Inc. (DBA Housing Insurance Agency Services, Inc. in NY and MI).

Greater Hartford, CT - Targeted Pay Range
$72,000 — $82,000 USD