Homeowner Claims Examiner II- Remote

Homeowner Claims Examiner II- Remote

My client is seeking qualified candidates for a Claims Examiner II.  A remote working arrangement may be considered. You will manage a pending caseload of 60-80 moderate to the highest severity and complexity property homeowner claims in a team environment.     

• Verify policy information for accuracy to determine if coverage is in force and applicable on new claims. Develops an investigative action plan to include resolution of coverage issues as required.
• Contacts or interviews necessary parties to secure additional information such as public adjusters, attorneys, engineers and other vendors.
• Evaluate assigned claims on an ongoing basis and makes recommendations for further task assignments and other information as needed for proactive claim handling and final claim disposition. Interprets policy provisions to approve or deny payments applying technical knowledge to effect fair and prompt claim settlements.
• Ensure claims are adequately and timely reserved by adjusting reserves or providing reserve recommendations to ensure that reserve activities are consistent with established guidelines.
• Prepare large loss reports on claims excess office authority for manager review and escalation. Presents cases and participates in their discussion at claim committee meetings.
• Negotiate and Settle within assigned authority limits, negotiates and settles claims with policyholders, claimants, public adjusters, attorneys, AOB and other vendors.
• Maintain current Diary and Activities via the Guidewire Claim System, updating status once reviewed and/or completed.  

 Requirements

• Ability to quickly gain a thorough knowledge and understanding of the homeowner policies and endorsements is critical.
• 4-year college degree plus 3 to 5 years of property and /or liability (homeowners) claims handling experience, or a comparable combination of education and experience.
• Adjuster’s license required in the states in which the position handles, including completing the requisite continuing education requirements.
• Knowledge of Estimating software
• Ability to analyze coverage questions. 

Benefits include: Base salary, health and dental coverage beginning the first day of employment, 401K with employer matching, paid leave and holidays and much more!

For immediate consideration email your resume in a Word document to jeff@ceinsurance.com