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Claims Examiner

2 months ago

Cleveland, United States Core Specialty Full time

Multi-state commercial insurance carrier is seeking a qualified Claims Examiner for a position in their Mayfield Heights, Ohio claims office. Hybrid position in Mayfield Heights (Cleveland) area.

Key Accountabilities/Deliverables:

  • Investigate commercial insurance automobile property damage claims. Claims will be handled from the initial loss report through final disposition.
  • Key tasks include investigation of policy coverage and liability with a detailed analysis of applicable state laws; damage determination for property, collision and inland marine (cargo) claims.
  • Responsibilities include establishing a course of action to conclude claims timely and in compliance with state regulatory requirements.
  • Exposures are to be analyzed and proper reserves established.
  • Escalation of high exposure claims is to be made to management for direction.
  • Task assignments to outside vendors are required along with oversight and management of the vendor.
  • Communication to policyholders, agents and underwriting on key claim issues is required.
  • Conduct open claim reviews and work cohesively with other departments to deliver superior customer service and claim service to policyholders.
  • Travel may be required to attend mediations, trials and training activities.
Experience:
  • Qualified candidates must have a minimum of 2-3 years' experience as an insurance Claims Examiner handling Commercial Vehicle Claims.
  • Active adjusters license in Texas, or your home state is preferred.
  • A solid understanding of the principals of insurance, a familiarity with commercial insurance coverage and general fair claims practice standards is required.
  • Strong analytical skills are required to effectively and efficiently analyze information.
  • The candidate must possess excellent verbal and written communication skills to express complex evaluations and resolve claims through a well planned negotiation strategy.
  • Customer service skills and a willingness to work in a team oriented environment are essential.
  • Computer skills including data entry and a knowledge of word and excel are also recommended.


Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa for this position.

#LI-Hybrid

At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program