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Sr Claim Examiner-Liability

4 months ago

Dallas, United States Abacus Full time
Department: 02305 | SRMS | R0088 | BUS : RM Dallas - 02305 Job Category: Claims Job Code: Sr Claim Examiner-Liability:BS0170 Job Title: Sr Claim Examiner-Liability Keywords: Number of Positions: 1 Remaining Positions: 1 Duties: Interprets and makes decisions using independent judgment on more complex and unusual policy coverages and determines if coverages apply to claims submitted. - Manages all aspects of investigative activity on complex claims. Directs the discovery and litigation strategy with legal counsel. - Analyzes claims activity and prepares reports for clients/carriers and management. - Establish reserves, using independent judgment and expertise and authorizes payments within scope of authority, settling claims in the most cost effective manner and ensuring timely issuance of disbursements. - Settles claims promptly and equitably and issues company drafts in payments for claims within authority limits. - Develops subrogation and third party recovery potential and follows reclaim procedures. - Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in claim reviews. Skills: Ability to work independently while assimilating various technical subjects. - Strong written and oral communication, negotiation and presentation skills. - Advanced analytical and problem solving skills, with the ability to manage and prioritize multiple projects. - Effective advanced interpersonal skills to effectively interact with all levels of interna and external clients. Education: Bachelor's degree or equivalent experience. - Technical claims investigations/settling experience with 4-8 years experience in Claims or similar organization. Preferred: - IIA, AIC, AEI, and/or CPCU. Languages: English Read Write Speak Certifications & Licenses: CPCU
IIA Attachments: Skills and Experience Skills: Required
  • PROBLEM SOLVING
  • LITIGATION STRATEGY
  • CPCU
  • PRESENTATION SKILLS
  • LIABILITY
Additional
  • CLAIMS
  • TECHNICAL CLAIMS
  • PAYMENTS
Languages: English( Speak, Read, Write ) Minimum Degree Required: Also Preferred: Location Client Location Country: United States State/Province: Texas City: Dallas Address: 1503 LBJ Frwy, Suite 600, TX0004 POSTAL CODE: 75234 Work Location Same as Client Location Other Client Location Work Completed Offsite Schedule Start Date: 05/07/2024 Hours Per Week: 40.00 Est. End Date: 06/28/2024 Hours Per Day: 8.00 Schedule Notes: Days Per Week: 5.00