National Claims Examiner

3 days ago


ChampssurYonne, Bourgogne-Franche-Comté, United States Kemper Full time
Job Title: Major Loss National Claims Examiner

Kemper is seeking a highly skilled and experienced Major Loss National Claims Examiner to join our team in Henderson, NV or work remotely in California or Arizona.

Job Summary:

The Major Loss National Claims Examiner will be responsible for supervising and directing the handling of reporting files of a high level of complexity and/or severity, including issuing instructions to other Company personnel to properly handle all aspects of claims referred as per current Best Practices/departmental guidelines.

Key Responsibilities:
  • Reviews and analyzes Home Office Referral files to identify critical issues relating to the claim and form an appropriate action plan for the handling of the claim.
  • Analyzes and directs handling of coverage positions and directs activities needed to confirm or deny coverage.
  • Evaluates information on contractual coverage, liability, and damages, including expert surveys and reports, to determine the extent of exposure to the insured.
  • Ensures documentation of investigation, evaluation, strategies, and resolutions of claims are made through reports, file notes, correspondence, memos, and other means of communication.
  • Reviews and sets reserves within authority or recommends appropriate reserve changes outside of personal authority to higher management for approval.
  • Ensures that claims are concluded by communicating contractual coverage and liability positions and directs negotiation, arbitration, mediation, and other methods of settlement as appropriate to each claim.
Requirements:
  • 4+ years of claim handling experience and demonstrated proficiency in analyzing and handling claims, including bodily injury claim evaluation and methods of negotiation.
  • Must maintain current adjuster licenses in assigned states.
  • Prior leadership experience preferred.
  • Excellent written and verbal communication skills.
  • Ability to provide technical directions and work effectively with staff at all levels.
  • Must have basic ability to set up and maintain Excel for communication, reporting, and documentation purposes.
  • Work is subject to rigid deadlines for handling and reporting and involves the potential for significant human and monetary impact.
  • Travel may be required on a limited basis.
Benefits:

Kemper offers a competitive salary range of $78,800.00 to $135,000.00, as well as a comprehensive benefits package, including medical, dental, vision, PTO, 401(k), and more.

Kemper is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to maintaining a workplace free from discrimination and promoting diversity and inclusion.



  • Champs-sur-Yonne, Bourgogne-Franche-Comté, United States Kemper Full time

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