Claim Examiner

POSITION TITLE: Claim Examiner

DEPARTMENT: Claims

REPORTS TO: Team Manager, Claims

EEO CATEGORY: Professional

DIRECT REPORTS: None

FLSA STATUS: Exempt

LOCATIONS: Scottsdale AZ, Hartford CT, Alpharetta GA, Chicago IL, Chapel Hill NC

ABOUT IFG COMPANIES

POSITION SUMMARY/OBJECTIVES

The primary role of the Claim Examiner is to investigate, evaluate, negotiate, and settle claims in multiple jurisdictions, applying coverage, laws and regulations accordingly; reporting to management within necessary timelines and guidelines.

POSITION RESPONSIBILITIES INCLUDING

• Promptly review new losses and determine initial plans of action.
• Analyze coverage as it relates to the facts and allegations of claims; prepare Reservation of Rights and Declination of Coverage letters, as applicable.
• Initiate contact with policyholder and claimants to confirm notice of loss description and determine the scope of the investigation, as appropriate.
• When appropriate, assign and instruct independent adjusting firms to conduct needed investigative tasks; manage and direct activity of independent adjusting firms in any continued investigation of claims.
• Identify injury/damage losses and report them timely to management and update as necessary.
• Evaluate claims as investigations develop and establish and adjust reserves as warranted.
• Review expense bills for appropriateness, accuracy and adherence to Company billing guidelines and process payments.
• Recognize, notify and pursue culpable parties and seek contributions from such parties.
• Identify and ensure subrogation efforts are undertaken against responsible parties, including pursuit of deductible recoveries and salvage.
• Negotiation of claims to settlement.
• Other duties as required.

KNOWLEDGE/SKILLS/ABILITIES INCLUDING

• Excellent written and oral communication skills.
• Exhibit negotiation, critical thinking, and problem-solving capabilities.
• Outstanding customer service, attention to detail, and multi-tasking skills.
• Strong computer skills, including the ability to work effectively in the claims management system and strong knowledge of Microsoft applications (e.g., Outlook, Word, Excel).
• Ability to exercise independent judgment with moderate supervision in handling claims within reserve and settlement authority.

EDUCATION/EXPERIENCE/CERTIFICATIONS

• Required: Bachelor's Degree from an accredited college/university.
• Required: Minimum of 1 year of property/casualty claims handling experience as a full-time exempt employee of a U.S. based property/casualty insurance company.
• Strongly Preferred: Substantial commercial general liability policy and/or garage policy experience.
• Required: A valid adjuster license in designated home state (or be able and willing to obtain one within 60 days after hire) and the ability to obtain additional non-residential adjuster licenses.

PHYSICAL DEMANDS

• Physical demands are considered to be that of an office environment, climate controlled, with minimal physical exertion. This position requires prolonged sitting, ability to utilize a computer and interactions with others in meetings and via phone.
• Ability to travel as business needs.

IFG Companies is an equal opportunity employer committed to a diverse workforce.