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Claims Examiner

Company: IFG Companies
Location: Chapel Hill
Posted on: June 3, 2021

Job Description:

POSITION SUMMARY

Investigate, evaluate, negotiate and settle claims in multi-jurisdictions, applying coverage, laws and regulations accordingly; reporting to upper management and reinsurers within necessary timelines and guidelines.

NOTE: All positions at IFG Companies, unless deemed essential, in-office, are work-from-home until further notice.

PRIMARY JOB DUTIES AND RESPONSIBILITIES

  • Promptly review new losses and determine initial plan of action in the handling of the claim.
  • Analyze coverage as it relates to the facts and allegations of the claim; prepare Reservation of Rights and Declination of Coverage letters, as applicable.
  • Initiate contact efforts with policyholder and claimants to confirm notice of loss description and determine the scope of the investigation, if needed.
  • When appropriate, assign and clearly instruct independent adjusting firms to conduct the needed investigative tasks; manage and direct any future activity of the independent adjusting firm in any continued investigation of the claim.
  • Identify serious injury/damage losses and report them in a timely manner to upper management and reinsurers and update as necessary.
  • Promptly evaluate all claims as the investigation develops and establish and adjust reserves as warranted.
  • Review all expense bills for fairness, accuracy and adherence to Company billing guidelines and promptly process such payments.
  • Recognize, notify and pursue other culpable parties and seek contribution from such other responsible parties as warranted.
  • Identify and ensure subrogation efforts are undertaken against other responsible parties, including pursuit of deductible recoveries, salvage by the Recovery Unit as applicable.
  • Negotiate claims; attend mediations and settlement conferences, as needed.
  • Such other duties as may be assigned.

KNOWLEDGE, SKILLS AND ABILITIES

  • 3+ years commercial property and casualty experience
  • Excellent written communication and oral negotiation skills
  • Intermediate computer skills
  • College degree preferred
  • Ability to exercise independent judgment with moderate supervision in handling claims within reserve and settlement authority

EDUCATION / EXPERIENCE / CERTIFICATIONS

  • Excellent written communication skills
  • Excellent oral negotiation skills
  • Intermediate computer skills
  • Some travel required
  • Completed one or more CPCU, AEI or equivalent courses on Legal Principles, Liability Principles or Litigation Management
  • Experience with client/server claims processing systems a plus

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 or via phone.

BENEFITS

  • We offer a competitive compensation and benefits package including medical, dental, vision, 401(k), flexible spending, short-term and long-term disability insurance, life insurance, long-term care insurance, education assistance and paid time off.

IFG Companies is an equal opportunity employer committed to a diverse workforce. M/F/D/V

Keywords: IFG Companies, Chapel Hill , Claims Examiner, Other , Chapel Hill, North Carolina

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