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Claims Examiner-Construction DefectMRINetwork • New York, NY, United States
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Claims Examiner-Construction Defect

Claims Examiner-Construction Defect

MRINetwork • New York, NY, United States
24 days ago
Job type
  • Full-time
Job description

Claims Adjuster

Analyzes coverage and settles moderately complex claims in one or more of Clients specialty claims areas.

Essential Duties & Responsibilities:

  • Able to manage the full-life cycle of all assigned claims files.
  • Analyzes coverage and determines defense obligations.
  • Independently conducts thorough analysis and investigations necessary to determine claims exposure, recommend appropriate settlement strategies, and action plans.
  • Creates reservation of rights and coverage denial letters.
  • Negotiates settlements with clients, client attorneys, and Public Adjusters.
  • Interacts extensively with various parties involved in the claims process and may recommend retaining the advice of outside experts as necessary.
  • Prepares reserve and settlement authority requests for client and carrier approval.
  • May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.
  • Has a solid understanding of claims processing and the insurance brokerage business.
  • Has an in-depth understanding of the terminology and case law associated with their specialized claims niche/industry.
  • Handles claims consistent with clients and corporate policies, procedures and best practices and in accordance with any statutory, regulatory, and ethical requirements.
  • Provides guidance and/or supervision to lower-level adjusters. Incumbents at this level should be able to work at full case load capacity

Additional Considerations:

Investigate, evaluate, and resolve construction defect claims while engaging with our clients

Required:

  • 5 or more years related claims experience required.
  • Demonstrated ability to handle unique/challenging claims issues at a senior adjuster level.
  • Appropriately licensed and/or certified in all states in which claims are being handled.
  • Knowledge of accepted industry standards and practices.
  • Computer experience with related claims and business software.

Desired:

  • Bachelor's Degree: JD preferred
  • 10 or more years of prior experience adjusting claims in applicable specialty area preferred.
  • Insurance carrier or TPA experience with the ability to interpret construction liability policies and conduct claim and litigation management

Work Traits:

  • Ability to think critically, solve problems, plan, and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
  • Analytical skills necessary to make decisions and resolve issues inherent in handling of claims.
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Claims Examiner-Construction Defect • New York, NY, United States

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