3 Jobs Claims Examiner Adjuster Available

Claims Examiner/Adjuster

Posted on:
09/08/2023

W. R. Berkley

Jersey City, NJ, United States

Company Details   W. R. Berkley Corporation, founded in 1967, is one of the nation’s premier commercial lines property casualty insurance provider. . .

Posted on:
09/08/2023
Apply Before:
10/06/2023

Workers Compensation Lost Time Claims Adjuster / Examiner

Posted on:
09/11/2023

Wci 360 incorporated

Remote, United States

TEMPORARY - TEMP TO PERM POSITION - WORK REMOTE SENIOR WORKERS COMPENSATION LOST TIME CLAIMS EXAMINER / ADJUSTER - -For a Southeast States Claims. . .

Posted on:
09/11/2023
Apply Before:
10/09/2023

Workers Compensation Lost Time Claims Adjuster / Examiner

Posted on:
09/11/2023

Wci 360 incorporated

IL, United States

TEMPORARY - TEMP TO PERM POSITION - WORK REMOTE SENIOR WORKERS COMPENSATION LOST TIME CLAIMS EXAMINER / ADJUSTER - For an Illinois Claims Desk. . . .

Posted on:
09/11/2023
Apply Before:
10/09/2023

Claims Examiner/Adjuster

W. R. Berkley

Jersey City, NJ, United States Salary : $ 22.48 per hour Apply Now
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Job Type: Other

Category: Insurance

Key Skills:

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  • Excel||Microsoft Office||Claims Management||Medi-Cal||Billing||ICD-10||HCPCS||HIPAA||Medical Billing||PowerPoint

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Company Details

 

W. R. Berkley Corporation, founded in 1967, is one of the nation’s premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers an array of coverages for virtually all classes traditionally known to have environmental liability exposures on both an admitted and non-admitted basis. We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. W.R. Berkley Corporation has reached a milestone and is celebrating 50 years, click here to read more on the history of the company.

 

 

W. R. Berkley Corporation, founded in 1967, is one of the nation’s premier commercial lines property casualty insurance providers. Founded in 2004, Berkley Environmental has underwriting and account executive units in seven regions. Berkley Environmental offers an array of coverages for virtually all classes traditionally known to have environmental liability exposures on both an admitted and non-admitted basis. We provide a comprehensive portfolio of commercial property casualty insurance, automobile liability and workers’ compensation, along with claim services, providing expertise to meet the unique business needs of our customers. W.R. Berkley Corporation has reached a milestone and is celebrating 50 years, click here to read more on the history of the company.

Responsibilities

This is a high-level examiner position in our liability claims department. This individual would be responsible for reviewing, processing, investigating, evaluating, negotiating and the settling of assigned property damage or bodily injury claims with the authority level commensurate with experience. This position requires an understanding and knowledge of litigation management in multiple jurisdictions.  

 

Duties and Responsibilities:

  • Investigates, maintains, and settles claims under little to no supervision
  • Conduct thorough, high-quality investigations and utilize outside resources as necessary.
  • Strong ability for coverage interpretation including Non Admitted Coverages.
  • Prepares appropriate coverage letters for review and approval by claims management.
  • Completes an investigation on each claim in a timely manner and fully documents the claim file.
  • Handles assigned claims following company guidelines and industry best practices.
  • Promptly identifies claims that have significant exposure or suspected fraudulent activity.
  • Sets accurate reserves on each claim within given authority level and promptly advises management of claims that will require reserves exceeding authority.
  • Completes timely and high quality large claim reports with limited management input and editing.
  • Maintains a diary system that assures that each assigned claim will receive necessary ongoing attention.
  • Uses the claims system to accurately change reserves and make payments within assigned authority levels.
  • Meets with members of other departments to discuss specific claim details or general claims issues.
  • May be designated as claims contact for key accounts and programs in which case the Examiner will perform various account or program management tasks including:

o  Preparing for and attending claim reviews

o  Analyzing claims data and meeting with members of other departments to discuss the account status

o  Meeting with and making presentations to account or program representatives

  • Maintains adjuster licenses in states as required.

•      May be called upon to perform other tasks and duties within the claims department as dictated by business needs.

Qualifications

  • Bachelor’s degree preferred
  • Minimum of 5 years claims experience with a carrier or TPA
  • Strong negotiation skills
  • Some travel may be required

 

Skills and Competencies:

  • customer service skills;
  • negotiation and decision-making skills;
  • communication skills and a confident disposition when dealing with people;
  • organizational and time management skills;
  • the ability to think strategically;
  • initiative and the ability to adapt quickly to different situations;
  • interpersonal skills;
  • attention to detail and sound report-writing skills.

 

Berkley Core Competencies

 

  • Accountability
  • Communication
  • Customer Focus and Teamwork
  • Innovation and Initiative
  • Flexibility