Complex Claims Examiner
Core
Handle Casualty GL and Auto Liability claims of intermediate to high complexity, covering coverage determination, legal liability analysis, quantum assessment, and resolution.
Role type
Senior IC complex claims examiner
Builds
Resolved claims with minimized indemnity and expense exposure
Domain
Insurance (Property Casualty)
Required skills
Casualty GL and Auto Liability technical claims knowledge, policy language interpretation, legal/regulatory/litigation/procedural requirements knowledge, negotiation/mediation/arbitration/ADR skills, reserve and financial transaction discipline, stakeholder communication
Preferred skills
Experience in technical claims audits and continuous claim handling improvement
Responsibilities
Manage key claims handling enquiry including coverage determination, legal liability analysis, and quantum assessment; Ensure effective vendor and litigation management; Communicate key claims messages to internal and external stakeholders; Conduct initial file review, investigations, liability analysis, negotiations, and settlement; Maintain best practice procedures for complex claims
Seniority
Senior, hands-on IC