Longtail Claims Examiner
Core
Investigate, adjust, and settle low to medium value liability and financial lines claims for insureds and third parties.
Role type
Claims Examiner
Builds
Resolved claims files and accurate reserves
Domain
Insurance / Property and Casualty
Deliverable
client delivery
Required skills
Liability claims experience, financial lines claims experience, fraud investigation, reserve estimation, negotiation, subrogation, regulatory compliance, vendor expense control
Preferred skills
Insurance industry qualifications, workflow management
Technologies
None stated
Responsibilities
Manage a portfolio of liability and financial lines claims; Analyze first reports to determine loss nature and coverage; Conduct investigations including fraud detection; Establish accurate and timely reserves; Negotiate compromise settlements; Communicate with internal departments, brokers, insureds, and third parties; Recognize and pursue subrogation; Adhere to statutory rules and internal compliance obligations; Control use and expense of outside vendors.
Seniority
Mid-level, hands-on IC