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 (casualty GL and auto liability)
Builds
Timely and accurate resolution of complex insurance claims
Domain
Insurance (Property Casualty)
Required skills
Casualty GL and Auto Liability technical claims knowledge, policy interpretation, legal and regulatory requirements, negotiation and mediation, litigation management, reserve estimation, stakeholder communication
Preferred skills
Experience in arbitration and Alternative Dispute Resolution (ADR), technical claims audit follow-up, continuous improvement initiatives
Technologies
None stated
Responsibilities
Manage key claims handling enquiry and coverage determination; Ensure effective vendor and litigation management; Communicate developments to internal and external stakeholders; Maintain best practice procedures for complex claims; Provide timely, accurate, and customer-focused claim resolution; Interpret policy language against claims of intermediate to high complexity
Seniority
Senior, hands-on IC