HAI Group
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Claims Examiner (General Liability)
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HAI Group The Claims Examiner is responsible for liability claims in the areas of: investigation, evaluation, reserving, negotiation and resolution of the companies’ claims in multiple jurisdictions. The position is required to follow established claims management standards and exercise solid judgment when solving business problems; using critical thinking and decision-making skills and judgment within their assigned authority levels. Position Overview
The Claims Examiner continually explores ways to apply claim’s best practices to business challenges. Essential Functions
Timely and effectively investigate and evaluate claims while managing outside adjusters and legal counsel Clearly and succinctly document files and prepare reports in timely manner Directs settlement activity using investigative and problem-solving skills in direct negotiations Handle all assigned cases efficiently and cost-effectively through conclusion Analyze and recommend appropriate reserves; periodically reviewing and adjusting these reserves based on the assessment of probable liability, financial responsibility and exposure Thoroughly review, analyze and interpret coverage in accordance with applicable policies Level of authority and complexity of decision making established by departmental management team Create and manage positive working relationships with internal and external business partners Knowledge, Skills, Abilities
Presents a positive and professional image of the companies Knowledge and commitment to company mission, vision and organizational values Ability to quickly assimilate and practically utilize new information Possess written and verbal communications skills required to review, understand, interpret and convey data including medical records and legal documents, and coverage interpretation Strong customer service skills including interacting with internal and external customers Team player; works effectively as part of a team Job Requirements
Required:
Bachelor’s degree in Business Management, Insurance, or related field; or equivalent work experience 3+ years of progressive liability claims handling experience All lines property/casualty adjuster’s license Ability to analyze and interpret coverage at a level commensurate with complexity of assigned claims Prepare and communicate written status reports, for policyholders, management and business partners, including treaty and facultative reinsurers, agents and brokers Understands current relevant case law and statutory law in multiple jurisdictions Ability to implement compliance processes and procedures to ensure consistent, efficient and effective compliance with all federal, state, local and filed requirements Review invoices, estimates, and other documents to ensure accuracy and legitimacy prior to payment Knowledge of insurance operations Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. Preferred
Five years of progressive liability claims handling experience AIC designation Auto claims handling experience Knows the Public and Affordable Housing business Work environment & Physical Demands
Inside climate-controlled office building Prolonged sitting and using a PC Company Overview
HAI Group , is the nation’s leading property-casualty insurance company founded by and dedicated to affordable housing organizations. HAI Group Benefits And Perks
Bonus program eligibility Annual merit program Outstanding 401(k) program and non-elective contribution Flexible work schedules Generous paid time off, paid volunteer days and paid holidays Medical, vision and dental Insurance Company paid life, AD&D, short-term disability, and long-term disability coverage HSA, FSA and dependent care options On-Site wellness: Full gym and locker rooms, wellness initiatives, outdoor basketball and tennis court, picnic pavilion area Tuition reimbursement and loan repayment Professional development Community outreach HAI Group is an Equal Opportunity Employer.
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Claims Examiner (General Liability)
role at
HAI Group The Claims Examiner is responsible for liability claims in the areas of: investigation, evaluation, reserving, negotiation and resolution of the companies’ claims in multiple jurisdictions. The position is required to follow established claims management standards and exercise solid judgment when solving business problems; using critical thinking and decision-making skills and judgment within their assigned authority levels. Position Overview
The Claims Examiner continually explores ways to apply claim’s best practices to business challenges. Essential Functions
Timely and effectively investigate and evaluate claims while managing outside adjusters and legal counsel Clearly and succinctly document files and prepare reports in timely manner Directs settlement activity using investigative and problem-solving skills in direct negotiations Handle all assigned cases efficiently and cost-effectively through conclusion Analyze and recommend appropriate reserves; periodically reviewing and adjusting these reserves based on the assessment of probable liability, financial responsibility and exposure Thoroughly review, analyze and interpret coverage in accordance with applicable policies Level of authority and complexity of decision making established by departmental management team Create and manage positive working relationships with internal and external business partners Knowledge, Skills, Abilities
Presents a positive and professional image of the companies Knowledge and commitment to company mission, vision and organizational values Ability to quickly assimilate and practically utilize new information Possess written and verbal communications skills required to review, understand, interpret and convey data including medical records and legal documents, and coverage interpretation Strong customer service skills including interacting with internal and external customers Team player; works effectively as part of a team Job Requirements
Required:
Bachelor’s degree in Business Management, Insurance, or related field; or equivalent work experience 3+ years of progressive liability claims handling experience All lines property/casualty adjuster’s license Ability to analyze and interpret coverage at a level commensurate with complexity of assigned claims Prepare and communicate written status reports, for policyholders, management and business partners, including treaty and facultative reinsurers, agents and brokers Understands current relevant case law and statutory law in multiple jurisdictions Ability to implement compliance processes and procedures to ensure consistent, efficient and effective compliance with all federal, state, local and filed requirements Review invoices, estimates, and other documents to ensure accuracy and legitimacy prior to payment Knowledge of insurance operations Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. Preferred
Five years of progressive liability claims handling experience AIC designation Auto claims handling experience Knows the Public and Affordable Housing business Work environment & Physical Demands
Inside climate-controlled office building Prolonged sitting and using a PC Company Overview
HAI Group , is the nation’s leading property-casualty insurance company founded by and dedicated to affordable housing organizations. HAI Group Benefits And Perks
Bonus program eligibility Annual merit program Outstanding 401(k) program and non-elective contribution Flexible work schedules Generous paid time off, paid volunteer days and paid holidays Medical, vision and dental Insurance Company paid life, AD&D, short-term disability, and long-term disability coverage HSA, FSA and dependent care options On-Site wellness: Full gym and locker rooms, wellness initiatives, outdoor basketball and tennis court, picnic pavilion area Tuition reimbursement and loan repayment Professional development Community outreach HAI Group is an Equal Opportunity Employer.
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