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IFG Companies

Claim Examiner (Commerical Insurance)

IFG Companies, Alpharetta

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This range is provided by IFG Companies. Your actual pay will be based on your skills and experience talk with your recruiter to learn more.

Base pay range

$76,000.00/yr - $88,000.00/yr

Draft
POSITION TITLE: Claim Examiner
DEPARTMENT: Claims
REPORTS TO: Team Manager, Claims
EEO CATEGORY: Professional
DIRECT REPORTS: None
FLSA STATUS: Exempt
LOCATIONS: Alpharetta (GA), Chapel Hill (NC), Hartford (CT), Scottsdale (AZ)
Position Summary/Objectives
The primary role of the Claim Examiner is to investigate, evaluate, negotiate, and settle injury/damage claims in multiple jurisdictions, applying coverage, laws and regulations accordingly; reporting to management within necessary timelines and guidelines.
Position Responsibilities Including

  • Promptly review new losses and determine initial plans of action.
  • Analyze coverage as it relates to the facts and allegations of claims; prepare Reservation of Rights and Declination of Coverage letters, as applicable.
  • Initiate contact with policyholder and claimant(s) to confirm notice of loss description and determine the scope of the investigation, as appropriate.
  • When appropriate, assign and instruct independent adjusting firms to conduct needed investigative tasks; manage and direct activity of independent adjusting firms in any continued investigation of claims.
  • Report losses timely to management and update as necessary.
  • Evaluate claims as investigations develop and establish and adjust reserves as warranted.
  • Review expense bills for appropriateness, accuracy and adherence to Company billing guidelines and process payments.
  • Recognize, notify and pursue culpable parties and seek contributions from such parties.
  • Identify and ensure subrogation efforts are undertaken against responsible parties.
  • Negotiation of claims to settlement.
  • Other duties as required.
Knowledge/Skills/Abilities Including
  • Excellent written and oral communication skills.
  • Exhibit negotiation, critical thinking, and problem-solving capabilities.
  • Outstanding customer service, attention to detail, and multi-tasking skills.
  • Strong computer skills, including the ability to work effectively in the claims management system and strong knowledge of Microsoft applications (e.g., Outlook, Word, Excel).
  • Ability to exercise independent judgment with moderate supervision in handling claims within reserve and settlement authority.
Education/Experience/Certifications
  • Required: Bachelor's Degree from an accredited college/university.
  • Required: Minimum of 1+ years of property/casualty claims handling experience as a full-time exempt employee of a U.S. based property/casualty insurance company.
  • Strongly Preferred: 3+ years of commercial general liability policy and/or garage policy experience.
  • Required: A valid adjuster license in designated home state (or be able and willing to obtain one within 60 days after hire) and the ability to obtain additional non-residential adjuster licenses.
PHYSICAL DEMANDS
  • Physical demands are considered to be that of a climate-controlled office environment, with minimal physical exertion.
  • Position is hybrid and requires the ability and the willingness to work in an IFG Companies' office at least three (3) days per week.
  • Position requires prolonged sitting, extensive utilization of computers and interactions with others in person and via phone.
  • Position requires the ability and the willingness to travel as the business needs.
Benefits
  • IFG Companies offers competitive compensation and benefits, including medical, dental, vision, 401(k), flexible spending, short-term and long-term disability insurance, life insurance, long-term care, paid parental leave, vacation and other paid time off.
IFG Companies is an equal opportunity employer committed to a diverse workforce.
Seniority level
  • Seniority level
    Entry level
Employment type
  • Employment type
    Full-time
Job function
  • Job function
    Finance and Sales
  • Industries
    Insurance

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