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The Claims Examiner II's primary job function includes efficiently and effectively handling primarily basic, commercial third-party general liability losses in a "paperless" environment.
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Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated experienced Claims professional to join our team. Review open and closed files to ensure adherence to claim handling guidelines and state's Fair Claims Practices.
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We have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Commercial Claims Adjuster or Examiner positions. Handle General Liability / Bodily Injury, Property, Commercial Auto Liability and/or Physical Damage, Workers Compensation, Inland Marine, Professional / Management Liability, Business Interruption, Liquor Liability, Garage/Garagekeepers Legal Liability or Umbrella claims.
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Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel. As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide.
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Contract role for Claims Examiner –Remote f or our client. Claims Examiner –Remote- Garden City, NY. Confer with legal counsel on claims requiring litigation. Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
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CPCU, AIC, AEI or completion of other insurance-related classes is preferred. Flexible work arrangements, including working from home 1 day a week. Nautilus offers Medical, Dental, and Vision coverage options, along with Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) choices.
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The Claim Examiner evaluates claim eligibility, outlines claim exposure, processes payments to policyholders, and provides and maintains appropriate reporting to management. 3-4 years claims experience required (ESL claims experience a plus.
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Responsible for reviewing, maintaining and resolving Miscellaneous Surety Bond claims, within RLI defined authority, and pursuant to federal, state and Department of Insurance requirements. Investigate and negotiate claims to resolution including loss and expense recovery.
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The Opportunity As a dedicated injury examiner, you will adjust complex bodily injury claims and UIM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations.
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The Claims Examiner will act as a liaison between client, employee and healthcare provider. In our world, we help other employers manage their Disability Claims when an employee gets sick, injured, has a baby, needs a surgery, or something similar that will require them to be out of work for a while.
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The Claim Examiner II obtains and analyzes information to make claim decisions and payments on Long Term Disability "LTD" and Waiver of Premium "WOP" claims. Reviews and investigates disability claims by using telephone and written contact with the applicable parties, (claimant, employer/supervisor, credit union, treating physician, etc.
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The Senior Claims Examiner will play a pivotal role in managing and adjudicating complex insurance claims, ensuring accuracy, efficiency, and adherence to company policies and regulatory guidelines.
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Litigated Claims Examiner - Auto Liability. PRIMARY PURPOSE OF THE ROLE: To analyze highly complex & litigated Auto Liability claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
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The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.
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Works closely with internal benefits/claims teams; regularly providing information and updates regarding Social Security eligibility and determinations. They will monitor claimants' SS claims until a final decision is received.
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claims examiner jobs in Scottsdale, AZ
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