Berkley

  • Sr. Claims Examiner/Adjuster

    Location Name AZ, Scottsdale - 7233 E Butherus Drive
    ID
    2019-3070
    Date Posted
    1 day ago(12/5/2019 9:33 AM)
    Company
    Nautilus Insurance Group
    Primary Location
    US-AZ-Scottsdale
    Category
    Claims
  • Company Details

    Nautilus_Logo

    Nautilus Insurance Group is a strong underwriting Company and respected leader in the E&S industry. Our culture promotes creativity, integrity and respect, allowing us to attract and retain quality employees. Nautilus is a subsidiary of the W. R. Berkley Corporation, a Fortune 500 company recognized as one of the most respected names in the property casualty insurance industry. Nautilus writes Commercial Excess and Surplus Lines business in all 50 states.


    About W. R. Berkley Corporation

    W. R. Berkley Corporation, founded in 1967, is one of the nation’s premier commercial lines property casualty insurance providers. Each of the operating units in the Berkley group participates in a niche market requiring specialized knowledge about a territory or product. Our competitive advantage lies in our long-term strategy of decentralized operations, allowing each of our units to identify and respond quickly and effectively.

     

    Responsibilities

    The Senior Claims Examiner efficiently and effectively handling intermediate-level, commercial first -party property and/or third-party general liability (GL) losses. 

    • Reviews and sets up new loss assignments in a timely manner in compliance with department guidelines and best practices. 
    • Establishes appropriate initial loss and expense reserves and continue to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines. 
    • Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions. 
    • Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations. 
    • Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and regulatory agencies. 
    • Pro-actively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with department guidelines and best practices. 
    • Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes. 
    • Consistently demonstrates coverage analysis, investigation, evaluation and negotiation skills at an intermediate level. 
    • Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel. 
    • Obtains all required state adjuster licenses and maintains them as required via compliance with mandatory continuing education requirements.

    Qualifications

    • A minimum of 7 years of insurance industry experience with 5 plus years of Claims Adjusting experience 
    • Excess and Surplus lines experience is helpful 
    • High School Diploma, Bachelors Degree and/or equivalent combination of education and experience is required. 

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