Berkley

Claims Examiner II

Location Name AZ, Scottsdale - 7233 E Butherus Drive
ID
2022-7019
Date Posted
3 months ago(4/11/2022 6:42 PM)
Company
Nautilus Insurance Group
Primary Location
US-AZ-Scottsdale
Category
Claims

Company Details

Nautilus_Logo

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. We have specialized in providing these solutions for more than 35 years.

 

We have more flexible policy terms and premium rates on a non-admitted basis. Our focus is small to medium Property and Casualty risks on both an admitted and a non-admitted basis.

 

Our offerings are distributed through partnerships with appointed wholesale surplus lines producers. Our relationships are defined by mutual success, speed to market, customer-centric focus and an expanded appetite.

 

Coverage placed by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company, both W. R. Berkley Corporation members with A.M. Best (Superior) A+ XV ratings.

Responsibilities

The Claims Examiner II’s primary job function includes efficiently and effectively handling primarily basic, commercial first-party property and/or third-party general liability losses in a “paperless” environment. The assigned caseload may include up to one-half intermediate-level losses. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.

 

• 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 continues 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 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.

• Proactively 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 a basic and frequently higher level.

• Directs and controls the activities and costs of numerous outside vendors including independent adjusters, defense counsel and coverage counsel.

• Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.

• Composes and transmits in a regular and timely basis Large Loss Reports and other detailed reporting documents as appropriate.

• Manages and monitors file caseload through the use of various resources.

• Obtains all required state adjuster licenses and maintain them as required via compliance with mandatory continuing education requirements.
• Demonstrated experience working with business users.
• Other duties may be assigned.

• Occasional participation in projects and initiatives lead by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.

• Initiates appropriate communication with members of management and other Departments.

• Attends internal and external seminars and other training events and provide feedback to peers and/or members of management.

 

Qualifications

• Must have at least five (5) years of insurance experience.
• Certificates as required by states.
• Must have intermediate knowledge of computer programs in a Windows environment, including Word, Excel and E-mail.

 

Education Requirement

 

• High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. Some college preferred.
• CPCU, AIC, AEI or completion of other insurance-related classes is preferred.

 

Additional Company Details

The Company is an equal employment opportunity employer.

Additional Requirements

Must be fully vaccinated and remain fully vaccinated against COVID-19*, unless prohibited by law.

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