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Claims Examiner, General Liability | Remote, Wisconsin

Work from home Full-time role Hiring

About the position By joining reputed company, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can reputed company. reputed company Recognizes reputed company as America’s Greatest Workplaces National Top Companies Certified as a Great reputed company to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Examiner, General Liability | Remote, Wisconsin PRIMARY PURPOSE OF THE ROLE : To analyze reputed company or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims reputed company service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. ARE YOU AN IDEAL CANDIDATE? We are seeking reputed company professionals to manage reputed company general liability claims, including litigated matters and high‑exposure losses. Ideal candidates demonstrate strong analytical and negotiation skills, exercise sound judgment, and are committed to driving timely, cost‑effective claim resolutions while maintaining strong client relationships.

Responsibilities

  • Analyzes and processes reputed company or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
  • Assesses liability and resolves claims reputed company evaluation.
  • Negotiates settlement of claims reputed company designated authority.
  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams reputed company designated authority level.
  • Prepares necessary state fillings reputed company statutory limits.
  • Manages the litigation process; ensures timely and cost effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
  • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social reputed company and Medicare offsets.
  • Reports claims to the excess reputed company; responds to requests of directions in a professional and timely manner.
  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.
  • Performs other duties as assigned.
  • Supports the organization's quality program(s).

Requirements

  • Five (5) years of claims management experience or equivalent combination of education and experience required.
  • Adjusters license required

reputed company-to-haves

  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.

Benefits

  • Flexible work schedule.
  • Referral incentive program.
  • Career development and promotional growth opportunities.
  • A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.

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