Claims Examiner II – Marine Personal Lines

Responsibilities

• Responsible for the resolution of low to moderate complexity and exposure Personal Lines Marine physical damage claims in multiple jurisdictions
• Confirms coverage of claims by reviewing policies and documents submitted in support of claims
• Analyzes coverage and communicates coverage positions
• Ability to draft coverage position letters independently
• Utilizes acceptable investigation claims handling and settlement techniques that achieve cost effective and timely closure results
• Conducts, coordinates, and directs investigation into loss facts and extent of damages
• Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure
• Sets reserves within authority or makes recommendations concerning reserve changes to manager
• Utilizes diary system to pro-actively resolve outstanding issues and to ensure timely processing and closure of the claim
• Negotiates and settles claims directly with claimant
• Prepares reports by collecting and summarizing information
• Provides timely service throughout the life cycle of the claim by meeting all service level agreements
• Identifies subrogation opportunities and fraud potential and makes appropriate referrals

• Bachelor’s degree or equivalent work experience
• Must have or be eligible to receive any necessary claims adjuster license(s)
• Must have or be willing to successfully complete basic insurance courses or achievement of industry designation (INS, IEA, AIC, ARM, SCLA, CPCU)
• Preferred two to five years of claims handling experience or equivalent combination of education and experience
• Knowledge of insurance industry or claims handling preferred
• Knowledge of marine accident investigation techniques preferred