Senior Claims Examiner, Ocean Marine Claims

• Responsible for the resolution of moderate to high complexity ocean marine bodily injury and property damage claims

• Handle claims from coverage enquiry through legal liability assessment and quantum analysis

• Communicating developments and outcomes to all internal and external stakeholders

• Training and providing referral support for other team members

• Analyze coverage and communicates coverage positions

• Prepare coverage position letters

• Conduct investigations into loss facts and damages

• Initiating timely contact to appropriate parties throughout the claim's lifecycle

• Evaluating information on coverage, liability, and damage

• Negotiate and settle claims directly or indirectly

• Present at round tables to senior claims leaders and underwriters

• Bachelor's degree or equivalent work experience
• Must have or be eligible to receive claims adjuster license in all states
• Minimum of 5+ years of ocean marine, general liability or equivalent combination of education and experience in insurance,
• Successful completion of 5 years as a Claims Examiner
• Commercial auto experience a plus
• Excellent written and oral communication skills
• Strong analytical and problem solving skills
• Strong organization and time management skills
• Experience in negotiation, mediations, arbitrations and monitoring trials on higher value complex claims
• Ability to influence claims stakeholders and to effectively direct claims strategy
• Strong vendor management skills
• Well-developed and advanced expertise and knowledge in most technically complex claims topics
• Policy language skills enabling accurate and consistent policy wording interpretation
• Experience in effectively following up on recommendations from technical claims audits and continuous file handling improvement.
• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word)

Demonstrates advanced expertise in ocean marine claims management, including coverage analysis, negotiation, and stakeholder communication. Proficient in policy language interpretation and vendor management, with a strong focus on analytical problem-solving and organizational skills.

• Claims Adjuster License
• Ocean Marine Claims Management
• Negotiation and Settlement
• Analytical Problem Solving
• Vendor Management

• Claims Resolution
• Coverage Analysis
• Legal Liability Assessment
• Quantum Analysis
• Claims Examination
• Policy Language Interpretation
• Investigation of Loss Facts
• Mediation and Arbitration
• Claims Strategy Direction
• Continuous File Handling Improvement

• Excellent Written Communication
• Excellent Oral Communication
• Strong Organization Skills
• Time Management Skills
• Ability to Influence Stakeholders

• Claims Adjuster License

• Ocean Marine
• General Liability
• Commercial Auto
• Claims Examiner
• Technical Claims Audits

• Microsoft Office (Excel, Outlook, PowerPoint, Word)