Claims Examiner reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Examines and authorizes insurance claims investigated by insurance adjusters. Being a Claims Examiner studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. Communicates with agents, claimants, and policy holders. Additionally, Claims Examiner determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. The Claims Examiner work is closely managed. Works on projects/matters of limited complexity in a support role. To be a Claims Examiner typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)
Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been certified a “Great Place to Work” for the last 3 years and on Fortune’s “Best Place to Work” list of the top 100 best small and medium companies to work.
With offices in Goldsboro, NC; Hartford, CT; Scottsdale, AZ; Richmond, VA; Atlantic Casualty has authority in fifty states and Washington, DC. We value our employees and believe embracing diversity of thought aides in fostering a culture of belonging; where all are seen, heard, and valued. At Atlantic Casualty, we are family! We care about our associates physical, emotional, and professional health and emphasize wellness benefits, charity, and training programs offered. We offer employee development opportunities through Cornerstone Learning Management System, Franklin Covey, the Institutes and Pluralsight.
Benefits of Atlantic Casualty include:
Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.
www.atlanticcasualty.net/about-acic/our-careers/
Summary:
Manages complex, high-value third-party claims and suit files. Cases will involve complex coverage, liability, damages and/or injuries. May give technical assistance to staff adjusters. Manages independent adjusters and attorneys assigned to the Examiner’s files. Has settlement authority in excess of adjusters. Does not administratively supervise staff adjusters.
Essential Duties and Responsibilities:
Required Education/Experience:
Basic
Advanced
Licensing:
Mental Requirements:
The position requires using and interpreting information and facts that may require refining and improving existing methods of analysis. The incumbent has considerable latitude for decision making and establishment of priorities. Significant planning is required to coordinate with other organizational units.
PHYSICAL REQUIREMENTS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate. Works primarily indoors.
TRAVEL: 5%
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