Job Brief

Do you enjoy finding solutions and have a passion for helping those in need? Check out our Claim Examiner opportunity!

POSITION SUMMARY

Are you the friend who always knows just what to say in a difficult situation and people rely on your creativity and assertiveness? Do you enjoy finding solutions and have a passion for helping those in need?

At IFG Companies, our claims professionals are encouraged to think outside of the box. They serve as a subject matter expert to our customers and make critical decisions on behalf of the company every day. In this role, it is essential to have a thirst for knowledge and a love of fact finding. Beyond that, the ability to explain complex or abstract concepts is a necessity. Our number one goal is to bring about best in class resolutions to our internal and external customers.

The primary role of the Claim Examiner is to investigate, evaluate, negotiate, and settle claims in multi-jurisdictions, applying coverage, laws and regulations accordingly; reporting to upper management and reinsurers within necessary timelines and guidelines.

POSITION RESPONSIBLITIES

• Promptly review new losses and determine initial plan of action in the handling of the claim
• Analyze coverage as it relates to the facts and allegations of the claim; prepare Reservation of Rights and Declination of Coverage letters, as applicable
• Initiate contact efforts with policyholder and claimants to confirm notice of loss description and determine the scope of the investigation, if needed
• When appropriate, assign and clearly instruct independent adjusting firms to conduct the needed investigative tasks; manage and direct any future activity of the independent adjusting firm in any continued investigation of the claim
• Identify serious injury/damage losses and report them in a timely manner to upper management and reinsurers and update as necessary
• Promptly evaluate all claims as the investigation develops and establish and adjust reserves as warranted
• Review all expense bills for appropriateness , accuracy and adherence to Company billing guidelines and promptly process such payments
• Recognize, notify and pursue other culpable parties and seek contribution from such other responsible parties as warranted
• Identify and ensure subrogation efforts are undertaken against other responsible parties, including pursuit of deductible recoveries, salvage by the Recovery Unit as applicable
• Negotiation claim settlement
• Such other duties as may be assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

• Excellent written and oral communication skills
• Exhibit sound negotiation, critical thinking, and problem-solving capabilities
• Outstanding customer service, attention to detail, and multi-tasking skills
• Strong computer skills, including the ability to work effectively in a claims management systems and strong knowledge of Microsoft applications (Outlook, Word, Excel)
• Ability to exercise independent judgment with moderate supervision in handling claims within reserve and settlement authority

EDUCATION / EXPERIENCE / CERTIFICATIONS

• Bachelor’s Degree preferred
• 3+ years of property and casualty claims handling experience required, commercial claims experience preferred
• General liability experience is strongly preferred
• Must have a valid adjuster license in designated home state is required (or willing to obtain one within 60 days after hire) with the ability to obtain additional non-residential adjuster licenses

PHYSICAL DEMANDS

Physical demands are considered to be that of an office environment, climate controlled, with minimal physical exertion. This position requires prolonged sitting, ability to utilize a computer and interactions with others in meetings or via phone. Ability to travel as necessary according to business needs.