Liability Claims Examiner – BI Premises Experience Required

Jobtailor; Cincinnati (OH); On-site; USD 65,000 - 85,000; Full time

Job summary

Jobtailor is seeking a senior claims professional in Ohio to analyze Bodily Injury Premise claims, ensure adjudication within service expectations, and manage exposure through thorough investigation and action plans. You will negotiate settlements within authority, communicate with claimants and clients, and report to the excess carrier as required.

The role requires 5 years of claims management experience, a high school diploma or GED, and TX license; a bachelor’s degree is preferred, with

Qualifications

• High School Diploma or GED required.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• 5 years of claims management experience or equivalent combination of education and experience required.
• Jurisdiction knowledge: AL, AK, AZ, CA, GA, ID, IN, KY, LA, MI, MS, MT, NV, OR, NC, SC, TX, UT.
• TX license required.

Responsibilities

• Analyze Bodily Injury Premise claims on behalf of clients to determine benefits due.
• Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements.
• Investigate and gather information to determine claim exposure.
• Process claims through action plans to timely and appropriate resolution.
• Negotiate claim settlements within designated authority.
• Communicate claim activity and processing with claimants and clients.
• Report claims to the excess carrier.
• Respond professionally and timely to requests for directions.

Skills

Claims Analysis

Claims Processing

Adjudication

Action Plan Development

Settlement Negotiation

Clear Thinking

Excellent Judgment

Stress Management

Multitasking

Deadline Orientation

Education

High School Diploma or GED

Bachelor's degree (preferred)

Tools

Computer Keyboarding

Job description

• Analyze Bodily Injury Premise claims on behalf of clients to determine benefits due
• Ensure ongoing adjudication of claims within service expectations, industry best practices, and client service requirements
• Investigate and gather information to determine claim exposure
• Process claims through action plans to timely and appropriate resolution
• Negotiate claim settlements within designated authority
• Communicate claim activity and processing with claimants and clients
• Report claims to the excess carrier
• Respond professionally and timely to requests for directions

Requirements

• High School Diploma or GED required
• Bachelor's degree from an accredited college or university preferred
• Professional certification as applicable to line of business preferred
• 5 years of claims management experience or equivalent combination of education and experience required
• Jurisdiction knowledge: AL, AK, AZ, CA, GA, ID, IN, KY, LA, MI, MS, MT, NV, OR, NC, SC, TX, UT
• TX license required
• Clear and conceptual thinking ability
• Excellent judgment, troubleshooting, problem solving, analysis, and discretion
• Ability to handle work-related stress
• Ability to handle multiple priorities simultaneously
• Ability to meet deadlines
• Computer keyboarding
• Hearing, vision, and talking

Core Competencies

Demonstrates expertise in analyzing and managing Bodily Injury Premise claims, ensuring timely resolution and adherence to industry best practices. Proficient in negotiation, communication, and maintaining compliance with jurisdictional requirements.

Highest-signal resume keywords

• Claims Management Experience
• Negotiation Skills
• Jurisdiction Knowledge
• Professional Certification
• Problem Solving

ATS Optimization Keywords

Hard Skills

• Claims Analysis
• Claims Processing
• Adjudication
• Action Plan Development
• Settlement Negotiation

Soft Skills

• Clear Thinking
• Excellent Judgment
• Stress Management
• Multitasking
• Deadline Orientation

Certifications & Qualifications

• Professional Certification
• TX License

Industry Keywords

• Bodily Injury Claims
• Premise Claims
• Client Service Requirements
• Excess Carrier Reporting
• Claim Exposure Investigation

Tools & Technologies

• Computer Keyboarding