Senior Claims Examiner

BERKLEY TECHNOLOGY SERVICES; Scottsdale (AZ); On-site; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Senior Claims Examiner to join their dynamic team. This role involves managing commercial claims in a paperless environment, requiring strong analytical and communication skills. The ideal candidate will have a solid background in insurance, particularly in commercial claims handling and general liability. With a commitment to professional growth and a supportive work environment, this position offers the opportunity to thrive while contributing to the company's mission of excellence in service. Flexible work arrangements are available for highly qualified candidates, making this an exciting opportunity for those looking to advance their careers.

Benefits

Paid Parental Leave

Medical, Dental, and Vision Coverage

401(k) Program

Tuition Assistance

On-site Fitness Center

Flexible Work Arrangements

Cell Phone Discounts

Profit Sharing

Stock Purchase Plan

Paid Volunteer Day

Qualifications

• Minimum of 7 years of insurance experience required.
• Intermediate knowledge of Windows-based programs is essential.

Responsibilities

• Handle commercial first-party property and third-party general liability losses.
• Draft complex coverage correspondence and manage claim files.

Skills

Insurance Experience

Commercial Claims Handling

General Liability

Communication Skills

Coverage Analysis

Education

High School Diploma or GED

Some College

Tools

Microsoft Word

Microsoft Excel

Email

Job description

Company Details

As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide. We have specialized in providing these solutions for more than 35 years.

We have more flexible policy terms and premium rates on a non-admitted basis. Our focus is on small to medium Property and Casualty risks on both an admitted and a non-admitted basis. Our offerings are distributed through partnerships with appointed wholesale surplus lines producers. Our relationships are defined by mutual success, speed to market, customer-centric focus, and an expanded appetite.

Coverage placed by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company, both W. R. Berkley Corporation members with A.M. Best (Superior) A+ XV ratings.

Benefit Highlights:

• Paid Parental Leave! At Nautilus, we offer Childbirth Recovery Leave as well as Primary Caregiver Leave, for up to a maximum of 12 weeks of paid leave.
• Medical, Dental, and Vision coverage options, along with Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) choices.
• We support our employees with a 401(k) program, profit sharing, stock purchase plan, life insurance, and travel accident insurance options.
• One of our core values is “Committed to Serve” — we provide every employee one paid day off per year to volunteer at a local charity.
• We promote professional growth through Tuition Assistance and Industry-Related Education and Exam programs.
• Employees are eligible for cell phone service discounts with Verizon and AT&T. We also participate in the Plum Benefits program offering exclusive travel and entertainment discounts.
• Flexible work arrangements.
• On-site newly renovated fitness center — free to employees, with yoga and other classes available for a nominal fee.

Responsibilities

The Senior Claims Examiner’s primary functions include handling intermediate-level, commercial first-party property and/or third-party general liability losses in a paperless environment. Effective communication, both verbal and written, in a prompt, courteous, and professional manner is essential.

This role can be remote for highly qualified candidates.

• Review and set up new loss assignments promptly, in compliance with Department guidelines and best practices.
• Establish initial loss and expense reserves; regularly evaluate for adequacy, accuracy, and adherence to reserving guidelines.
• Analyze policy language with specific loss facts to determine coverage decisions.
• Draft complex coverage correspondence, including reservation of rights and disclaimers, in compliance with state statutes and regulations.
• Communicate with insureds, claimants, attorneys, agents, and regulatory agencies through detailed correspondence.
• Manage claim files from inception to closure, including coverage, liability, and damage investigations, planning, and resolution, following Department standards.
• Document all claim activities clearly, including strategies and plans.
• Demonstrate coverage analysis, investigation, evaluation, and negotiation skills at an intermediate level.
• Manage outside vendors such as adjusters and legal counsel effectively.
• Present loss facts and issues in discussions with peers and management.
• Prepare and transmit detailed reports like Large Loss Reports timely.
• Monitor caseloads using various resources.
• Obtain and maintain required state adjuster licenses, fulfilling continuing education requirements.
• Serve as a technical resource, mentoring and sharing knowledge within the department.
• Participate in training and projects led by other departments or W. R. Berkley companies.
• Communicate proactively with management and other departments.
• Attend seminars and training, providing feedback as needed.
• Other duties as assigned.

#LI-Remote

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Qualifications

• Minimum of 7 years of insurance experience.
• Experience in commercial claims handling, including General Liability.
• Excess and Surplus Lines experience preferred.
• Insurance-related certifications such as CPCU, AIC, AEI, or equivalent preferred.
• Intermediate knowledge of Windows-based programs: Word, Excel, Email.
• Excellent verbal and written communication skills.
• High school diploma or GED required; some college preferred.
• State-specific licensing as required.

Additional Company Details

The Company is an equal employment opportunity employer. We do not accept unsolicited resumes from external agencies. We offer competitive compensation and benefits. Salary will depend on role scope, experience, and other factors.

Sponsorship Details

Sponsorship is not offered for this role.