Sr. Claims Examiner

BERKLEY TECHNOLOGY SERVICES; Scottsdale (AZ); On-site; USD 80,000 - 120,000; Full time

Job summary

An established industry player in the insurance sector is seeking a Senior Claims Litigation Specialist to join their dynamic team. This role offers the flexibility of remote work for highly qualified candidates, while also providing the opportunity to work from the Scottsdale headquarters. The ideal candidate will possess extensive insurance experience, showcasing their ability to manage complex litigated claims efficiently. This position emphasizes strong communication, analytical, and negotiation skills, ensuring that you can effectively interact with various stakeholders. Join a company that values professional growth and offers a comprehensive benefits package, including paid parental leave and tuition assistance.

Benefits

Paid Parental Leave

Medical, Dental, and Vision Coverage

401(k) Program

Tuition Assistance

Flexible Work Arrangements

Fitness Center Access

Travel and Entertainment Discounts

Qualifications

• 20+ years of insurance experience required.
• Intermediate knowledge of Windows programs essential.

Responsibilities

• Manage litigated claims from inception to closure.
• Draft complex coverage correspondence and reports.

Skills

Insurance Experience

Communication Skills

Analytical Skills

Negotiation Skills

Technical Writing

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 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.
• Nautilus offers Medical, Dental, and Vision coverage options, along with Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) choices.
• We help our employees feel secure by providing 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” and these aren’t idle words. We provide every employee one paid day off per year to volunteer at a local charity. That’s serving with a smile!
• We take risk management excellence and your professional growth seriously by offering Tuition Assistance and Industry-Related Education and Exam programs.
• Can you hear us now? Employees are eligible for special cell phone service discounts with Verizon and AT&T. We’ve got a plum position for you! We participate in the Plum Benefits program offering employees cost-free access to thousands of exclusive travel and entertainment discounts.
• Flexible work arrangements.
• On site newly renovated fitness center - free to use for employees. Yoga and other classes available for a nominal fee.

Responsibilities

Nautilus Insurance is seeking a Senior Claims Litigation Specialist. This role can be located in our Scottsdale headquarters or remotely for a highly qualified candidate.

The Senior Litigation Specialist’s job function includes efficiently and effectively handling advanced-level, primarily litigated, commercial first-party property and/or third-party general liability losses in a “paperless” environment. An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.

1. Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
2. Establishes appropriate initial loss and expense reserves and continues to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
3. Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
4. Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
5. Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and regulatory agencies.
6. Proactively manages primarily litigated claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
7. Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
8. Consistently demonstrates comprehensive coverage analysis, investigation, evaluation and negotiation skills at an advanced level.
9. Directs and controls the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters.
10. Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management at all levels.
11. Composes and transmits in a regular and timely basis frequent Large Loss Reports and other detailed reporting documents as appropriate.
12. Manages and monitors file caseload through the use of various resources.
13. Obtains all required state adjuster licenses and maintains them as required via compliance with mandatory continuing education requirements.
14. Other duties may be assigned.
15. Serves as a technical resource within the Department through mentoring and knowledge-sharing, whether one-on-one, in small groups, or presentations to larger groups.
16. Meets with intern personnel and others as needed to provide job function overview and/or specific subject-matter training.
17. Occasional participation in projects and initiatives led by other departments and/or W. R. Berkley companies, including audits, workshops, focus groups, task forces, etc.
18. Initiates appropriate communication with members of management and other Departments.
19. Attends internal and external seminars and other training events and provides feedback to peers and/or members of management.

Qualifications

1. Must have at least twenty (20) years of insurance experience.
2. Must have intermediate knowledge of computer programs in a Windows environment, including Word, Excel and E-mail.
3. Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations.
4. Ability to write reports, business correspondence and procedure manuals.
5. Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.
6. Ability to respond to common inquiries or complaints from customers, regulatory agencies or members of the business community.
7. Ability to effectively communicate on the telephone.

Additional Company Details

The Company is an equal employment opportunity employer. We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role.