Claims Examiner
Crum & Forster Insurance Co - Morristown, NJ

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Summary

The Auto/General Liability Claims Examiner is responsible for providing superior customer service to policyholders, agents, claimants, and others encountered during general claims handling.

Responsibilities:

-Receives General Liability and/or Auto claim assignments

-Verifies and determines coverage applicable to the loss, including review of both the underwriting file/policy application and specific policy.

-Prepares individual evaluation/exposure analysis within 30 days upon receipt of an assignment and sets appropriate and timely loss and expense reserves.

-Determines the methods and extent of investigation warranted for each claim assigned, as required by established best practices, company claims handling procedures and applicable state regulations.

-Based on the results of the investigation, determines coverage, liability and damages.

-Promptly negotiates appropriate settlements as dictated by the facts and within assigned authority directly with the claimant or plaintiff counsel.

-When appropriate and necessary, consults with Claims Supervisor or Claims Management to obtain authority for activities and settlements that exceed assigned authority

-Documents all significant activities and contacts in the Claims File, in accordance with established best practices, company claims handling procedures and applicable state regulations
- Processes or will obtain appropriate state licenses

Requirements:
-High School Diploma or GED required. College Degree preferred

-Working knowledge of Insurance and/or Claims

-Claims related training courses a plus

Crum & Forster - 19 months ago - save job - block
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