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Senior Claims Examiner

extra holidays - extra parental leave
Remote: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)
Work from: 
New Jersey (USA), United States

Offer summary

Qualifications:

Industry expertise in insurance, Strong understanding of Ocean Marine and Energy claims, Legal knowledge in coverage interpretation, Ability to maintain adjuster licenses in required states.

Key responsabilities:

  • Handle first and third-party claims
  • Conduct thorough investigations and document claims
Coaction Global logo
Coaction Global Insurance SME https://www.coactionspecialty.com/
201 - 500 Employees
See more Coaction Global offers

Job description

At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients.

Responsibilities

  • Provide expert claim handling in coverage, investigation, evaluation, and resolution of first and third-party Ocean Marine and Energy Claims, including marine contractors, hull and machinery, cargo, general average, Jones Act, Longshore and Harbor Workers Compensation Act, and energy claims.
  • Ability to interpret and apply customized insurance policies to real-life situations.  
  • Conduct thorough, high-quality investigations utilizing the approved legal and vendor panel as necessary. 
  • Assigned claims may involve coverage interpretation and litigation, including specialized coverage extensions. 
  • Prepare appropriate coverage letters for review and approval by claims management. 
  • Complete an investigation on each claim promptly and thoroughly document the claim file with claim details. 
  • Handle assigned claims following company guidelines and industry best practices. 
  • Set accurate reserves on each claim within the given authority level and promptly advise management of claims requiring reserves exceeding authority. 
  • Maintain a diary system ensuring that each assigned claim receives ongoing attention. 
  • Possible travel to attend mediations, settlement conferences, and trials. 
  • Use the claims system to maintain financials, including reserves, and make payments within assigned authority levels. 
  • Closely manage defense counsel, outside investigators, and surveyors to ensure appropriate loss adjustment expenses. 
  • Meet with members of other departments to discuss specific claim details or general claims issues. 
  • Maintain adjuster licenses in states as required. 

Equal Opportunity Employer

Coaction is an Equal Employment Opportunity employer. Coaction’s policy is not to discriminate against any applicant or employee based on race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, and genetic information, or any other basis protected by applicable law. Coaction also prohibits harassment of applicants or employees based on any of these protected categories.

Required profile

Experience

Level of experience: Senior (5-10 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Detail Oriented
  • Teamwork
  • Communication

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