Claims Examiner

Eames Consulting is working with a multinational insurer looking to bring on a Claims Examiner in Texas.

ESSENTIAL DUTIES AND RESPONSIBILITIES

* Determines type of claim and reserves to be opened, establishes reserves and completes input for opening claim file.

* Obtains statements from all involved parties and completes liability determination.

* With Supervisors approval, assigns field investigation to independent adjusters, experts, other outside vendors.

* Evaluates, negotiates and settles assigned claims within delegated settlement authority.

* Send releases, checks, correspondence, proof of loss, etc. and completes appropriate reporting format in file.

* Maintains control of file and workflow through proper documentation and diary system.

* Ensures reserve adequacy through frequent, timely review and evaluation of information obtained during the course of the investigation

* Identifies subrogation and salvage recovery issues and follows recovery procedures.

* Maintains files based upon the company's claim handling guidelines and per the applicable Department of Insurance fair claims handling practices regulations.

* Exercises proactive litigation management to resolve matters in suit

* Review, adjust and approved defense counsel budgets and invoices according to company guidelines

* Attend trials and mediation as needed

* Performs other duties as assigned.

Required Skills and Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

* Excellent verbal and written communication skills.

* Excellent organizational skills.

* Computer literate.

* A self-motivated team player.

* Punctual and conscientious about work hours and make timely requests for vacations and special leave.

* Accepts constructive feedback and makes sincere efforts to improve.

* Effective listener.

Education or Experience

· College degree is preferred or appropriate prior work experience.

· Minimum 5 years of experience handling commercial auto or similar claims.

Eames Consulting is acting as an Employment Agency in relation to this vacancy.