Claims Examiner - Core Specialty Insurance Services, Inc.

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Multi-state commercial insurance carrier is seeking a qualified Claims Examiner for a position in their Mayfield Heights, Ohio claims office.  Hybrid if in Mayfield Heights area, or fully remote if outside of Greater Cleveland.

Job Accountabilities:

Investigate rental insurance automobile liability claims. Claims will be handled from the initial loss report through final disposition.

Key tasks include:

• Investigation of policy coverage and liability with a detailed analysis of applicable state laws.

• Damage determination for property, commodity and personal injury claims.

• Conclude claims timely and in compliance with state regulatory requirements.

• Exposures are to be analyzed and proper reserves established.

• Escalation of high exposure claims is to be made to management for direction.

• Task assignments to outside vendors are required along with oversight and management of the vendor.

• Communication to policyholders, agents and underwriting on key claim issues is required.

• Conduct open claim reviews and work cohesively with other departments to deliver superior customer service and claim service to policyholders.

• Travel may be required to attend mediations, trials and training activities.   

Technical Knowledge and Understanding:

• A solid understanding of the principals of insurance, a familiarity with commercial insurance coverage and general fair claims practice standards is required.

• Strong analytical skills are required to effectively and efficiently analyze information.

• The candidate must possess excellent verbal and written communication skills to express complex evaluations and resolve claims through a well-planned negotiation strategy.

• Customer service skills and a willingness to work in a team-oriented environment are essential.

Experience:

• Minimum of 5 years’ experience as an insurance Claims Examiner handling Rental Claims.

• Hold an active adjuster’s license in home state is preferred.

• Computer skills including data entry and a knowledge of word and excel are also recommended.

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At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement.  We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program