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Senior Claims Examiner

Canopius
New York, USA
Full-time
Senior
Hybrid
Discovered 5 days ago

Full Job Posting

Responsibilities

  • Proactively adjust claims within your authority and in accordance with the Canopius claims philosophy.
  • Conduct coverage analysis
  • Review and approve reservation of rights and coverage denial letters to ensure accuracy and consistency in coverage analysis
  • Review claims to ensure appropriate reserve levels and that changes are made on a timely basis
  • Refer claims in excess of authority to supervisor
  • Prepare notification to underwriters and reinsurers for large or contentious claims
  • Review and approve TPA funding requests within authority
  • Participate in claim file audits to monitor TPA performance
  • Assist with preparation of reports for underwriting, agents, insureds or state agencies as needed
  • Occasional travel
  • Other duties as assigned
  • Skills and Qualifications
  • Bachelor’s Degree and five or more years of progressive technical claim experience is required
  • Detail-oriented, adaptable and strategic in decision-making.
  • Thorough technical knowledge of cyber policies and procedures is required.
  • Thorough functional knowledge of Microsoft Office tools, including Word and Excel
  • Willingness to learn and handle other lines of business based on workload and need
  • Self-starter with the desire to work in a collaborative environment and provide insight and feedback to other departments
  • Ability to communicate effectively with adjusters, co-workers and clients
  • Strong analytical skills
  • Strong attention to detail and focused on the delivery of high-quality work
  • Highly motivated, enthusiastic and structured working style
  • Customer service and relationship-oriented
  • Maintain valid adjusters’ license(s) in states assigned or an ability to obtain same.
  • Salary Range: $150,000 - $165,500

Qualifications

  • Bachelor’s Degree and five or more years of progressive technical claim experience is required

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