Claims Examiner

Richfield, Ohio
Not Specified
Sep 29, 2016
Nov 28, 2016
Job Type
Not Specified
Career Level
Not Specified

Who we are:

With over 25 years of success, National Interstate remains one of the leading specialty property and casualty insurance companies in the country. We offer more than 30 product lines with a focus on commercial transportation, Alternative Risk Transfer (ART), and specialty vehicle insurance. We are proud to be a 6 time Northcoast 99 winner and our employees have voted us as a Top Workplace in Northeast Ohio for 2016. Thanks to our talented and dedicated team, we are able to live out our company values of integrity, transparency, fairness, accountability, empowerment and collaboration with each transaction we make. If you are ready to join an engaging and driven team such as ours, we would love to hear from you!

Key aspects of this role:

As a Claims Examiner, you will be primarily responsible for the direct handling of serious property Damage (PD) and Bodily Injury (BI) claims and coverage and/or liability issue claims throughout the U.S. involving state specific laws and regulations. You will direct outside counsel and establish litigation plans in order to reach cost effective resolutions of PD and BI claims, including those involving high risk and high exposure. Desirable candidates will be able to effectively:

  • Investigate new claims, make liability decisions, apply comparative negligence where applicable and negotiate settlements

  • Understand and apply state specific law and regulations in highly litigious venues across the country

  • Recognize coverage issues and work with your supervisor to resolve

  • Establish case reserves within our company guidelines

  • Refer law suits to properly approved defense attorneys and direct their handling, including the authorization of discovery actions and motions practice

  • Expense control of fees from independent adjusters, defense attorneys and other vendors

  • Recognize the various state laws, regulations and claim handling compliance

  • Document claim file notes clearly summarizing all correspondence and activities using factual and objective data

  • Assist the claims supervisor in training new hires, enabling them to learn the claims system and departmental procedures and act as a mentor to fellow team members

  • Respond to time sensitive material such as phone messages, settlement demands, intercompany arbitration hearings and insurance department complaints

  • Maintain a current 30-day diary on all open claims

  • Attend mediations and trials as mandated

  • Perform other duties or ad hoc tasks as assigned

Skills and background that we are looking for:

  • Bachelor's degree from a four year college or university preferred

  • A minimum of 3-5 years' experience handling complex coverage investigations and high exposure physical damage and auto liability claims, including litigated files, or equivalent experience

  • A law degree is highly preferred, and a background in insurance defense is a plus

  • Commercial auto, general liability and multi-state experience are helpful and claims designation and/or state licensing are a plus

  • Ability to read and interpret legal documents, insurance policies and medical reports and billings

  • Strong written, verbal and interpersonal communication

  • Working knowledge of Microsoft Word, Excel, Power Point and Outlook

  • Solid analytical, reasoning and problem solving abilities

  • Dual language ability a plus

  • Flexibility regarding working hours in order to meet deadlines

  • Required to participate in after-hours emergency phone rotation in one week increments 1-2 times per year