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Department:

Church Insurance Job Type:

Regular Full Time Education Level:

BA/BS or combination of education and experience

Required Years Experience:

5 For more than 90 years, The Church Insurance Companies (CIC) has focused on providing The Episcopal Church with broad, cost-effective property and casualty coverage, as well as unique risk management strategies and tools. This team takes a disciplined, financially sustainable, and hands-on approach. The Casualty Claims Examiner is responsible for the examination of coverage, investigation of claims, evaluation of damages and liability, and negotiating and settling third party claims. At entry level, this position focuses primarily on medical payment claims and over time may progress into the handling of bodily injury claims and litigated bodily injury claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES

include the following. Other duties may be assigned. Medical Payment File Handling Review coverage forms and claim records to determine insurance coverage for all claims, drafting timely coverage position letters when necessary.\nInterview client representatives and third parties; gather photos, statements, reports, medical records and other materials to analyze the extent of the insured's liability and overall exposure.\nEstablish timely reserves, reviewing for appropriateness and accuracy as claims develop and adjusting when appropriate.\nUpdate claim file notes routinely to address claim status, and each time relevant claim information is received. Claim file notes should include the Casualty Claim Examiner's assessment of the information received and a clear outline of strategy and plan.\nEnsure all relevant documents are maintained in the claim file document folder.\nMaintain frequent communication with policyholders and third parties.\nIssue timely payments when appropriate, securing W9 forms when necessary.\nActively participate in 1:1 meetings, roundtables, and team discussions Bodily Injury File Handling (includes above duties and responsibilities along with the below) Engage in direct settlement discussions with third parties or their representatives once a case has been evaluated for settlement.\nRetain and work collaboratively with defense firms on litigated claims, with an eye on resolution throughout the litigation process. The Casualty Claim Examiner should be leading the strategic course throughout the litigation and all legal documents are to be independently reviewed, including legal briefs/pleadings, deposition transcripts, medical records, expert reports, and any other evidentiary materials.\nProactively handle to completion all assigned claims, including attendance at mediations and trial.\nDraft comprehensive large loss and other loss reports senior leadership and reinsurers as required or requested.\nGenerate and distribute advisory reports when reserve changes are in excess of $100,000.

QUALIFICATIONS

To perform this job successfully, an individual must be able to complete the essential duties independently and in a timely fashion. This is an entry level Examiner position so training and mentoring will be provided early on, and graduation to increased duties will depend on the aptitude demonstrated through performance and the individual development plan of the Examiner. The requirements listed below are representative of the foundational knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Strong verbal and written communication skills - with strengths in professionalism, trustworthiness, compassion, listening, and empathy.\nSuperior analytical skills - ability to pinpoint relevant detail to evaluate exposure accurately.\nProficient in Excel, Word, Outlook.\nStrong time management and organization skills.\nAbility to remain focused during high volume/high intensity times.\nAttention to detail with entry of critical data into the claims system. EDUCATION and/or

EXPERIENCE

5+yrs of relevant experience. P&C Insurance background strongly preferred.\nBachelor's Degree preferred. Combination of work and experience considered .

PHYSICAL DEMANDS

Commuting to the VT office, on average, three days a week. Extensive use of a computer keyboard is a demand of the position to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable someone with a disability to perform the essential functions of this position.

WORK ENVIRONMENT

Hybrid (two days working from home, three days working in a standard office environment). Church Pension Group employees must maintain a professional, compassionate, and trustworthy work environment always. Reasonable accommodations may be made to enable someone with a disability to perform the essential functions of the job within this environment.

Salary Range:

$67,000 - $84,000\nJoin us and Create A Better Future For Yourself!\nFlexible Benefits available to eligible employees:\nMedical (including Vision)\nDental\nCore Benefits automatically provided to eligible employees:\nEmployer funded defined benefit pension plan (five year vesting)\nEmployee Life Insurance\nSpouse and Dependent Life Insurance\nAccidental Death and Dismemberment (AD&D) Insurance\nShort-Term Disability (STD) coverage\nLong-Term Disability (LTD) coverage (elected as either pre-tax or after-tax)\nBusiness Travel Accident Insurance\nWorker's Compensation\nEmployee Assistance Program\nRetiree health insurance (eligible after 10 years)\nRetiree life insurance\nElective Benefits available to eligible employees:\n401(k) with matching contributions (immediate vesting)\nFlexible Spending Accounts (FSAs)\nEducational Assistance Program available to eligible employees\nParental Leave available to eligible employees\nTime Off available to eligible employees: Vacation, Sick, Personal and Holidays\nYou may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.\nIn compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. 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Find & Apply For Claims Specialist / Adjuster / Examiner Jobs in Bennington, Vermont

Claims Examiner (Property & Casualty Insurance)