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N
NAMIC
Senior Litigation Examiner
Career Insights for Claims Examiner (General)
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Based on Indiana data
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What they do
A Claims Examiner evaluates insurance claims in accordance with applicable contracts and government regulations within their insurance type. Determines member eligibility and financial responsibility of the insurance company.
$77,340 / year median in Indiana
+1% projected growth
Job Description
The National Association of Mutual Insurance Companies - Insurance Company (NAMICO) has a new opportunity for a Sr. Litigation Examiner in our claims department. The Sr. Litigation Examiner is responsible for handling an inventory of Directors & Officers, Fiduciary Liability (ERISA), Insurance Company E&O, Agents E&O, and Carrier & Agency EPLI Claims. Specific duties include, but are not limited to: initial file review, identification of coverage issues, diary, reserving, retention of defense counsel and outside investigators, ongoing review, diary, payment of service bills and final claim resolution. Responsible for preparing loss prevention articles and/or delivering loss prevention seminars and programs as needed or assigned. Essential functions of the position include: Assumes responsibility for claim files as assigned by VP-Claims & CEO. Reviews claims as to coverage under NAMICO program policy. Issues Reservation of Rights letters and Coverage disclaimer letters, as appropriate. Reviews claims as to liability and formulate claim resolution strategy. Retains and manages defense counsel on all litigated claim files, including suit budgets, plan of action, hiring of outside investigators and/or experts, planning of discovery, and negotiation of claims. Retains coverage counsel on selected files to assist in determining NAMICO's coverage position. Maintains diary on all assigned claims. Establishes, monitors, and changes claim reserves as appropriate. Reviews and evaluates files on an ongoing basis and revises claim resolution strategy, as required. Keeps senior management apprised of the status of all claims involving large loss reserves or proposed indemnity payments. Meets with appropriate parties, attend mediations, arbitrations, and trials. Resolves claims within authority, or obtains required authority from VP-Claims & CEO. Prepares Loss Prevention or Claim Description articles for