- Provide and maintain exceptional customer service and ongoing communication to the appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level
- Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution
- Review and analyze supporting damage documentation
- Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions
- Establish appropriate loss and expense reserves with documented rationale
- Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines
- Communicate effectively and timely with internal (such as underwriting) and external customers on claims and account issues
- Maintain and manage diary system to efficiently manage and resolve assigned pending
- Identify and communicate trends with senior claims and underwriting management
- Effectively draft written communications to Insureds and Claimants regarding status of claim i.e. request for information, confirmation of investigatory details and/or coverage position letters
- Mitigate claim expenses as economically as possible
- Summarize claims in excess of authority and submit rational to manager for approval
- Negotiate settlements within approved authority level, issue settlement payments and document all activities
- Identify potential subrogation and fraud opportunities and make appropriate referrals
- Support claims workflow efficiency by accurately documenting claim progress, referring high risk exposures outside authority levels and seeking opportunities that enhance operational knowledge
- Use multiple systems to gather, enter and analyze claim metric data to ensure targets are achieved
- 1-3 years' experience handling the process of commercial insurance claims
- Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word
- Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
- Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions
- Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines
- Ability to work well independently and in a team environment
- Bachelor's degree preferred
- C.I.P. designation, or working towards same
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Claims Examiner - Toronto, Canada - Arch Capital Group
Description
Job Summary
The Claims Division is seeking a team member to join the Arch Canada Claims Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities
Specifics duties include but not limited to the below:
Education and Experience
