- Review submitted claims for coverage and determine if a matter is covered under the applicable policy.
- Investigate increasingly complex claims and coverage issues.
- Draft actions plans, including coverage recommendations, for the approval of Claims Managers for complex claims.
- Independently handle claims presently little to no coverage issues.
- Establish and revise claim reserves based on claim developments and counsel liability assessments.
- Draft coverage determination letters, including reservation of rights and denial letters.
- Appoint defense and/or coverage counsel, as appropriate.
- Obtain updates from defense counsel and/or coverage counsel and/or the Insured, as appropriate.
- Update claims diary as needed based on activity
- Authorize settlements based on liability and other considerations within settlement authority provided by Claims Manager.
- Review, approve, and reimburse the Insured for legal, expert/vendor invoices, and settlement.
- Conduct detailed bill reviews to ensure appropriate payment.
- Maintain a claim file by accurately documenting all communications, activity, etc.
- Communicate with brokers or reinsured clients to obtain information necessary for processing claims.
- Attend mediations, arbitration, etc. as needed.
- Assist Claims Manager in drafting claims-handling protocols.
- High school diploma or the equivalent.
- Bachelor's degree strongly preferred.
- Minimum of two (2) years of relevant professional experience in Cyber Claims.
- General claims experience handling ransomware, ransom, kidnapping claims or tech E&O is required.
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Claims Examiner - Los Angeles, United States - D3 Search
Description
D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a highly respected global insurer with a long-standing office located in Encino, CA
Position Title:
Claims Examiner II - Cyber
Location | Map:
Encino, CA
Employer Work Model:
Flexible hybrid work model (3/2).
Employment Status:
Full-time | direct hire employment opportunity.
Position Details/Description:
Claims Examiner - Cyber Insurance. Under supervision, analyzes coverage for increasingly complex claims submitted under the applicable policy form. Discusses claim facts and coverage issues with insureds, defense counsel, and/or coverage counsel. Possesses critical thinking and strong oral/written communication skills.
General Responsibilities:
Relying on limited experience and knowledge, the Claims Examiner II is responsible for accomplishing the following assignments and managing accounts caseload for Cyber claims support:
Position Knowledge, Skills & Requirements:
Salary/Compensation:
Starting salary is up to 93K (DOE/DOQ), plus a comprehensive & robust health benefits package, 401K, generous PTO, and many other industry-leading employee perks, etc.
If interested in this full-time/direct hire Claims Examiner II - Cyber role located in Encino, CA , and you meet the above qualifications/requirements, please contact the following D3 rep.:
Don Moser | D3 Search
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