Senior Claims Examiner

Posted 2 Days Ago
Be an Early Applicant
Morristown, NJ, USA
In-Office
96K-124K Annually
Senior level
Industrial
The Role
Handles first- and third-party Ocean Marine and Energy claims from investigation through settlement. Responsibilities include interpreting insurance policies, evaluating exposures, setting reserves, preparing coverage letters, managing litigation and external vendors, maintaining claim documentation and financials, and ensuring regulatory compliance. The role requires maintaining adjuster licenses, managing defense counsel and experts, and occasional travel to mediations, conferences, and trials. It follows a hybrid schedule with at least three days per week in the Morristown, New Jersey office.
Summary Generated by Built In

At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients.

Coaction's fast-paced and dynamic Claim Department seeks a highly motivated Senior Claims Examiner. This position is responsible for providing superior claim service by handling first and third-party Ocean Marine and Energy claims. The individual will desk-handle the claim investigation, estimate exposures, select and deploy experts, obtain appropriate claim documentation, and effect accurate settlement within the prescribed authority and performance standards. All job duties must be carried out in compliance with applicable legal and regulatory requirements. The position will work on a hybrid schedule from our New York or Morristown office.


Responsibilities

o Provide expert claim handling in coverage, investigation, evaluation, and resolution of first and third-party Ocean Marine and Energy Claims, including marine contractors, hull and machinery, cargo, general average, Jones Act, Longshore and Harbor Workers Compensation Act, and energy claims.

o Ability to interpret and apply customized insurance policies to real-life situations.

o Conduct thorough, high-quality investigations utilizing the approved legal and vendor panel as necessary.

o Assigned claims may involve coverage interpretation and litigation, including specialized coverage extensions.

o Prepare appropriate coverage letters for review and approval by claims management.

o Complete an investigation on each claim promptly and thoroughly document the claim file with claim details.

o Handle assigned claims following company guidelines and industry best practices.

o Set accurate reserves on each claim within the given authority level and promptly advise management of claims requiring reserves exceeding authority.

o Maintain a diary system ensuring that each assigned claim receives ongoing attention.

o Possible travel to attend mediations, settlement conferences, and trials.

o Use the claims system to maintain financials, including reserves, and make payments within assigned authority levels.

o Closely manage defense counsel, outside investigators, and surveyors to ensure appropriate loss adjustment expenses.

o Meet with members of other departments to discuss specific claim details or general claims issues.

o Maintain adjuster licenses in states as required.


Qualifications:

• Solid planning & organizational skills including time-management and prioritization.

• 4+ years of claims handling experience primarily handling general liability claims.

• Must be willing to obtain adjuster’s license in all states requiring licensure.

• Must be willing to occasionally travel.

**This role must sit in our Morristown, NJ office on our hybrid schedule, being in office no less than 3 days a week**.

Salary range specific to for this role : $96,000-$124,000 + discretionary incentive bonus + benefits depends on various factors including, without limitation, individual and organizational performance. The offered rate of compensation will be based on individual education, experience, and qualifications.  In addition, employees are eligible for standard benefits package including paid time off, medical, dental and retirement. 

Equal Opportunity Employer

Coaction is an Equal Employment Opportunity employer. Coaction’s policy is not to discriminate against any applicant or employee based on race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, and genetic information, or any other basis protected by applicable law. Coaction also prohibits harassment of applicants or employees based on any of these protected categories.

If your application is selected, you will receive an email directly from the Coaction Recruiting Team at [email protected] asking you to contact a member of the Coaction Recruiting Team. Any other method of contact may be fraudulent.

Skills Required

  • 4+ years of claims handling experience, primarily involving general liability claims
  • Solid planning and organizational skills, including time management and prioritization
  • Willingness to obtain adjuster licenses in all states requiring licensure
  • Willingness to occasionally travel
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The Company
HQ: Morristown, NJ
447 Employees
Year Founded: 2009

What We Do

Coaction Global (Coaction) is an A.M. Best “A-“ (Excellent)-rated, property and casualty (P&C) insurance company. Founded in 2009 as ProSight Global, Coaction today is a specialty underwriter providing property, casualty, entertainment, executive liability, and multi-line coverages to U.S. customers via open brokerage and delegated underwriting authority platforms. Coaction’s authentic, results-oriented culture is reflected in the company’s focused approach to fulfilling individual customer needs by combining product, analytics, and underwriting capabilities with strong industry knowledge and partnerships. Through data-driven insights and collaboration, the company coacts with customers and partners to rationally manage risk for a more confident and sustainable future

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