Sr. Claims Examiner

As a Senior Claims Examiner at W. R. Berkley Corporation, your primary responsibilities will include managing moderate complexity auto claims, conducting thorough investigations into coverage and liability, and developing action plans for case resolution. You'll also evaluate, negotiate, and settle claims within your authority while collaborating with defense attorneys to create effective litigation strategies.

To qualify for the Senior Claims Examiner role at W. R. Berkley Corporation, candidates should ideally possess a 4-year college degree, with a preference for those with industry designations such as AIC, CCP, or CPCU. Furthermore, 8-10 years of experience in handling claims, particularly involving contractual liability and serious injuries, is essential.

W. R. Berkley Corporation places a strong emphasis on professional development for Senior Claims Examiners. The company expects all adjusters to maintain their licenses through continuing education courses, providing access to various learning resources and training opportunities to help you stay at the top of your game.

The work environment for a Senior Claims Examiner at W. R. Berkley Corporation fosters collaboration and support. You'll have the autonomy to handle complex cases independently, while still being part of a larger team, enabling you to share insights and strategies that enhance overall success.

As a Senior Claims Examiner at W. R. Berkley Corporation, you can expect a competitive compensation plan alongside a robust benefits package, which typically includes health insurance, retirement savings plans, and professional development opportunities, ensuring your well-being both personally and professionally.

When investigating an auto claim, I start by gathering all relevant information, including police reports, witness statements, and medical documentation. I'll analyze this data to evaluate coverage and liability, ensuring a thorough understanding of the specifics to facilitate case development and negotiation.

I've tackled various claims involving contractual liability throughout my career. In each case, I carefully assess the contracts involved, identifying obligations and breaches to guide my evaluating process and settlement discussions effectively.

To ensure a positive customer service experience, I maintain open communication with clients, providing timely updates on their claims. I take the time to address their concerns empathetically, demonstrating that I value their trust and am committed to resolving their claims efficiently.

In negotiating claim settlements, I focus on understanding the needs of the insured and the nuances of the claim. By gathering all facts and relevant data, I present well-supported arguments to create win-win scenarios, ensuring fair settlements that align with the company's interests.

When faced with challenging cases, I prioritize thorough research and collaboration with internal and external teams. By considering multiple perspectives, I develop comprehensive action plans that address the varied facets of the case, allowing for strategic resolution.

My experience with litigation management includes oversight of claims that require legal intervention. I've worked closely with defense attorneys and legal teams to strategize effective litigation plans while monitoring costs and outcomes to optimally manage each case.

I stay informed about changes in insurance laws and regulations through regular participation in professional development courses, industry publications, and networking within professional organizations, ensuring that I am always equipped with the latest knowledge and compliance strategies.

In a previous role, I presented a complex liability case to upper management by first breaking down the critical elements of the situation into digestible points. I utilized visuals to highlight key data and outcomes, which facilitated a clear understanding that garnered productive discussions on our next steps.

The most important qualities for a successful Senior Claims Examiner include strong analytical skills, excellent communication, the ability to work independently, and a solid understanding of the claims process. Being results-oriented and having strong negotiation abilities also play a crucial role in achieving favorable outcomes.

To maintain compliance in claims handling, I adhere to established company protocols, continually verify that I'm up to date with regulatory requirements, and conduct periodic audits of my case files to ensure adherence. This proactive approach helps mitigate risks associated with compliance gaps.