Claims Examiner - job 1 of 2

A Claims Examiner at W. R. Berkley Corporation is responsible for handling moderate complexity auto claims. This person will conduct thorough investigations to determine coverage, liability, and damages, negotiate and settle claims, and guide defense attorneys through litigation plans, ensuring a positive customer experience throughout the process.

To apply for the Claims Examiner position at W. R. Berkley Corporation, candidates should have 5-7 years of experience in claims handling, specifically with 2+ years focused on litigated injury claims. A 4-year college degree in a relevant field is preferred, and holding advanced industry designations like AIC or CPCU is a plus.

The work environment for a Claims Examiner at W. R. Berkley Corporation is collaborative and dynamic. You'll work independently but will also closely coordinate with internal teams and external partners, creating a supportive atmosphere to resolve claims efficiently while maintaining high standards of customer service.

W. R. Berkley Corporation supports the professional development of Claims Examiners by requiring continuing education to maintain adjuster licenses and offering access to training programs. This commitment helps ensure that our examiners keep up with industry standards and enhance their skill sets.

Claims Examiners at W. R. Berkley Corporation receive a competitive compensation package alongside a robust benefits plan that includes health coverage, retirement options, and various perks aimed at promoting work-life balance and career growth.

When addressing complex liability issues, clarify the facts surrounding the case, gather all necessary documentation, and communicate effectively with all parties involved. Break down the issues logically, and consult with legal experts if necessary to ensure a comprehensive understanding of the circumstances.

In answering this question, describe a specific claim that posed challenges, detailing the steps you took to resolve it. Highlight your investigative approach, how you communicated with stakeholders, and how you ultimately reached a resolution that satisfied all parties involved.

Effective negotiation involves understanding both the written contract details and the emotional aspects of settlement discussions. Prepare your arguments based on evidence, listen actively to the other party's concerns, and seek a mutually beneficial agreement that addresses everyone's needs.

To ensure compliance with insurance regulations, I stay updated on the latest laws and guidelines, utilize compliance checklists, conduct regular audits of claims processes, and participate in training sessions to inform the team of any necessary changes.

In managing litigated claims, I focus on maintaining a clear line of communication with defense attorneys, setting up strategic action plans, and monitoring case progress closely. It's crucial to document everything, make timely decisions, and ensure adherence to best practices throughout the litigation process.

Customer service is at the mainstay of my approach to claims handling. I believe in providing timely updates, being transparent about processes, and ensuring clients feel heard and valued. This proactive communication helps build trust and contributes to overall satisfaction with the claims process.

When managing multiple claims, I prioritize based on factors such as time sensitivity, complexity, potential for litigation, and impact on customer satisfaction. Utilizing a case management system allows me to keep track of deadlines and organize my workflow effectively.

Documentation is crucial in claims processing as it provides a clear and accurate record of all actions taken, decisions made, and communications exchanged. It helps support claims validity, ensures compliance, and can be invaluable in case of disputes or litigation.

If a claim exceeds my authority limit, I would first gather all relevant information to present a compelling case for approval. I would then communicate clearly with management, articulating the reasons for exceeding those limits and proposing a resolution plan to move forward.

Staying motivated as a Claims Examiner involves setting personal goals, celebrating successes, and seeking continuous learning opportunities. Engaging with my team and sharing experiences also fosters a positive work environment where we can support one another.