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National Interstate Corporation

In 1989, National Interstate Insurance opened its doors with the idea that customer service and personal attention mattered. That clients were more than mere claim numbers, they were people. With real lives and real questions and real needs.We built National Interstate around our customers. And in the process, we built one of the leading specialty property and casualty insurance companies in the country.A wholly-owned subsidiary of National Interstate Corporation (Nasdaq: NATL), National Inte... Read More

Address      Headquarters 3250 Interstate Drive Richfield, Ohio 44286 330-659-8900
Website      www.nationalinterstate.com/
Holding      No Holding Details

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Senior Claims Examiner (Captive)


Direct handling of high exposure serious bodily injury (BI) claims, complex coverage, liability issues, and litigation for claims throughout the United States, involving state specific laws and regulations, with an emphasis on strong communication and customer service. Will work with supervisory staff to coordinate and conduct professional development and mentoring opportunities for the claims staff.

Main responsibilities include:

    * Initiate the investigation of new claims, make liability decisions, evaluate and negotiate settlements of BI features as appropriate.
    * Review each claim for coverage issues utilizing coverage counsel opinions and working with underwriters and product managers regarding decisions to extend or deny coverage.
    * Establish reserve setting in accordance with company policy.
    * Communicate settlements and reserve increases to insured’s as required by specific handling instructions.
    * Prepare and present occasional status reports and telephone conferences at the request of the insured.
    * Refer law suits to approved defense counsel and manage their handling, including the authorization of experts, surveillance, etc.
    * Review and pay invoices of independent adjusters; attorneys and other vendors in a timely manner.
    * Recognize state specific laws and claim regulations throughout the United States to insure that required state specific language is used correctly on releases and other claim documents.
    * Maintain compliance with claims practicing guidelines for specific claim states.
    * Document claim file notes clearly with all communications and activities that occur during handling of the claim using factual and objective information.
    * Respond to time sensitive material including but not limited to intercompany arbitration hearings, and department of insurance complaints.
    * Maintain a current 30 day diary on all open claims.
    * Obtain/maintain a non-resident adjuster license in various states.
    * Resolve “drivable” Property Damage claims and close within 30 days, making sure evaluations and settlements are in compliance with state law.
    * Ability to write a comprehensive response to arbitrated claims.
    * Assists claims supervisor in training new hires enabling them to learn the claims system and departmental procedures.  Acts as a mentor to claims staff.
    * Attend mediations, depositions, and trials as required.
    * Other duties as assigned by the claim supervisor


    * Bachelor’s degree and a minimum of five years experience handling complicated BI liability and serious injury claims, including litigated files, or equivalent experience.
    * Commercial auto and multi-state experience helpful.
    * Legal degree, CPCU, or other claim designation a plus.
    * Must be able to communicate liability decisions and reserve increase decisions to the insured that has self-insured retentions.
    * Ability to compose professional letters, e-mails, reports, and comprehensive file notes.
    * Ability to verbally negotiate with claimants and attorneys in order to resolve claims.
    * Ability to speak effectively before vendors, customers, claimants, attorneys and company management.
    * Ability to establish a rapport and communicate with insureds regarding claim handling, liability decisions, reserves, and settlement ranges.
    * Ability to write a comprehensive response to arbitrated claims.
    * Dual language ability a plus.
    * Working knowledge of Microsoft Office and Outlook Express. Word, Excel and Power Point experience a plus.
    * Ability to learn new programs efficiently.
    * General knowledge of internet use, search functions, and research.
    * Ability to read and interpret legal documents, insurance policies, medical reports, and billings.
    * Must be able to interpret policies, perform analytical research, complete investigations, and make sound judgments from data and records collected in accordance with multi-state negligence laws,
    * Must have strong analytical and reasoning skills.
    * Required to participate in an after-hour emergency phone rotation in one week increments, 1 to 2 times per year.

Other Job Information

Vacancy type:

Full Time

Contact Mode:

not provided



Contact Name:

not provided

Job Duration:

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