Job Summary

Seeking a highly skilled and motivated CGL Claims Examiner II to join a team. This role involves efficiently and effectively managing commercial first-party property and third-party general liability claims in a dynamic and fast-paced environment. The ideal candidate will have a strong background in claims handling, excellent communication skills, and the ability to work both independently and collaboratively.

Compensation Package

Salary: Up to $90,000 annually
Bonus: Target of 10% (not guaranteed)
Profit Sharing: 5-12% in lieu of 401(k) match
Comprehensive benefits package, including medical, dental, and vision coverage, flexible spending accounts (FSA), and health savings accounts (HSA)
Paid parental leave (up to 12 weeks)
401(k) program, stock purchase plan, life insurance, and travel accident insurance options
Tuition assistance and industry-related education and exam programs
Flexible work arrangements
Access to an on-site, newly renovated fitness center with free usage and optional classes for a nominal fee
Special discounts on cell phone services with Verizon and AT&T
Access to exclusive travel and entertainment discounts through the Plum Benefits program
One paid day off annually to volunteer at a local charity

Responsibilities

Review and set up new loss assignments promptly, adhering to department guidelines and best practices.
Establish and regularly evaluate loss and expense reserves for accuracy and adequacy.
Analyze and interpret policy language to determine appropriate coverage decisions.
Draft coverage correspondence, including reservation of rights and coverage disclaimers, in compliance with state statutes and regulations.
Manage claim files from inception to closure, including investigation, evaluation, and resolution of claims.
Document all claim file activity, including strategies, plans of action, and exit plans.
Demonstrate strong skills in coverage analysis, investigation, evaluation, and negotiation.
Oversee and manage activities and costs of external vendors, including independent adjusters and legal counsel.
Prepare and present detailed loss reports and participate in roundtable discussions with peers and management.
Obtain and maintain required state adjuster licenses and comply with continuing education requirements.
Participate in cross-departmental projects, audits, workshops, and task forces as needed.
Attend internal and external training events and provide feedback to peers and management.

Qualifications/Requirements

Minimum of five (5) years of experience in Commercial General Liability (CGL) insurance claims handling.
Possession of required state adjuster licenses and compliance with continuing education requirements.
Intermediate proficiency in computer programs within a Windows environment, including Microsoft Word, Excel, and email.
Strong written and verbal communication skills, with the ability to draft professional correspondence and reports.
Demonstrated ability to work effectively with business users and external vendors.
Proven ability to manage a caseload efficiently and resolve claims in a timely and cost-effective manner.

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