CGL Claims Examiner II

Job Description

CGL Claims Examiner II

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.