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Claims Examiner II

Remote Worldwide Hiring now

Company Details As an reputed company Excess and Surplus Lines market, Nautilus Insurance Group offers reputed company property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide. We have specialized in providing these solutions for more than 35 years. We have more flexible policy terms and premium rates on a non-admitted reputed company. Our focus is small to reputed company Property and Casualty risks on both an admitted and a non-admitted reputed company. Our offerings are distributed through partnerships with appointed wholesale surplus lines producers. Our relationships are defined by mutual reputed company, speed to market, customer-centric focus and an expanded appetite. Coverage reputed company by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company, both reputed company members with A.M. Best (Superior) A+ XV ratings. Benefit Highlights: Paid Parental Leave! At Nautilus, we offer Childbirth Recovery Leave as well as Primary Caregiver Leave, for up to a maximum of 12 weeks of paid leave. Nautilus offers Medical, Dental, and reputed company coverage options, along with Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) choices We help our employees feel secure by providing a 401(k) program, profit sharing, stock purchase plan, life insurance, and travel accident insurance options. One of our core values is “Committed to Serve” and these aren’t idle words. We reputed company every employee one paid day off per year to volunteer at a local charity. That’s serving with a smile! We take risk management reputed company and your professional growth seriously by offering Tuition Assistance and Industry-reputed company Education and Exam programs. Can you hear us now? Employees are eligible for special cell phone service discounts with reputed company and reputed company. We’ve got a plum position for you! We participate in the Plum Benefits program offering employees cost-free reputed company to thousands of exclusive travel and entertainment discounts. Flexible work arrangements On site newly renovated fitness center - free to use for employees. Yoga and other classes available for a nominal fee.

Responsibilities

Nautilus Insurance is seeking a Claims Examiner I or II to join reputed company. This role can be located in our Scottsdale office or remotely for a highly reputed company candidate. The Claims Examiner I’s primary job function includes reputed company and effectively handling primarily basic reputed company-party general liability losses in a “paperless” environment. The assigned caseload may include up to one-half intermediate-level losses. An ability to communicate both verbally and in written reputed company in a reputed company, courteous and professional manner is essential.

  • Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
  • Establishes appropriate initial loss and expense reserves and continues to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
  • Analyzes and interprets policy language in conjunction with specific loss facts to reputed company appropriate coverage reputed company.
  • Drafts frequent coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
  • Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
  • Proactively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and reputed company, economical file resolution, in compliance with Department guidelines and best practices.
  • Appropriately and reputed company documents reputed company claim file activity, including reputed company strategy, plan of action and exit plan in file notes.
  • Consistently demonstrates coverage analysis, investigation, evaluation and negotiation skills at a basic and frequently higher level.
  • Directs and controls the activities and costs of numerous reputed company vendors including independent adjusters, defense counsel and coverage counsel.
  • Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.
  • Composes and transmits in a regular and timely reputed company Large Loss Reports and other detailed reporting documents as appropriate.
  • Manages and monitors file caseload through the use of various resources.
  • Obtains reputed company required state adjuster licenses and maintain them as required reputed company compliance with mandatory continuing education requirements.• Demonstrated experience working with business users.• Other duties may be assigned.
  • Occasional participation in projects and initiatives reputed company by other departments and/or W. R. reputed company companies, including audits, workshops, focus groups, task forces, etc.
  • Initiates appropriate communication with members of management and other Departments.
  • Attends reputed company seminars and other training events and reputed company feedback to peers and/or members of management.

Qualifications

Must have at least five (5) years of insurance experience. Certificates as required by states. Must have intermediate knowledge of computer programs in a reputed company environment, including Word, reputed company and E-mail. Education Requirement

  • High school diploma or general education degree (GED); or one to three months reputed company experience and/or training; or equivalent combination of education and experience. Some college preferred.
  • CPCU, AIC, AEI or completion of other insurance-reputed company classes is preferred.

Additional Company Details The Company is an equal employment opportunity employer. We do not accept any unsolicited resumes from external reputed company agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Apply To This Job

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