Job Description
Job Title: Claims Examiner/Associate Claims Examiner - Employment Practices Salary: Competitive salary based on experience and qualifications Experience: 2 years for Associate Claims Examiner, 7 years for Claims Examiner Location: Wayne, PA Team: Claims Job Type: Full Time FT/PT Status: Full Time
Essential Functions:
- Confirm coverage by reviewing first notice of loss and policy information - Prepare coverage position letters (disclaimers, reservation of rights) - Conduct thorough investigation of claims to assess liability and damages - Understand and apply statutory and case law - Identify joint tortfeasors and ensure fair payment from all parties - Maintain adequate reserves throughout claim development - Proactively manage files towards final disposition - Negotiate directly with claimants or their attorneys - Oversee defense counsel and ensure effective litigation management - Review and approve settlement agreements - Maintain detailed file notes - Prepare reports for underwriting and other departments - Respond promptly to phone and email inquiries, both internally and externally - Adhere to established claim service promises - Participate in continuing education to maintain state licenses and support professional development - Occasional travel required for mediations or court hearings
Other Duties and Responsibilities:
- Support customer service by responding promptly to inquiries - Complete special projects as assigned
Specific Skills:
- Understanding of legal concepts, litigation processes, and agency filings - Strong oral and written communication skills - Analytical and negotiation skills - Organizational and time management skills - Technical knowledge of insurance coverage, employment law, and claim evaluation
Minimum Job Requirements:
- 2 years of relevant experience for Associate Claims Examiner - 7 years of relevant experience for Claims Examiner - Experience in liability matters, such as examiner, adjuster, paralegal, attorney/lawyer - Knowledge of employment practices, D&O, and/or E&O claims - Multi-jurisdictional knowledge, advanced degrees, and/or JD are a plus
Benefits:
- Competitive salary - Comprehensive benefits package - Access to wellness programs - Continuing education resources - Opportunities to get involved with charitable organizations
At USLI, diversity, equity, and inclusion are important values that we strive to uphold. We believe in representing all races, genders, religions, and sexual orientations in our community and culture. We are committed to moving conversations about diversity and inclusion forward and ensuring that every community member feels like they have a sense of belonging, a voice, and a seat at the table.
USLI is a dynamic and challenging work environment, where every claim is unique and offers new opportunities to learn and grow. Our claims team works closely with other departments, such as underwriting, compliance, and actuarial, to ensure our products are healthy and our customers are satisfied. As a claims team member, you will be responsible for confirming coverage, conducting investigations, negotiating with claimants, and managing files towards final disposition. Strong communication, analytical, and negotiation skills are essential for success in this role.
If you are a creative problem solver with a desire to continuously learn and grow, and have relevant experience in liability matters, we encourage you to apply for our Claims Examiner/Associate Claims Examiner position. We offer a competitive salary based on experience and qualifications, and opportunities for professional development and involvement with charitable organizations. Join our diverse and inclusive community at USLI and make a positive impact on our culture and customers.
