Claims Examiner

Claims Examiner, Andover, MassachusettsThe Andover Companies is seeking a property Claims Examiner to join the Claims team in Andover, Massachusetts.Key responsibilities include supervision and technical analysis of claims arising out of homeowner, landlord and businessowner insurance policies issued by The Andover Companies. The Examiner will direct all phases of claim file adjustment including coverage determination, damage evaluation, settlement, legal defense and service. The role involves the ability to examine claims to ensure that proper guidelines and processes are consistently followed. Examiners provide claims support and customer service to independent agents and policyholders through effective management of independent adjusters, defense firms and claim experts.We are looking for a confident, self-starter who is highly motivated, energetic, and knowledgeable. Integrity and natural curiosity are fundamental qualities necessary to this role, our claims process and departmental goals.Essential FunctionsEvaluate and confirm policy coverage.Assign and direct independent adjusters and experts.Set and modify coverage reserves and maintains timely diary of case assignments.Control claim negotiations and provide settlement authority to independent adjusters and legal counsel.Authorize payment andor settlement requests.Verify all required state regulations and administrative code claim handling requirements are observed.Assign defense counsel, manages litigation and legal costs.Attend mediations, trials or depositions as required.Analyze and respond to consumer and insurance department complaints.Collaborate on special Claims or Company projects.Assist other Claims Examiners during catastrophes, vacations, leave.Develop professionally through continuous insurance and claims petenciesTechnical Proficiency resolving property claims.Ethical Conduct.Service oriented.Technical Capacity.Analytical anizational and Time Management.Strong verbal and written communication skillsSolid interpersonal, analytical and negotiation abilitiesTechnical knowledge of insurance policy coverages, regulations and legal theoriesExcellent organizational and time management skillsThe employee is expected to adhere to all company policiesKey Performance IndicatorsResolution of Claims.Service.Proficiency in applicable technology.Required Education and ExperienceBachelor's Degree or five years or more of property claims handling experience or directly related experience.State specific Adjuster License as surance Certification preferredProperty and Casualty claims supervisionmanagement and familiarity of property estimating programs preferred.This job is located in ANDOVER, MASSACHUSETTS

Created: 2025-02-21