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Job Details


Combined Insurance Company of America

Senior Claims Specialist - Professional Liability (343386)

Equipment/Technology Specialist

Equipment and Facilities Specialist

Yearly

No

Jersey City, New Jersey, United States

MAJOR DUTIES & RESPONSIBILITIES:

Duties include but are not limited to:

  • Under close supervision, receives assignments and reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business.
  • Contacts Insureds to secure necessary claim information.
  • Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.
  • Sets reserves within authority limits and recommends reserve changes to Team Leader.
  • Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
  • Settles claims promptly and equitably.
  • Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
  • Informs claimants, insureds/customers or plaintiff attorney of denial of claim when applicable.