The Financial Examiner II investigates, evaluates, and settles moderately complex insurance and reinsurance claims, ensuring compliance with policy terms and appropriate documentation. They analyze claim exposures, establish reserves, and communicate with stakeholders to resolve disputes and support special projects such as reinsurance audits. This role requires strong analytical skills, attention to detail, effective communication, and 5-8 years of relevant experience in general liability and environmental coverage.
FM is a leading property insurer of the world's largest businesses, providing more than one-third of FORTUNE 1000-size companies with engineering-based risk management and property insurance solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research; risk management skills and support services; tailored risk transfer capabilities; and superior financial strength. To do so, we rely on a dynamic, culturally diverse group of employees, working in more than 100 countries, in a variety of challenging roles.
Work Location: This role requires on-site work four days per week, with the option to work one day remotely, depending on business needs.
Eligibility: Applicants must live within 50 miles of our corporate office. Relocation is not offered for this position
We are seeking a Financial Claims Examiner II to join our team of Finance Professionals.
A financial Claims examiner at FM will Investigate, evaluate, and dispose of moderately complex insurance and/or reinsurance claims in keeping with sound claim practices and company procedures. Takes a new perspective using existing solutions.
Your responsibilities include but are not limited to...
Analyze claims of a basic to intermediate nature and make payment decisions. Confirms that claims fall within the terms of the policy, treaty or facultative certificate under which they are being submitted, and that appropriate back-up documentation has been provided.
Evaluate and establish reserves for potential exposure in order to ensure that the company’s liabilities are fully recognized. Analyzes the nature of assigned claims and their latency period; utilizes additional case reserves as the need arises.
Communicate verbally and in writing with insureds, cedents, reinsurers, brokers, and counsel to secure required claim back-up, pose or respond to inquiries, and resolve claim disputes.
Complete special projects as assigned. Such projects may include, but not be limited to, commutation or policy buyback initiatives, collection efforts, various research assignments, and preparation/support for reinsurance audits conducted by Senior Claims Examiner.
5 – 8 years of related work experience with a proven grasp of General Liability, Products Liability, and Environmental coverage issues, including aggregation and allocation.
Soft Skills
Attention to detail
Proven capacity to manage multiple tasks concurrently and establish effective prioritization to meet deadlines.
Motivated to keep abreast of industry techniques and tools
Effective interpersonal abilities and clear communication skills.
Analytical and problem-solving skills. Able to capture appropriate data needed to diagnose the cause of a problem or to develop a solution.
Demonstrated skill in providing mentorship and influencing decision-making.
Education
Bachelors Degree preferred
The hiring range for this position is $80,560 to $115,800. The final salary offer will vary based on geographic location, individual education, skills, and experience. The position is eligible to participate in FM’s comprehensive Total Rewards program that includes an incentive plan, generous health, and well-being programs, a 401(k) and pension plan, career development opportunities, tuition reimbursement, flexible work, time off allowances, and much more!
FM is an Equal Opportunity Employer and is committed to attracting, developing, and retaining a diverse workforce.
financial claims examiner, insurance claims evaluation, risk management, liability coverage, reserve analysis, insurance dispute resolution, reinsurance audits, claims processing, general liability insurance, environmental claims
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