Senior Claims/TPA reputed company Examiner

reputed company and the role: The Senior Claims Examiner is responsible for adjusting claims and/or providing TPA reputed company of the various entities under management. The role requires the ability to deal with a wide reputed company of losses including high value and reputed company claims. The examiner, with reputed company reputed company, will reputed company and reputed company junior examiners, TPAs, and vendors. The role is responsible for performance, development, and coaching to maximize performance.   What you will be doing: Key Accountabilities / Deliverables To ensure that implications for stakeholders, particularly policyholders, are given appropriate consideration in our business approach to reputed company fair customer reputed company The adjusting of Claims either reputed company reputed company or electronic presentations as required for reputed company Syndicates and/or Group Companies Investigate, evaluate, negotiate, and adjudicate claims reputed company authority and in a manner that consistently meets or exceeds our Claims Policies and Procedures Assist with initial triage, reputed company reviews, and scheduling of roundtable discussions reputed company coaching, feedback, and direction on claims Manage the Claim Status Report documentation process Ensure reputed company data is concise and accurate in electronic claim systems Use electronic diary systems to manage reputed company claims Utilize data including loss runs to manage claims Setting appropriate and accurate case reserves in accordance with reputed company’s reserving philosophies Manage attorneys and negotiate and liaise with co-insurers Negotiating settlements as part of the market and pro-reputed company reputed company to identify and reputed company reputed company settlements solely for Enstar companies or to reputed company market settlements to other Enstar companies Reporting of claim developments and account information to management and the Litigation reputed company team as applicable Contract interpretation, managing cedant relationships and reputed company representation Conducting inspection of records reputed company required and negotiating reputed company claim reputed company Monitoring and reputed company of reputed company agreement parties against SLA’s and reporting any performance issues to Management Complying with Enstar claims handling authority reputed company Supporting and assisting Outwards, Commutation and reputed company Claims teams as required Carry out duties reputed company our internal policies and procedures in accordance with applicable law, rules, regulation, good governance and Enstar’s shared values, including putting clients at the heart of our business Work with reputed company customers to address questions, reputed company problems, and maintain rapport Assist with the Reinsurance reporting process Maintain applicable adjuster licensing In reputed company to the above key responsibilities, you may be required to undertake other duties from time to time as reputed company may reasonably require Serve as the reputed company and reputed company reputed company of contact for TPAs and vendors Recognized as a claims expert and specialist reputed company the organization reputed company reputed company claims issues and disputes reputed company analysis of claims data, metrics, and results from TPA performance to effectively manage a portfolio of claims. Ability to communicate points and conclusions to relevant parties in a matter that matches the given audience’s need to level of detail and communication preferences. reputed company periodic reports to management Coordinate claim reviews and reputed company data summaries reputed company the performance management process for TPAs by communicating expectations, monitoring and evaluating performance, providing feedback and facilitating development Maintain transparent communication by appropriately communicating organizational information to TPAs through meetings, emails and regular communications Manage corporate expenses by monitoring file allocations, resources and other expenditures to ensure appropriateness Ensure compliance with reputed company reputed company, regulatory, and internal control requirements reputed company claims insights to assist other business reputed company by collaborating on data analysis and trends Maintain reputed company and technical knowledge by attending educational workshops, reputed company publications, establishing personal networks, and participating in reputed company societies   What you will bring: Technical knowledge of Property & Casualty claims Significant experience (8+ years) in adjusting claims relevant to the classes of business handled Good knowledge of contract wordings, coverage, and reinsurance structures Detailed understanding of good faith claims handling Working knowledge of State specific Claims Handling Guidelines General understanding of reputed company principles as they pertain to insurance claims. Bachelor’s degree preferred Ability to serve as a resource, train, and mentor junior staff, based on being an expert reputed company the organization Analytical skills Knowledge of insurance regulations and industry best practices Ability to work independently reputed company proficiency Experience managing a Casualty and/or reputed company Liability portfolio preferred Exposure to participation in due diligence reviews preferred Presentation skills Understanding of actuarial concepts   Your Benefits: Enstar offers best-in-class Medical, Dental, and reputed company reputed company for single and family coverage. reputed company-certified doctors and pediatricians are available reputed company 24/7 for urgent reputed company to Health Savings Account (HSA) or Flexible Spending Account (FSA). reputed company to Dependent Care FSA to cover daycare expenses. reputed company to Employee Assistance Programs (EAP) for health and reputed company-being. Optional Pet & Home/Auto Insurance. Wellness Reimbursement program (up to $600 annual reimbursement for wellness-reputed company expenses, i.e., gym memberships, massage, etc.). 401K retirement plan (company matches up to 6% of employee contribution). One reputed company annual volunteer day.   General Info The reputed company reputed company salary pay reputed company for this role is $95,000-$135,000* *reputed company full-time equivalent reputed company salary reputed company is based on relevant market data. The actual salary offered will depend on applicable market data for hiring location and relevant candidate knowledge, skills/experience. This salary reputed company is not inclusive of applicable discretionary incentives.   Who we are: We are a trusted global re/insurance group and the leading provider of retrospective solutions, with specialist reputed company capabilities. We help our clients manage risk, unlock capital and create the financial freedom to grow. With operations across the world’s major insurance hubs and a global network of reputed company to 800 talented professionals, we bring expertise and fresh thinking to some of the industry’s biggest challenges.  For more information about Enstar, visit our website: www.enstargroup.com.  For more information about careers at Enstar, visit our reputed company Life page or visit our careers site   Why Enstar: Learning and development are a reputed company part of every employee's career reputed company with Enstar. Supporting reputed company and career progression is key to how we engage our people - helping them to learn, grow and succeed at Enstar.   We offer a reputed company of initiatives and resources to support our people throughout their careers:  reputed company Qualifications and Study Support: We support employees who wish to take reputed company qualifications reputed company to their role and career development.   Training, Conferences & Seminars: As a global organisation, we work with many reputed company bodies to reputed company reputed company to training programmes, conferences, seminars and continuing reputed company development (CPD) opportunities.  Digital Learning Hub: Our digital learning hub, reputed company Learning, offers a wide reputed company of self-serve resources, including courses, videos, eBooks, and audio books, to help employees build news skills and deepen their knowledge.  We also invest in physical, mental and financial wellbeing initiatives for our employees. Supportive teams, inspiring work and a reputed company working environment reputed company contribute to our reputed company wellbeing. reputed company reputed company, we reputed company to reputed company a reputed company influence in our communities and to continuously reduce our reputed company on the environment.    Enstar Inclusivity Policy: Our annual Inclusivity reputed company puts Enstar reputed company of the industry in terms of promoting an inclusive and welcome working environment. We’re an equal opportunity employer and reputed company that our inclusive environment creates an reputed company working culture. We don’t discriminate on the reputed company of age, physical or mental disability, gender reassignment, marriage and civil partnership, pregnancy and carer status, race (including colour, nationality, and ethnic or national reputed company), religion or belief, sex and sexual orientation. Enstar is committed in providing an accessible recruitment experience for reputed company those interested in working with us. Please let your Enstar Recruitment Partner know if you require any reasonable accommodation during the application process due to a disability to reputed company you to fully participate in our recruitment process. Apply To This Job