Liability Examiner

Job Description TITLE: General Liability Examiner DEPARTMENT: Synergy Adjusting REPORTS TO: Liability Claims Team Leader STATUS: Regular, full-time; exempt This is a fully remote position. SUMMARY OF JOB PURPOSE The Liability Examiner provides claims examining services critical to Synergy casualty accounts, potentially including those related to niche market clients. The incumbent brings a sound knowledge of insurance coverage related to various business lines. Working closely with a broad scope of stakeholders, the incumbent must be able to handle casualty claims with minimal instruction or supervision. This individual also helps assure that obligations to policyholders are met and that the insurer’s reputation and efficacy are safeguarded. PRIMARY JOB RESPONSIBILITIES Determines coverage and identifies coverage issues related to various claims, applying a thorough understanding of applicable insurance policies and relevant coverage and loss types. Issues appropriate Reservation of Rights and/or declination letters. Establishes contact and maintains effective professional relationships with insured parties, agents, brokers, public adjusters, attorneys, and others involved in the claims process. Reviews claims and claim status with clients and brokers as necessary to facilitate the prompt, accurate resolution of claims filed. Obtains and prepares the necessary documentation associated with the prompt, accurate, and thorough verification of losses and administration of claims. Follows established policies, procedures, and processes in preparing information, and submits reports and documents in a timely manner and in accordance with insurer’s standards and expectations. Ensures the accuracy of information collected, and reported, and guards against fraudulent claims. Well versed in all facets of coverage determination, investigation, reserving, negotiation, and settlement along with overall claim strategy. Reviews, interprets, and evaluates medical bills and/or report