Claims Examiner

About Incline P&C Group

Do not wait to apply after reading this description a high application volume is expected for this opportunity.

Incline P&C Group is privately owned and operated with an exclusive focus on the program insurance market. Incline has a team of over 90 employees; headquartered in Austin, TX. It is our mission to provide the most effective and proficient environment for our partners by actively managing programs with a diligent focus on underwriting, claims, and enterprise risk.

Claims Examiner

Incline P&C Group is now hiring an experienced Claims Examiner to join its Claims team in Austin, TX. Incline P&C Group and its subsidiaries are fronting companies with claims handled by managing general agents and General Agents (MGAs, GAs) or third-party claims administrators (TPAs). The ideal candidate will have previous P&C insurance carrier experience and experience or knowledge of working with MGAs, GAs and TPAs. This role will report directly to the Claims Manager and is a great opportunity for those looking for career growth in a dynamic and innovative organization.

Responsibilities:

•         Assist in conducting claims audits of MGAs, GAs and TPAs, including in-depth and specific targeted audits.

•         Review and respond to requests for settlement and reserve authority from personal auto MGAs, GAs and TPAs.

•         Provide consultation, advice, and direction to MGAs, GAs and TPAs on claims issues such as coverage, reserving, responses to settlement demands, etc.

•         Review and modify or approve responses to policy limits demands, denials of coverage, and payments as required by applicable contracts or otherwise requested by MGAs, GAs or TPAs.

•         Monitor MGAs, GAs and TPAs for compliance with regulatory requirements and with contractual requirements.

Requirements:

•         Bachelor’s degree in business or related field of study preferred.

•         3+ years of personal auto claims experience with an emphasis on bodily injury losses.

•         AIC or other professional designations a plus.

•         Current TX adjusters license.

•         Thorough understanding of insurance-related legal procedures and regulatory compliance.

•         Strong working knowledge of Salesforce CRM.

•         Proficient in Microsoft Office Suite applications (Word, Excel, Outlook, SharePoint, etc.)

•         Strong attention to detail and keen analytical skills.

•         Advanced professional written and verbal communication skills.

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