Claims Examiner

D3 Search is actively seeking the following Claims Examiner II - Cyber candidate for a global insurer with a growing office located in Encino, CA (91436).
Position Title:Claims Examiner II - Cyber
Location | Map:Encino, CA (91436)
Employer Work Model:Flexible hybrid work model (3/2).
Employment Status:Full-time | direct hire employment opportunity.
Position Details/Description:Claims Examiner - cyber insurance. Under supervision, analyzes coverage for increasingly complex claims submitted under the applicable policy form. Discusses claim facts and coverage issues with insureds, defense counsel, and/or coverage counsel. Possesses critical thinking and strong oral/written communication skills.
Key Responsibilities:Relying on limited experience and knowledge, the Claims Examiner II is responsible for accomplishing the following assignments and managing accounts caseload for Cyber claims support:Review submitted claims for coverage and determine if a matter is covered under the applicable policy.Investigate increasingly complex claims and coverage issues.Draft actions plans, including coverage recommendations, for the approval of Claims Managers for complex claims.Independently handle claims presently little to no coverage issues.Establish and revise claim reserves based on claim developments and counsel liability assessments.Draft coverage determination letters, including reservation of rights and denial letters.Appoint defense and/or coverage counsel, as appropriate.Obtain updates from defense counsel and/or coverage counsel and/or the Insured, as appropriate.Update claims diary as needed based on activityAuthorize settlements based on liability and other considerations within settlement authority provided by Claims Manager.Review, approve, and reimburse the Insured for legal, expert/vendor invoices, and settlement.Conduct detailed bill reviews to ensure appropriate payment.Maintain a claim file by accurately documenting all communications, activity, etc.Communicate with brokers or reinsured clients to obtain information necessary for processing claims.Attend mediations, arbitration, etc. as needed.Assist Claims Manager in drafting claims-handling protocols.
Position Knowledge, Skills, and Requirements: High school diploma or the equivalent.Bachelor’s degree preferred.Minimum of two (2) years of relevant professional experience in Cyber Claims.
Salary/Compensation:Starting salary is up to 93K (DOE/DOQ) plus a comprehensive & robust health benefits package, 401K, generous PTO, paid parking onsite, and many other notable employee perks, etc.
If interested in this Claims Examiner II - Cyber role situated in Encino, CA (91436), and you meet the above qualifications/requirements, please contact the following D3 rep.:
Don Moser | D3 Search📩 don@d3search.com | ☎️ 213-785-2485📡 www.d3search.com