Senior Examiner Job Description
Senior Examiner Duties & Responsibilities
To write an effective senior examiner job description, begin by listing detailed duties, responsibilities and expectations. We have included senior examiner job description templates that you can modify and use.
Sample responsibilities for this position include:
Senior Examiner Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Senior Examiner
List any licenses or certifications required by the position: ICC, CISSP, CISA, OCC, RCA, III, BSA, AML, AFD, CEDS
Education for Senior Examiner
Typically a job would require a certain level of education.
Employers hiring for the senior examiner job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Finance, Accounting, Business, Economics, Computer Science, Education, Science, Engineering, Mathematics, Forensic Science
Skills for Senior Examiner
Desired skills for senior examiner include:
Desired experience for senior examiner includes:
Senior Examiner Examples
Senior Examiner Job Description
- Identifying defects and improving departmental performance by supporting quality, operational efficiency and production goals
- Reporting and presenting preliminary findings based on trending and interpretation
- Trending and comparing analyses against departmental and corporate standards
- Assisting with developing and participating in effective training and documentation
- Assisting the Claims Examiners as a resource for inquiries regarding their duties and responsibilities
- Direct and supervise the work of data analysts and contractor staff
- Monitor work and report on progress
- Troubleshoot and perform quality control spot checks
- Formulate administrative and technical procedures for completing tasks
- Perform complex technical and factual research
- Insurance coursework
- Good knowledge of insurance theory and practices
- SIP Certification preferred
- WCCA and WCCP preferred
- California Adjuster Designation
- 5 to 8 years handling California Workers' Compensation Claims
Senior Examiner Job Description
- Create action plans and deliverables to ensure team members and division representatives are meeting deadline and quality expectations
- Prepare and format spreadsheets and management reports
- Support preparation for client conference calls, meeting, and visits
- Mentors Examiners and Analysts in their review responsibilities, including orientation and training
- Will assist with performance of qualitative and quantitative research related to process improvement activities, including defining, measuring and analyzing process capability to ensure realized benefits, including the documentation of departmental processes and procedures using standardized tools such as process maps, time studies, root cause analysis, Gage R & R and recommendation of improvements
- Will provide input and monitor Corrective Action Plans (CAPS) submitted by Business Partners for timely resolution of any finding identified in operational review assigned to Senior Examiner
- Assist with department or other department backlogs as needed
- Must be able to manage multiple priorities according to designated standards
- Openly participate in team meetings and offer ideas and suggestions to ensure client satisfaction and promote teamwork
- Process simple adjustments (project reports, claim adjustment pends, corrected claims) according to designated standards, while meeting or exceeding production and quality goals
- Customer Relationship Management & Communications
- Collateral Examination examines accounting records and verifies accounts receivable and inventory (our collateral) of asset-based/formula-based borrowers
- University degree /college/professional qualifications with at least 7-8 years’ of relevant claims handling experience or similar equivalent academic and hands-on experience
- High degree of analysis, independence and leadership skills are essential
- High level of claims reporting skills required to produce high-quality claims management reports and produce claims analysis and management strategies
- Good negotiation, leadership, communication and interpersonal skills and working in a matrix environment
Senior Examiner Job Description
- Process standard to complex claims in accordance with company policy and procedures in a timely manner while meeting or exceeding production and quality goals
- Resolve outstanding items in accordance with designated standards
- Worked department overtime as required per business need
- Identifies undesirable underwriting and/or claim adjudication practices that require a need to elevate claim
- Identifies opportunities for investigation or application of “best practices” in client claim activities
- Verifies daily claim register by scanning the register to ensure accruals are reasonable, required fields are completed and that the register is free of obvious errors
- Assists in training of new or junior associates
- Processes payment for approved claims via ACH, wire transfer or check
- Analyzing coverage
- Monitor claim developments
- Good negotiation, leadership, communication and interpersonal skills
- Excellent written and spoken English a necessary pre-requisite
- Familiarity with title insurance commitment and policy format and all procedures required to prepare same—including abstracting, title examinations, survey analysis
- Must have a current/active TS/SCI with CI polygraph or willingness to take and pass a CI polygraph within 90 days of starting
- Requires a Bachelor's degree in related field and three (3) years of experience in IC or law enforcement AV exploitation/analysis
- Must have excellent oral and written communication skills including the ability to convey clear, concise, and informative briefings to all levels of management
Senior Examiner Job Description
- Investigate the claim including legal and damage analysis
- Negotiate settlements and makes reserve recommendations
- Manage Casualty claims in which Arch is the primary and/or excess carrier
- Identify and assess coverage issues, draft coverage position letters and when necessary, retain coverage counsel
- Analyze coverage, liability and damages for purposes of assessing and recommending reserves
- Timely and accurate resolution
- Settle claims within assigned levels of authority
- Maintain contact with the insured, underwriter, primary adjuster, reinsurers and counsel
- Retain defense counsel when necessary and direct counsel in accordance with litigation guidelines ensuring an effective resolution strategy
- Maintain an effective diary
- Excellent written and spoken English & Mandarin a necessary pre-requisite
- 5 to 8 years handling Public Entity claims
- SIP Certificate Required
- 5 to 8 years public entity and 4850 experience
- Information, property surveys and legal description, title orders, customer information, ownership histories, physical
- Recommends and advise management on process improvement and impact of change and leads initiatives to
Senior Examiner Job Description
- Negotiate resolution of claims
- Select and utilize structure brokers
- Review and pay bills, invoices and process indemnity payments
- Processes complex commercial and personal line property claims and ensures claim files are properly documented and coded correctly
- Includes the acceptance of loss notices, establishing needs for outside services (adjusters, experts, ) and making assignments accordingly, arranging for file set-up and overseeing the handling and settlement of those cases
- Oversight includes monitoring developments, ensuring that required data is obtained to determine both the extent of liability and measurement of the loss consistent with the coverage afforded, ensuring timely payments, as appropriate, pursuit of subrogation and assisting finance / accounting with reinsurance recovery, as may be necessary
- Work closely with Property Claims SVP (or AVP designee), underwriters, in the resolution of all loss handling and coverage issues, Lessons Learned
- Will assist in other loss handling and claims customer service responsibilities as may be assigned or directed by Property Claims SVP or designee
- Investigate, evaluate, and resolve, as appropriate, assigned general liability claims in a systematic and timely fashion
- Follow claims handling guidelines for consistency in handling and improved efficiency
- Experience in an Auditing capacity where you have conducted root cause analysis
- Ability to work analytically and provide creative ideas for problem solving
- Ability and willingness to handle increasing workload and responsibility
- Willingness and ability to learn and evaluate new information, both technical and procedural
- Must have working knowledge of the legal system, legal research procedures and sources of information
- Must have attention to detail and the ability to read and follow directions