Internal Claims Examiner - Casualty Lines

The internal examiner is responsible for the oversight of workers compensation, commercial auto liability, and general liability claims. The examiner will coordinate and oversee initial investigations, provide direction to regional staff, evaluate ultimate exposure to the Company, and proactively engage with Third-Party Administrators claims personnel and panel counsel to protect the Company.

Job Type: Exempt

Pay: Salary

Benefits:

• Benefits Available and vary per position and location.

Are you a real go-getter looking for an amazing opportunity with a nationwide full-service-utility contractor offering competitive wages and incredible benefits? Keep reading because this job might be for you!

Since 1928, Asplundh has been dedicated to safe, efficient, and innovative line clearance services for the utility industry. Reliable, uninterrupted power is an important service provided by the world's electrical utilities and Asplundh has the expertise to help keep the power flowing. Over the years, diversification has opened vegetation management services to other specialized markets such as municipalities, railroads, pipelines, helicopter vegetation services, and departments of transportation.

A family-owned and operated corporation headquartered near Philadelphia, Pennsylvania, Asplundh has grown to employ over 33,000 service professionals throughout the United States, Canada, Australia, and New Zealand.

Essential Functions & Responsibilities:

• Provide claim oversight by utilizing Third-Party Administrators integrated multi-modal information sharing systems.
• Create and maintain a strong working rapport with the Third-Party Administrators claims personnel. Confirm that the claims personnel follow all assigned Client Service Instructions.
• Document claim status updates and strategy within internal RMIS every 30-days, or as material changes occur.
• Ensure all claims are appropriately reserved for the most likely outcome.
• Review and authorize compensability determinations, reserve recommendations, and settlements within desk authority. Seek internal authority when appropriate.
• Provide regional managers, supervisors, and other designated field personnel with high-level claim updates and financial impact reports. Work with the regional teams to ensure active engagement with injured employees.
• Participate in weekly team meetings and monthly individual reviews with the Claims Manager.
• Participate in quarterly claim reviews with Third-Party Administrators, the internal claims team, and broker.
• Actively participate in the litigation management process of claims to resolution.
• Utilize internal predictive data analytics to address reserve changes, claim closures, expert selection, litigation avoidance, attorney selection, and strategy changes.
• Remain current with evolving case law within assigned jurisdictions.
• Additional duties as required by management including internal trainings, mediation and trial attendance, subrogation oversight, and jurisdictional changes.

Requirements

• Three to five (3-5) years of claim management experience
• Demonstrated success managing litigation, evaluating, and negotiating commercial auto liability and general liability exposures
• Strong interpersonal communication skills with prior experience interfacing with executive leadership
• Analytical and interpretive skills
• Excellent time management tools
• Designations (CPCU, ARM, AIDA, etc.) preferred, but not required
• Bachelor s degree

Pre-Screen

• Upon offer, employees may be required to complete and pass a pre-employment drug screen, background, and/or MVR check.

Physical Requirements:

• Rarely: walking, kneeling, squatting, crawling, seeing distant, climbing on/off truck, climbing, lifting over 10 lbs. to 50 lbs., depth perception, color vision, lifting, carrying, pushing, pulling, climbing ladders, balancing, lifting up to 10 lbs., lifting up to 50 lbs.
• Occasionally: standing, stooping, body twisting, gripping, reaching, range of motion, climbing stairs.
• Frequently: sitting, sense of touch, manual dexterity, speaking clearly, reading, hearing-speech range.
• Constantly: seeing.

About Us:

As a full-service utility contractor, Asplundh performs tree pruning and removals, right-of-way clearing and maintenance, vegetation management with herbicides, and emergency storm work and logistical support. Asplundh is the parent company of UtiliCon Solutions whose subsidiaries provide overhead and underground line construction, planning and design, meter reading and AMR/AMI installation, electrical testing, and street lighting/traffic signal services. Asplundh also operates Rotor Blade Airborne Utilities Management, overhead electric distribution, and transmission lines using MD 500 helicopters.

Individuals must be able to perform the essential functions of the position with or without reasonable accommodation. Individuals with a disability who desire a reasonable accommodation should contact the ADA Coordinator at 1-800-248-8733, ext. 1339.

An Equal Opportunity Employer.