Claims Examiner

About Incline P&C Group


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 (MGAs) or third-party claims administrators (TPAs). The ideal candidate will have previous P&C insurance carrier experience and experience working with MGAs 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 and TPAs, including in-depth and specific targeted audits.

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

         Provide consultation, advice, and direction to MGAs 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 or TPAs.

         Monitor MGAs 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 and emphasis on bodily injury losses.

         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.

 

Legal

Austin, TX

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