Come grow with James River Insurance!

James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. and operates on an approved non-admitted basis in 50 states and Washington, DC. Since 2003, James River has provided thousands of commercial property and casualty customers with innovative and creative solutions for particular insurance needs.

At James River Insurance, we are committed to providing a stable and rewarding work environment supported by our Core Values and Guiding Principles: Integrity, Accountability, Innovation, Customer Service, Communication, and Teamwork. We are proud of being recognized the past 5 years as one of The Top Workplaces USA.

James River Group Holdings, Ltd. is a Bermuda-based insurance holding company which owns and operates a group of specialty insurance and reinsurance companies. The Company operates in two specialty property and casualty insurance segments: Excess and Surplus Lines and Specialty Admitted Insurance. The Company tends to focus on accounts associated with small or medium-sized businesses in each of its segments. Each of the Company's regulated insurance subsidiaries are rated "A-" (Excellent) by A.M. Best Company.

Job Summary

Under minimal supervision, the Senior Claims Examiner manages a caseload of moderate to high complexity P&C insurance claims. The Senior Claims Examiner will review claims to analyze and determine applicable coverage, facts, liability, damages, and plan for resolution in accordance with state and company guidelines. The Senior Claims Examiner will be recognized as having extensive claims handling experience, including the handling of complex high exposure claims.

Duties and Responsibilities

Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service

Perform coverage, liability, and damage analysis on all claims assignments

Investigate allegations and determine facts based on evidence and interviews

Draft disclaimers and reservation of rights letters when coverage issues arise

Assign limited investigations and appraisals to licensed insurance professionals

Manage a caseload of moderate to high complexity claims with delegated authority

Manage litigated files

Negotiate settlements, mitigate losses, and control expenses

Participate in and attend mediations to facilitate settlements

Maintain accurate documentation in claim files

Prepare correspondence to all required parties involved in a claim

Provide technical guidance, assistance, and training to Claims Associates and Claims Examiners

Provide exceptional customer service to insureds, claimants, and attorneys, addressing inquiries, concerns, and providing regular updates on claim status

Ensure compliance with state regulations, industry standards, and best practices in claims handling, maintaining a high level of professionalism and integrity

Maintain a passing quality assurance score on all audits and QAs

Handle claims in accordance with established James River Claims Best Practices

Other duties as required by management

Knowledge, Skills and Abilities

Expertise in claim handling and suit management

Moderate to advanced knowledge of P&C insurance industry

Ability to effectively assess risk

Proficiency in MS Office (Word, Excel, Outlook)

Excellent written and verbal communication skills

Excellent organizational skills

Ability to take direction from management

Ability to work independently and take initiative

Ability to exercise sound judgement in making critical decisions

Research, analysis and problem-solving skills

Strong negotiation skills

Ability to build effective relationships with business partners

Ability to perform effectively as part of a team

Ability to organize complex information and pay close attention to detail

Ability to anticipate customer needs and take initiative to meet those needs

Ability to train and provide technical guidance to less experienced Claims professionals

Ability to successfully obtain the required state adjusters' licenses within six (6) months following the completion of Company-provided licensure training courses and maintain appropriate licensure thereafter

Experience and Education

High school diploma required

Bachelor's Degree preferred

Minimum of three years of P&C claims handling experience including working with complex coverage issues, handling liability and coverage issues, multi-jurisdictional claims, and negotiating settlements with claimants and attorney required

Adjuster license and/or certifications preferred