Senior Claim Examiner- NE

Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A+ (Superior).

Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune’s “100 Best Small and Medium Workplaces”. At ACIC, we foster a culture where everyone belongs. We’re a team—supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits.

Our benefits include:

• Health, Dental & Vision plans (HSA & PPO options)
• 401(k) with company match + financial advisor access
• Tuition reimbursement & student loan assistance
• Paid parental leave
• Counseling and mental wellness support
• Flexible work and in-office schedules

Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success.

Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.

www.atlanticcasualty.net/about-acic/our-careers/

Summary:

Manages the settlement of complex, high-value claim and suit files independently. Cases will involve complex coverage, liability, damages and/or injuries. May give technical assistance to staff adjusters. Manages independent adjusters and attorneys assigned to the Examiner’s files. Has settlement authority in excess of adjusters. May extend settlement authority to staff adjusters. Does not administratively supervise staff adjusters.

Essential Duties and Responsibilities:

• Analyze, review and interpret policies to resolve coverage and assess liability.
• Independently handle more complex and high-exposure Commercial Garage claims.
• Under general supervision and direction, resolves beginning to moderately complex claims by investigating losses, negotiating settlements, presenting evidence in legal proceedings while maintaining adequate production and quality levels.
• Investigates claims by interviewing shipper, consignee, witnesses, requesting and obtaining official reports, requesting and reviewing survey reports, and comparing claim information with evidence.
• Independently manage files in litigation.
• Establish and maintain proper loss and expense reserves.
• Determine what investigation is necessary in order to bring a claim to an equitable conclusion for all parties involved.
• Properly document information in the claim file.
• Review insurance policies for coverage and make recommendations.
• Make decisions regarding the liability of an insured.
• Maintain a working diary of assigned claims.
• Return phone calls promptly.
• Provide excellent customer service.
• Assist in the training of personnel within the unit.
• Perform other similar or related duties as assigned.

Required Education/Experience:

Basic

• A four-year degree from an accredited institution or equivalent experience.
• Knowledge of and adherence to the state laws and regulations governing the handling of property and casualty claims.
• A basic understanding of accounting principles, construction, underwriting, marketing and auto physical damage estimating.

Advanced

• Seven plus years successful handling of claims including advanced skills in coverage, investigation, litigation, negotiation, salvage and subrogation.
• Knowledge of medical terms and legal issues.
• Excellent computer skills.
• Advanced communication skills are required to understand, interpret and convey technical information.
• Excellent time management skills.

Licensing:

• A valid resident adjuster license for the license state of the applicant.
• A non-resident adjuster’s license where required in the states where we do business.

Mental Requirements:

The position requires using and interpreting information and facts that may require refining and improving existing methods of analysis. The incumbent has considerable latitude for decision making and establishment of priorities. Significant planning is required to coordinate with other organizational units.

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee may occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate. Works primarily indoors.

TRAVEL: 5%

"Atlantic Casualty Insurance Company is an Equal Opportunity Employer"