Disability Claims Examiner jobs in Vermont

For more than 90 years, The Church Insurance Companies have focused on providing The Episcopal Church broad, cost-effective property and casualty coverage and unique risk management strategies and tools in a financially sustainable way.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Review coverage forms and claim records to determine insurance coverage for all claims, drafting timely coverage position letters when necessary.
• Interview client representatives and third parties; gather photos, statements, reports, medical records and other materials in order to analyze the extent of the insured's liability and overall exposure.
• Establish timely reserves, reviewing for appropriateness and accuracy as claims develop and making adjustments when appropriate. Generate and distribute advisory reports when reserve changes are in excess of $100,000.
• Update claim file notes routinely to address claim status, and each time relevant claim information is received. Claim file notes should include the Casualty Claim Examiner's assessment of the information received and a clear outline of strategy and plan.
• Maintain frequent communication with policyholders and third parties.
• Issue timely indemnity, medical, and expense payments when appropriate, securing W9 forms when necessary.
• Engage in direct settlement discussions with third parties or their representatives once a case has been evaluated for settlement.
• Retain and work collaboratively with defense firms on litigated claims, with an eye on resolution throughout the litigation process. The Casualty Claim Examiner should be leading the strategic course throughout the litigation and all legal documents are to be independently reviewed, including legal briefs/pleadings, deposition transcripts, medical records, expert reports, and any other evidentiary materials.
• Ensure all relevant documents are maintained in the claim file document folder.
• Proactively handle to completion all assigned claims, including attendance at mediations and trial.
• Draft comprehensive large loss and other loss reports senior leadership and reinsurers as required or requested.
• Actively participate in 1:1 meetings, roundtables, and team discussions
• Effective performance of the essential functions of this position requires regular in-person, on-site interaction with colleagues, both for purposes of relationship building and meaningful collaboration

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Strong verbal and written communication skills - with strengths in coverage assessment, negotiations, report writing, listening, and empathy.
• Superior analytical skills - ability to pinpoint relevant detail from voluminous documents to evaluate exposure accurately.
• Proficient in Excel, Word, Outlook.
• Strong time management and organization skills.
• Ability to remain focused during high volume/high intensity times.
• Attention to detail with entry of critical data into the claims system.

EDUCATION and/or EXPERIENCE

• 5 years of General Liability and other non-WC casualty lines of business as an adjuster or as an examiner
• Bachelor's Degree required/preferred

PHYSICAL DEMANDS

Commuting to the Bennington VT office, on average, three days a week. Extensive use of a computer keyboard is a demand of the position to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable someone with a disability to perform the essential functions of this position.

WORK ENVIRONMENT

Hybrid (two days working from home, three days working in a standard office environment). Church Pension Group employees must maintain a professional, compassionate, and trustworthy work environment always. Reasonable accommodations may be made to enable someone with a disability to perform the essential functions of the job within this environment.

Salary Range: $79,000 - $97,000

Join us and Create A Better Future For Yourself!

Flexible Benefits available to eligible employees:

• Medical (including Vision)
• Dental
• Supplemental Dental

Core Benefits automatically provided to eligible employees:

• Employer funded defined benefit pension plan (five year vesting)
• Employee Life Insurance
• Spouse and Dependent Life Insurance
• Accidental Death and Dismemberment (AD&D) Insurance
• Short-Term Disability (STD) coverage
• Long-Term Disability (LTD) coverage (elected as either pre-tax or after-tax)
• Business Travel Accident Insurance
• Worker's Compensation
• Employee Assistance Program
• Retiree health insurance (eligible after 10 years)
• Retiree life insurance

Elective Benefits available to eligible employees:

• 401(k) with matching contributions (immediate vesting)
• Flexible Spending Accounts (FSAs)
• Commuter Benefits
• New York's 529 College Savings Program (NY State residents)

Educational Assistance Program available to eligible employees

Maternity/Paternity Leave available to eligible employees

Time Off available to eligible employees: Vacation, Sick, Personal and Holidays

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Please understand that, as a general policy, CPG does not sponsor visas.

EOE: Minorities/Female/Disability/Vet/Sexual Orientation
If you are a CPG employee, please use your CPG email address when creating your profile to apply.