Nonprofits Insurance Alliance (NIA)

Claims Specialist

• Determines coverage(s) applicable to loss
• Investigates, manages and resolves claims in compliance with company policies
• Sets and maintains adequate claim reserves
• Conducts investigation and assigns fieldwork
• Determines liability
• Evaluates and pays claims within authority
• Prepares and presents claim status reports
• Recommends payment and evaluates claims

Senior Claims Examiner – EPLI Emphasis

• Manage claims inventory with higher loss potential and complexity
• Investigate, evaluate, and settle claims within designated authority
• Assign and direct Independent Adjusters/Appraisers and defense attorneys
• Prepare and present claim status reports
• Manage legal aspects through timely assignment of litigated cases
• Represent the company at settlement conferences, mediation, and arbitration
• Collaborate with internal and external parties on claim resolution