Casualty Claims Specialist

Responsibilities

• Examine claims forms and records to determine if insurance coverage is applicable, and to what extent coverage is provided.
• Maintain timely and accurate claim file reserves, noting policy limits, deductibles, form endorsements, contract terms, and other essential forms and documents.
• Handle large and complex casualty claims.
• Oversee the adjustment of large, complex or litigated auto or casualty claims.
• Track all open files and prepare regular status reports.
• Attend litigation hearings, depositions, and mediations as a Company representative.
• Conduct interviews with insureds/claimants/witnesses, taking recorded statements.
• Correspond with insureds/claimants and/or their legal representatives.
• Consult police and hospital records to gain accurate information regarding the claim.
• Prepare report of findings and negotiate settlement with insured, claimant, attorney and/or other representative, explaining coverage as it applies to settlement.
• Compile all documentation and reports to ensure an accurate and complete claim file.
• Assess claim in consideration of subrogation, salvage and recovery, depreciation, replacement costs, restitution, estimates of independent contractors, estimating software, and other tools provided.
• Communicate with insured and agent during the claim investigation and settlement.
• Confer regularly with supervisors, other claims staff, and other Company personnel to plan and coordinate activities, exchange information, resolve problems, etc.
• Participate in monthly Claims Monitoring for performance feedback; adjust performance based on feedback.
• Assist supervisors in training new claims adjusters and in overseeing the daily work of junior adjusters.

Requirements

• Bachelor’s degree or equivalent education and experience.
• Minimum of 7 years of experience in casualty claims handling.
• Well-developed business acumen.
• Ability to multi-task and handle numerous assignments simultaneously.
• A process thinker seeking productivity and exceptional service.
• Excellent verbal, telephone, and written communication skills.
• Ability to work well in a team environment.
• A professional, positive, and enthusiastic attitude.
• Advanced computer skills.
• Excellent listening and feedback skills.
• Good problem-solving skills.
• Effective training skills.

Desired Qualifications and Skills

• Bachelor’s degree or equivalent education and experience in a relevant field.
• Valid Claims Adjuster’s license in the State of Vermont and other states when applicable.
• Prefers AIC, CPCU, CIC, or other insurance designations.