Claim Specialist-Injury

Responsibilities

• Reviewing and analyzing both residential and commercial property injury claims to determine coverage, liability, and damages with exposures up to $500,000
• Conducting thorough investigations by gathering relevant information, interviewing involved parties, and reviewing supporting documentation
• Evaluating medical records, police reports, and other related documents to assess the extent of injuries and liability
• Evaluating coverage and policy terms to determine the validity of claims and ensure compliance with local regulations
• Negotiating settlements with claimants, ensuring fair compensation is provided within policy limits considering policy provisions, industry standards, and company guidelines
• Documenting all claim activities, maintaining accurate records, and preparing reports as required
• Collaborate with external policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently
• Collaborate with internal teams, including legal, medical, and risk assessment, to ensure proper claim handling

Qualifications

• Prior claim handling experience with proven ability to assess damages, estimate repair costs, and negotiate settlements
• Proficiency in using Claims Management software and other relevant tools
• Detail-oriented with strong written communication skills
• Effective verbal communication and interpersonal skills to handle difficult conversations with a customer-minded focus
• Strong critical thinking and decision-making skills
• Able to multi-task across technical platforms
• Strong organizational and time management skills
• Effective negotiation skills
• Able to work collaboratively in a team environment while also being self-motivated and able to work independently
• Identification of complexities that may require coordination with independent experts, vendors, or defense counsel