Claims Service Specialist III - Commercial Lines BI Team

Key Responsibilities

• Timely completion of all case activities, maximizing customer service and minimizing net loss payout.
• Contact all insureds, claimants, and witnesses that may have information relating to the loss, either in person, by telephone, or in writing.
• This may include visiting the accident location to examine, photograph, and diagram physical facts and conduct neighborhood canvasses.
• Inputs and retrieves information using the automated claims system, requests checks, form letters, and other correspondence through the automated claim system.
• Evaluates case facts determining coverage, liability, and reserves, and reports on settlement; maintains a reminder system.
• Interprets and evaluates medical reports to determine if they are applicable to the claim; monitors legal and medical billings and investigates for proper charges and pays accordingly.
• Negotiates settlements with individuals, attorneys, and other insurance carriers within their granted settlement authority level.
• Pursues subrogation and may arrange for salvage to obtain the maximum recovery.
• Prepares detailed scope of damages on property losses and brings to conclusion.
• Affords assistance, when requested, in the selection and evaluation of experts as needed.
• Manages litigation, checking to ensure that coverages are not exceeded, that legal expenses are adequate, and confers with attorney about case direction and disposition.
• Participates in special projects or training programs.
• Assists, when requested, in the training of Claims Service Specialists II and below.
• Manages and tracks all claims referred to Subrogation counsel.
• Daily navigation and management of E-Subro Hub.
• Prepares well-written contentions for arbitration filings, including Special arbitrations, when coverage, liability, and/or damages are in dispute.
• Manages stretch assignments based on experience with oversight.

Requirements

• Success will be measured based on individual results compared to all established department standards in Customer Service, Teamwork, Loss and Expense Management, as well as Continuous Improvement.
• Excellent communication, customer service, and collaboration skills.
• 3-5 years of equivalent work-related experience.
• 2 or more years as a Claim Service Specialist II.
• Demonstrated success in handling PIP, BI, MD.
• Where applicable, pass the state licensing requirements.
• Valid drivers license in good standing.

Pay

Our current reasonable and good faith estimate of the annual salary range for this position is approximately $80,000 - $85,000 based on a variety of factors including, but not limited to, relevant skills and experience, educational background and certifications, performance and qualifications, market demand for the role and other organizational needs.