Claims Specialist
Position Summary
This position provides key support in the handling of claims across multiple lines of coverage, with a focus on Property. This includes assessing claim coverage, liability, legal and damage issues, and investigating, evaluating, and effectively resolving all assigned claims in a timely manner according to company and regulatory guidelines. Provides a high level of customer service to internal and external business partners.
Primary Responsibilities
- Review, analyze, and interpret policy conditions, exclusions and endorsements to resolve coverage and liability issues for assigned claims
- Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
- Investigate claims to evaluate coverage and legal issues, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials
- Provide proper documentation and reporting of investigation and claims handling activities
- Provide customer service to insureds and claimants throughout the claims process
- Negotiate and resolve claims with claimants and insureds and provide appropriate claims resolution documents
- Provide direction to and manage independent adjusters and other third parties retained to assist in a particular claim
- Perform other duties as assigned
Qualifications
- Minimum of 3 years of experience with the following:
- Coverage Review – interpreting policies, agreements and disclaimers
- Claims Investigation – Statements, authorizations, retention of qualified experts
- Claims Administration – Reports, review reserves, compliance knowledge of laws and procedures
- Claims Settlement – Preparation of releases and proof of loss statements
Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service. Proven ability to develop and maintain good working relationships with customers and co-workers, both internal and external. Good negotiation skills. Excellent judgement and decision making skills.
Benefits
Competitive salary and benefits
Paid time off and 12 paid holidays a year
Health, dental, and vision insurance
Company paid life insurance – 2x annual earnings
Old Republic 401(k) Savings and Profit Sharing Plan
Education and training opportunities
Insurance designations encouraged with financial assistance available