Claims Specialist

Responsibilities

• Investigate and handle high severity and/or complex commercial casualty claims in a prompt, equitable manner.
• Analyze coverage, liability and damages, evaluate reserves, negotiate settlement or conclusion of claims.
• Evaluate exposures and reserves during the life of the claim.
• Correctly enter claim data into claim and related systems for reporting purposes.
• Confer with Claims Supervisors, Claims Managers and Home Office Claims staff to inform, solicit input and strategize.
• Utilize Claims staff to assist with investigation.
• Cookordination investigation with Subrogation and Arbitration Units.
• Select appropriate outside legal counsel to coordinate the defense of each suit.
• Strategize and evaluate, with assistance of outside defense counsel, to determine direction of defense, e.g., defend to conclusion; compromise, or negotiate a fair and equitable settlement.
• Assign tasks, set completion dates and establish costs.
• Provide technical advice, direction and mentoring to the Claims Department staff on high severity and/or complex commercial casualty claims.
• Attend settlement conferences, depositions, preliminary hearings and trials when advisable.

Qualifications

• 5+ years of Commercial Casualty Claims experience.
• In-depth knowledge of complex insurance coverages, laws and regulations.
• Possess strong customer orientation, problem analysis and problem resolution skills.
• Excellent interpersonal and communication skills to partner with all levels of the organization.
• Able to organize, prioritize and manage multiple tasks in a fast-paced environment.
• Able to operate with urgency and professionalism to respond to inquiries from customers.
• Track record of being able to effectively manage a project and/or lead a team.
• Proficiency with Microsoft Word, Excel, Outlook and PowerPoint.
• Able to travel up to approximately two days per month; and a valid driver’s license.