Claims Specialist

About the role

Manages an inventory of claims to evaluate compensability/liability.

Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages.

Determines and negotiates appropriate claim settlements/reserves within prescribed authority.

May attend arbitrations, mediations, depositions, or trials.

Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.

Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.

Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.

Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.
• Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
• Determines and negotiates appropriate claim settlements/reserves within prescribed authority.
• May attend arbitrations, mediations, depositions, or trials.
• Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
• Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.

Requirements

• Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience.
• Experience: Generally, a minimum of 5 years of experience in property and casualty claims handling. Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC).

Qualifications

• Works within significant limits and authority on assignments of higher technical complexity and coordination.
• Demonstrates strong analytical, negotiation, and problem-solving skills.
• Demonstrates knowledge of insurance policies, coverage, and claims handling procedures.
• Maintains knowledge of industry laws and regulations.
• Demonstrates ability to organize and prioritize caseloads, ensuring timely resolution of claims.
• Excellent interpersonal and communication skills with the ability to build relationships and lead negotiations.
• Proven ability to handle confidential information with discretion.

Benefits

• Medical, dental, and vision coverage.
• Wellness plans.
• Paid time off and paid holidays.
• A 401(k) plan with company match.
• An employee stock purchase plan.
• Commuter benefits.

Pay

$69,600.00 - $92,400.00

Schedule

Works four days a week, with the flexibility to work one day remotely. Core in-office days are Tuesday–Thursday, with the fourth day determined by business needs.

The person hired for this position will work out of the Gainesville, GA office which offers a hybrid work environment (4 days in office, 1 day remote) or will work remotely in the following states: Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee.