Complex Casualty Claim Specialist

About the role

This is a remote position handling litigated and non-litigated complex casualty/bodily injury claims for Homeowners policies. Candidates must be available during normal EST business hours to serve customers in the Northeast.

Responsibilities

• Investigate, evaluate, and negotiate settlements while applying technical knowledge and skills to effect fair and prompt resolution of cases.
• Adjust reserves and provide recommendations to ensure reserving activities are consistent with corporate policies.
• Communicate reserve and reinsurance notices and reports effectively.
• Communicate promptly and professionally with all parties when answering questions and gathering claim information, adhering to company service standards and claims handling guidelines.
• Effectively manage and control litigation and claim expenses (budgets, experts, and claim strategies).
• Confer and direct legal counsel on claims requiring litigation, attend mediations, arbitrations, and/or trials when necessary.
• Handle ISO claim input and reporting, resolving claims within designated authority level.
• Maintain claim files with professional notes, claim summary, detailed analysis, and specific action plan with target dates.
• Perform other duties as assigned by management and mentor less experienced staff.
• Travel as required to attend meetings, trials, mediations, or other legal proceedings.

Requirements

• Bachelor’s degree (required).
• 8+ years of experience managing and handling complex casualty/bodily injury claims at an insurance carrier.
• Continued insurance education and/or designations.
• Licensing, or the ability to become licensed, in all states where Kingstone policies are written.
• Knowledge of Medicare Reporting guidelines and Medicare Set Aside qualifications.
• Thorough technical understanding of insurance coverage and claim procedures.
• Ability to work effectively in a remote environment and perform under stressful situations.
• Detail-oriented with excellent organizational skills.

Skills

• Strong technical skills in claims handling.
• Curious mindset and passion for the field.
• Team player who demonstrates initiative.

Benefits

• Comprehensive health benefits.
• Life and disability insurance.
• 401(k) with company match.
• Paid parental leave.
• Paid vacation, paid holidays, and birthday off.
• Peer recognition program.

Pay

$90,000 - $125,000 per year.