Senior Casualty Claim Representative/Claims Specialist-Specialty Human Services

About the role

The Specialty Human Services Division (SHS) is proud to serve the Human and Social Services sector for more than 40 years. Since 1980, we've been Protecting Those Who Improve Your Community® and were one of the first carriers to offer niche coverage solutions to nonprofit and service organizations. SHS works with agents to address the coverage needs and loss exposures of more than 16,000 social service and non-profit organizations across the country.

Responsibilities

• Manages a large 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.
• Performs other duties as assigned.

Requirements

• Education: Bachelor’s Degree in Business Administration, Risk Management and Insurance, Political Science, Pre-law, Paralegal or a related field or equivalent experience.
• Experience: Generally, a minimum of 3-6 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.

Skills

• Strong analytical, negotiation, and problem-solving skills.
• Knowledge of insurance policies, coverage, and claims handling procedures.
• Ability to organize and prioritize caseloads, ensuring timely resolution of claims.
• Excellent interpersonal and communication skills.
• Proven ability to handle confidential information with discretion.

Pay

$80,000.00 - $120,000.00

Schedule

On-site four days a week, with the flexibility to work one day remotely.

Benefits

• Competitive benefits packages for full-time and part-time employees.
• Medical, dental, and vision coverage.
• Wellness plans.
• Parental leave.
• Adoption assistance.
• Tuition reimbursement.
• Paid Time Off and paid holidays.
• A 401(k) plan with company match.
• An employee stock purchase plan.
• Commuter benefits.