Senior Casualty Claim Specialist - Tampa, FL
Location: Hybrid – Tampa, Florida
Schedule: Monday-Friday 8am-5pm ET
About the Role
As a driven experienced Florida Litigation Bodily Injury Adjuster, you will evaluate high-exposure claims, partner with legal counsel, and resolve complex cases through strategic negotiation and sound decision-making. A strong knowledge of Florida bodily injury claims, litigation processes, coverage analysis, and negotiation techniques is essential to minimize financial exposure and support organizational objectives.
Responsibilities
- Review assigned claims.
- Contact the insured and other affected parties, set expectations for the remainder of the claim process, and thoroughly document activities in the claim file.
- Complete complex coverage analysis and ensure all possible policyholder benefits are identified.
- Investigate the facts regarding the claim and determine if the claim should be paid, confirming recovery potential.
- Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
- Identify when to refer claims to other company units (e.g., Underwriting, Subrogation, or Special Investigation Unit).
- Handle both attorney-represented and unrepresented claimants with injury claims involving coverage investigation, liability disputes, bodily injuries, and litigation.
- Assist Claim Manager with file reviews and training.
- Possess strong critical thinking and negotiating skills.
Requirements
- Florida State Adjuster License (required in states where an Adjuster’s license is mandatory).
- Degree in Business Administration, Insurance, or a related field, or equivalent work experience.
- Valid driver's license (required if primary responsibilities involve conducting in-person inspections or frequent in-person meetings).
- Five years of experience or equivalent training in:
- Negotiation of claim settlements
- Securing and evaluating evidence
- Preparing manual and electronic estimates
- Subrogation claims
- Resolving coverage questions
- Taking statements
- Establishing clear evaluation and resolution plans for claims
- Must reside within 50 miles of Tampa, Florida.
- Ability to travel outside of assigned territory, which may involve overnight stays, work evenings, or weekends, and relocate if necessary.
Skills & Knowledge
- Advanced knowledge of:
- Fair Trade Practices Act as it relates to claims
- Subrogation procedures and processes
- Intercompany arbitration
- Handling litigation
- Negligence Law
- No-Fault Law
- Medical terminology and human anatomy
- Ability to:
- Handle claims to the line Claim Handling Standards
- Follow and apply ACG Claim policies, procedures, and guidelines
- Work within assigned ACG Claim systems, including basic PC software
- Perform basic claim file review and investigations
- Demonstrate effective communication skills (verbal and written)
- Demonstrate customer service skills by building and maintaining relationships with insured/claimants
- Analyze and solve problems while demonstrating sound decision-making
- Prioritize claim-related functions
- Process time-sensitive data and information from multiple sources
- Manage time, organize, and plan workload and responsibilities
- Research, analyze, and interpret subrogation laws in various states
Preferred Qualifications
- Associate degree in Business Administration, Insurance, or a related field, or equivalent work experience.
- Completion of the ACG Claim Representative Training Program or equivalent knowledge/experience.
- Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management, or equivalent.
- CPCU coursework or designation.
- Five years of litigation file handling experience.
Work Environment
This is a hybrid work arrangement (time spent in office and remote). Depending on the role and leadership’s assessment, some employees will come into an ACG facility on a weekly, monthly, or "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or team-building events.
Pay
A Senior Litigation Bodily Injury Claim Specialist earns a competitive annual salary of $75,000-$85,000, along with the opportunity for an annual company bonus incentive.
Benefits
Health & Wellness
- Medical plans with multiple coverage options, including HSA eligibility.
- Prescription drug coverage.
- Dental and vision benefits.
- Employee Assistance Program (confidential support services).
Financial Protection & Insurance
- Company-paid basic life insurance.
- Optional supplemental life insurance and dependent coverage.
- Short-term and long-term disability coverage.
- Critical illness, accident, and pet insurance options.
Retirement & Savings
- 401(k) plan with:
- 3% automatic deferral upon eligibility.
- Option to contribute 1% to 50% of eligible earnings, either pre- or post-tax.
- Company match of 50% paid on employee contributions up to 6% of pay (paid annually; immediate vesting).
- Additional company contribution of 4% of pay each payday (100% vested after three years of service).
- Health Savings Account (HSA) and Flexible Spending Accounts (FSA) options.
Time Off & Leave
- Paid Time Off (PTO):
- Accrual-based, increases with tenure, eligible at 90 days of employment.
- Full-time new employees receive up to 12 PTO days annually (accrual based on start date; may include additional PTO based on role and/or state/local requirements).
- Part-time employee PTO hours calculated based on standard weekly hours (minimum accrual of 3 hours per month).
- Paid holidays:
- Full-time employees: 10 company-paid holidays annually, plus 1 mental health day, 2 floating holidays, and 1 volunteer day.
- Part-time employees: 8 company-paid holidays annually, plus 1 mental health day and 2 floating holidays.
- Paid leave programs, including parental, bereavement, jury duty, and military leave.
Career Growth & Education
- Tuition assistance (up to $5,250 annually; 80% covered by ACG).
- Professional certification support with 100% reimbursement for eligible programs.
- Opportunities for career development and advancement.
Additional Perks
- Complimentary AAA membership with roadside assistance and travel discounts.
- Adoption assistance program.