Senior 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.

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.

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.

Pay

$69,600.00 - $92,400.00

Schedule

Hybrid work environment (4 days in office, 1 day remote) or works remotely in the following states: Georgia, Illinois, Indiana, Kentucky, North Carolina, South Carolina, Tennessee