Sr Claims Specialist - Auto and Liability
PMA Companies · Reading, PA · 2 wk ago
FinanceFull-time
Responsibilities
- Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution
- Ensures timely disposition of all claims in accordance with regulatory and statutory requirements
- Within granted authority, establish appropriate loss and expense reserves with documented rationale
- Maintain and adjust reserves over the life of the claim to reflect changes in exposure
- Notify appropriate claims management when exposure exceeds authority
- Negotiate claims resolution within granted authority
- Establish and execute appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome
- Work collaboratively with internal and external business partners in investigating and reaching appropriate disposition of all claims
- Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome
- Maintain working knowledge of regulatory and jurisdictional requirements for assigned claims territory
- Demonstrate technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines
- Communicate effectively with customers on claims and account issues
- Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims
Requirements
- Bachelor's degree or four or more years of equivalent work experience in an insurance related industry required
- At least 3 to 5 years of auto or liability claims management experience required; commercial lines experience strongly preferred
- Familiarity with coverage, negligence principles, investigation and negotiation techniques
- Strong organizational skills and detail orientation
- Ability to work independently, handle multiple tasks simultaneously and exercise good judgment
- Excellent verbal and written communication skills
- Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.