The Claims Specialist will work in a collaborative environment to investigate and settle claims promptly and equitably while building and maintaining productive relationships with internal and external customers, including clients, underwriting and service teams. In this role you will have the opportunity to use creative thinking to overcome obstacles and work to develop innovative approaches to solving customer problems. This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation and settlement or trial strategies. This position will require some travel, as well as coordinating with and servicing both internal and external business partners.
Responsibilities
Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of mainstream casualty and business auto claims.
Analyzes coverage and communicates coverage positions, as warranted, under direction of manager.
Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages. Directs and closely monitors assignments to experts and defense counsel.
Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company.
Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor.
Travels to conferences, mediations, and trials as necessary. Travel ranges from approximately 10% to 25%, but it could be more as dictated by business needs.
Qualifications
Some experience within a claims or legal environment.
Bachelor’s Degree preferred or equivalent experience.
Working knowledge of industry best practices and procedures.
Critical thinker adept in problem solving and in evaluation of complex information.
Ability to work independently and assimilate learning materials on many different subjects from various sources.
Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner.
Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues.
