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Claims Specialist
3 weeks ago
Commercial Claims Expert
Job Description:We seek a skilled and compassionate professional to process claims accurately and efficiently, ensuring our customers receive the support they need during difficult times.
Key Responsibilities:- Investigate coverage and cause of loss on routine to complex claims, including policy review, interviewing parties associated with the loss, and gathering investigative documentation.
- Handle injury and property damage claims, identifying exposures with significant severity and triaging them to the large loss team.
- Provide accurate assessments and negotiate fair and efficient claims resolutions while managing costs, settling losses according to policy language, regulatory and statutory considerations, and within granted authority.
- Maintain effective claim file documentation and diary system, monitoring diaries to achieve timely development of files and disposition of claims.
- Recognize and pursue recovery opportunities, preparing submissions to SIU when indicated.
- Assign and supervise field examiners and vendor resources, including independent adjusters, engineers, and other experts as needed.
- 5 or more years in handling commercial liability claims.
- Property and casualty license or Independent Adjuster license (willingness to become licensed within 30 days).
- Litigation handling experience.
- Understanding of concepts such as coverage, policy interpretation, exposure recognition, and liability determination.
- Ability to work independently in a home-based environment and negotiate skillfully in difficult situations.
- Willingness to travel periodically.