Job Description

Senior Claims Specialist

Job Summary

Seeking a highly skilled and experienced Senior Claims Specialist to join a team. This role is pivotal in managing complex, high-exposure liability claims with a focus on delivering exceptional service while maintaining cost efficiency. The ideal candidate will be a subject matter expert in claims handling, with a proven track record of managing litigated claims, resolving coverage issues, and negotiating settlements.

Compensation Package

Offer a competitive compensation plan and a robust benefits package, including:

• Base Salary Range: $77,000 - $144,000
• Annual Discretionary Bonus: Eligible to participate
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off and Profit-Sharing plans

The actual salary will be determined based on factors such as role complexity, location, candidate qualifications, and experience.

Responsibilities

As a Senior Claims Specialist, your key responsibilities will include:

• Managing litigated and complex claims through coverage analysis, investigation, damage evaluation, reserving, and resolution.
• Developing and maintaining positive relationships with panel counsel to ensure cost-efficient litigation strategies and early case resolution.
• Preparing and presenting large loss reports.
• Establishing timely and accurate claim and expense reserves.
• Negotiating and finalizing claim settlements within authority limits.
• Attending mediations and trials as required.
• Drafting complex correspondence, including denial letters and Reservation of Rights.
• Maintaining an effective diary system and documenting claim file activities in compliance with established procedures.
• Ensuring timely resolution of cases and compliance with state regulations.
• Providing excellent customer service to insureds, agents, and other stakeholders.
• Performing administrative functions such as document preparation, expense reporting, and other duties as assigned.

Qualifications/Requirements

To be successful in this role, you should meet the following qualifications:

• Experience: Minimum of 10 years of insurance carrier experience handling significant litigation claims with exposures of $500,000 or more.
• Skills:
  • Proven ability to identify and address coverage issues, conduct thorough investigations, set timely reserves, and develop detailed action plans.
  • Strong interpersonal, communication, and collaboration skills.
  • Excellent negotiation, time management, and organizational abilities.
  • Knowledge of tort and contract law.
  • Effective presentation skills.
  • Proficiency in legal billing software, claims systems, and standard office software applications.
• Licensing: Adjusters’ licenses for AL, GA, MS, NC, SC, and TN, or the ability to obtain them within 90 days of hire.
• Education: BA/BS degree preferred or equivalent work experience.
• Other: Self-directed with the ability to work independently under limited supervision.

#LI-RG1