Job Description

Senior Claims Specialist

Job Summary

Seeking a highly skilled and experienced Senior Claims Specialist to join a team. This role is responsible for the comprehensive handling, investigation, evaluation, negotiation, and resolution of commercial general liability claims. The position involves managing claims ranging from fast-track to litigated matters, including those with coverage issues, minor to severe injuries, property damage, and contractual liability exposures. The ideal candidate will deliver exceptional customer service while ensuring timely resolution and effective expense management.

Compensation Package

• Base Salary Range: $65,000 - $120,000
• Annual Bonus: Eligible to participate in an annual discretionary bonus program.
• Benefits: Comprehensive package including Health, Dental, Vision, Life, Disability, Wellness programs, Paid Time Off and Profit-Sharing plans.

The actual salary will be determined based on factors such as the role's scope, complexity, location, and the candidate's skills, education, training, credentials, and experience.

Responsibilities

• Conduct thorough reviews of new losses and manage claims through coverage analysis, investigation, damages evaluation, reserving, and resolution of non-litigated casualty claims.
• Handle bodily injury claims, auto material damage claims, and total loss claims, including vehicle appraisal procedures, diminished value assessments, vendor networks, subrogation demands, salvage procedures, and heavy equipment appraisals.
• Establish timely and accurate claim and expense reserves.
• Negotiate and finalize claim settlements within authority limits.
• Participate in regional round table meetings as required.
• Draft complex correspondence, including Reservation of Rights and Coverage Denial letters.
• Maintain an effective diary system and document claim file activities in accordance with established procedures.
• Manage file inventory to ensure timely resolution of cases.
• Ensure compliance with state regulations in claim handling.
• Provide excellent customer service to insured parties, agents, and other internal and external stakeholders.
• Perform additional duties as assigned.

Qualifications/Requirements

• Minimum of 5 years of casualty claim experience preferred.
• Strong interpersonal, communication, organizational, and presentation skills.
• Proficiency in Microsoft Office products and general computer skills.
• Knowledge of tort and contract law, with experience in auditing and reviewing casualty claim files.
• Independent adjusters' licenses for the states of Alabama, Georgia, Mississippi, North Carolina, South Carolina, and Tennessee, or the ability to obtain licenses within 90 days of hire.
• Education: BA/BS degree preferred or equivalent work experience.

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